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Publication numberCN105997315 A
Publication typeApplication
Application numberCN 201610087175
Publication date12 Oct 2016
Filing date29 Jan 2009
Priority date29 Jan 2008
Also published asCA2749778A1, CA2749782A1, CA2749792A1, CA2776479A1, CN101980673A, CN101980673B, CN101980674A, CN102245133A, CN102245133B, CN104323877A, CN105361986A, EP2240127A1, EP2240127A4, EP2240128A1, EP2240128A4, EP2240129A1, EP2240129A4, EP2240130A1, EP2240130A4, EP2240131A1, EP2240131A4, EP2240132A1, EP2240132A4, EP2240133A1, EP2240133A4, EP2240134A1, EP2240134A4, EP2240135A1, EP2240135A4, EP2240136A1, EP2240136A4, EP2240137A1, EP2240137A4, EP2240138A1, EP2240138A4, EP2240139A1, EP2240139A4, EP2240139B1, EP2240140A1, EP2240140A4, EP2249752A1, EP2249752A4, EP2249753A1, EP2249753A4, EP2349132A1, EP2349132A4, EP2349133A1, EP2349133A4, EP2349134A1, EP2349134A4, EP3072480A1, US8567409, US8636809, US8992629, US9060771, US9259223, US9277920, US9375213, US9445815, US9526649, US9561033, US9642733, US9681874, US9687335, US20100312047, US20100312048, US20100312049, US20100312050, US20100312356, US20100324360, US20100324361, US20100324362, US20100331614, US20100331615, US20100331616, US20100331617, US20100331945, US20100332000, US20110009894, US20110009896, US20110009897, US20110172693, US20110196197, US20110196391, US20110218394, US20120022561, US20120029550, US20120029551, US20140148645, US20140236212, US20140330075, US20150305851, US20160022462, US20160166418, US20160324673, US20160374843, US20170165092, US20170209292, WO2009096857A1, WO2009096858A1, WO2009096859A1, WO2009096860A1, WO2009096861A1, WO2009096862A1, WO2009096862A8, WO2009096863A1, WO2009096864A1, WO2009096865A1, WO2009096865A8, WO2009096866A1, WO2009096867A1, WO2009096868A1, WO2009096869A1, WO2009096870A1, WO2009096871A1, WO2009096872A1, WO2009096872A9, WO2009096873A1, WO2009096873A9, WO2009096874A1, WO2010042061A1, WO2010042062A1, WO2010042063A1
Publication number201610087175.X, CN 105997315 A, CN 105997315A, CN 201610087175, CN-A-105997315, CN105997315 A, CN105997315A, CN201610087175, CN201610087175.X
Inventors彼得福塞尔
Applicant米卢克斯控股股份有限公司
Export CitationBiBTeX, EndNote, RefMan
External Links: SIPO, Espacenet
A device, system and method for treating obesity
CN 105997315 A
Abstract
An obesity treatment device is provided, the device comprising: at least one operable stretching device implantable in an obese patient and adapted to stretch a portion of the patient's stomach wall and an operation device for operating the stretching device when implanted to stretch the stomach wall portion such that satiety is created.
Claims(15)  translated from Chinese
1.一种肥胖症治疗装置,包括: 至少一个可操作拉伸装置(10、10”、11(^、11013、41013、50、810),其能植入在病人体中并适于拉伸所述病人的胃壁(12)的一部分,以及能植入的操作装置(90、42、54、40、217、218、452),用于操作被植入时的所述拉伸装置,以拉伸所述胃壁部分,从而引起饱胀感,其特征在于:所述可操作拉伸装置适于靠着所述胃壁的外部而放置。 An obesity treatment device, comprising: at least one operable stretching device (10, 10 ', 11 (^, 11013,41013,50,810), which can be implanted in the patient and adapted to stretch a portion of the patient's stomach wall (12), and an implantable operation means (90,42,54,40,217,218,452), when the operation for the stretching device is implanted, in order to pull stretch the stomach wall portion such that satiety, wherein: said means operable to stretch the stomach wall against the exterior adapted to be placed.
2.根据权利要求1所述的装置,其中所述拉伸装置包括第一接合构件(10”、110a、210a、410b)和第二接合构件(10”、110b、210b、410b),所述第一接合构件适于接合所述胃壁的第一部分,所述第二接合构件适于接合所述胃壁的与所述第一胃部分接近但分隔开的第二部分,其中当所述接合构件接合所述第一和第二胃部分时,所述操作装置适于操作所述第一和第二接合构件背离彼此,以拉伸所述胃的第一和第二部分之间的胃壁部分,从而引起临时的饱胀感。 2. The apparatus according to claim 1, wherein the stretching device comprises a first engagement member (10 ", 110a, 210a, 410b) and a second engagement member (10", 110b, 210b, 410b), the a first engaging member adapted to engage a first portion of the stomach wall, the second engagement member adapted to engage the stomach wall and the first portion of the stomach close to but spaced apart from the second portion, wherein when said engaging member joining the first and second time-sharing stomach, said operating means adapted to operate said first and second engagement members away from each other to stretch the stomach wall portion between the first and second portion of the stomach, causing a temporary feeling of fullness.
3.根据权利要求2所述的装置,其中所述第一和第二接合构件中的至少一个适于通过胃至胃的缝合线或订合线至少部分地被所述胃壁套叠,从而将所述接合构件保持在适当位置。 3. The apparatus according to claim 2, at least one is adapted to pass through the stomach to stomach sutures, wherein the first and second engagement member or wire stapling of the stomach wall at least partially nested, so that the the engaging member is held in place.
4.根据权利要求2-3中的任意一项所述的装置,其中所述第一和第二接合构件中的至少一个包括组织生长促进结构(213),其适于与所述外胃壁接触以保证所述拉伸装置长期附接到所述胃壁。 4. The apparatus as claimed in any of claims 2-3 claim, wherein said first and second engagement member comprises at least a tissue growth promoting structure (213), which is adapted to contact with the outer stomach wall to ensure that the stretching device attached to the stomach wall long.
5.根据权利要求1-4中任意一项所述的装置,其中所述拉伸装置包括主体(10、10”、11 Oa、11 Ob、41 Ob、50、810 ),其适于填充由所述胃的壁部分限定的容积。 The apparatus of any one of claims 1-4, wherein the stretching device comprises a body (10,10 ", 11 Oa, 11 Ob, 41 Ob, 50,810), which is adapted to fill a the stomach wall section defining a volume.
6.根据权利要求5所述的装置,其中所述主体是适于被所述病人的胃壁的一部分套叠的可膨胀主体,且其中所述操作装置包括流体贮存器(16、46、52、90、452),其与所述可膨胀主体的室流体连通,所述操作装置能非侵入性地操作以将流体从所述流体贮存器分配到所述可膨胀主体的室,以使所述主体膨胀,使得当所述可膨胀主体套叠时,所述胃壁部分被拉伸。 6. The apparatus according to claim 5, wherein said body is adapted to be part of the patient's stomach wall invaginated inflatable body, and wherein said operating means comprises a fluid reservoir (16,46,52, 90,452), which is in fluid communication with the inflatable chamber body and the chamber means can operate non-invasively to the dispensing of fluid from the fluid reservoir to the inflatable body of the operation, so that the expansion body, such that when the expandable body when nested, the stomach wall portion is stretched.
7.根据权利要求1-6中的任意一项所述的装置,其中在所述胃壁的外部,所述装置适于通过胃至胃的订合线至少部分地被所述胃壁套叠。 The apparatus of any one of claim 1-6, wherein the outside of the stomach wall, the apparatus is adapted to pass through the stomach-to-stomach staplers of the stomach wall at least partially nested.
8.根据权利要求6所述的装置,其中所述流体贮存器(452)适于通过手动按压所述流体贮存器进行操作。 8. The apparatus according to claim 6, wherein the fluid reservoir (452) adapted to be operated by manually pressing the fluid reservoir.
9.根据权利要求6或8所述的装置,其中所述操作装置可包括回动伺服机构(90),且其中所述流体贮存器中的小容积的流体被较大的力压缩,且所述主体的室在每单位容积较小的力下造成较大总容积的运动。 9. The apparatus of claim 6 or claim 8, wherein said operating means comprises a reverse servo (90), and wherein the fluid in the fluid reservoir is compressed a small volume large force, and the said body motion caused by the larger chamber in a total volume of less force per unit of volume.
10.根据权利要求1-5中任意一项所述的装置,其中所述拉伸装置包括机械调整拉伸装置。 10. The apparatus as claimed in any one of claims, wherein the stretching device comprises a mechanical stretching device adjustment.
11.根据权利要求1-10中任意一项所述的装置,进一步包括用于调整拉伸装置的马达(40、217、218、444、78)或栗(444、54、78)。 11. The apparatus according to any one of 1-10 claims, further comprising a motor (40,217,218,444,78) or Li (444,54,78) regulating the stretching device.
12.根据前述任意一项权利要求所述的装置,其中所述操作装置包括适于通过手动按压所述开关以操作所述拉伸装置进行非侵入性操作的皮下开关(38、72、80、472)。 12. The apparatus of any one of the preceding claims, wherein said operating means comprises a switch adapted by manually pressing the subcutaneous switch to operate the stretching device of non-invasive procedures (38,72,80, 472).
13.根据前述任意一项权利要求所述的装置,其中所述装置包括至少两个可操作拉伸装置(410b),其适于拉伸所述胃壁的至少两个不同部分,其中所述装置适于被术后且非侵入性地调整。 13. The apparatus of any preceding claim, wherein said means comprises at least two operable stretching device (410b), which is adapted to stretch at least two different portions of the stomach wall, wherein said means It is adapted to be postoperatively and non-invasively adjust.
14.根据权利要求13所述的装置,其中所述装置适于能够被术后且非侵入性地时常地调整为使得在第一时间所述拉伸装置中的一个拉伸所述胃壁的一个部分,在第二时间,所述拉伸装置的另一个拉伸所述胃壁的另一部分。 14. The apparatus according to claim 13, wherein the device is adapted to be postoperatively and non-invasively is often adjusted to such a device in a stretching of the stomach wall in the stretched first time portion, at a second time, the stretching apparatus further drawing another portion of the stomach wall.
15.根据前述任意一项权利要求所述的装置,其中所述装置进一步包括以下中的至少一个:内部能量源(70、470)、非侵入性地用无线能量对所述装置提供能量的无线能量接收器(205),以及接收用于对所述内部能量源充电的无线能量的能量接收器。 15. The apparatus of any preceding claim, wherein said apparatus further comprises at least one of: an internal energy source (70, 470), non-invasively with the wireless energy to provide energy to the wireless device energy receiver (205), and the receiver receives the energy for charging the internal energy source of the wireless energy.
Description  translated from Chinese

用于治疗肥胖症的装置、系统和方法 Means for treating obesity, the system and method

[0001 ] 本申请是申请日为2009年I月29日、申请号为200980111663.8、发明名称为“用于治疗肥胖症的装置、系统和方法”的申请的分案申请。 [0001] This application is filed 29 January I, 2009, Application No. 200980111663.8, entitled filed divisional applications "means for treating obesity, System and Method".

技术领域 FIELD

[0002]本发明涉及一种用于治疗肥胖症的装置、系统和方法。 [0002] The present invention relates to apparatus, system and method for treating obesity.

背景技术 Background technique

[0003]过去,肥胖病人通过胃减小手术来治疗,以限制病人的食物摄入。 [0003] In the past, the treatment of obese patients by reducing the stomach surgery to limit the patient's food intake. 目前,用于治疗肥胖症的两种胃间隔术过程,即:可调节胃束带手术(AGB)和胃垂直束带造形术(VBG),最经常执行。 Currently, two as stomach stapling process for the treatment of obesity, namely: an adjustable gastric banding (the AGB) and vertical gastric band arthroplasty (VBG), the most frequently performed.

[0004]在AGB中,束带被完全放置在肥胖病人的手术未损的胃周围接近其上端、在胃和食管的接合处的正下面,以限制病人的食物摄入。 [0004] In AGB, the band is placed completely around the obese patients surgery intact stomach near its upper end, right below the junction of the stomach and esophagus, to restrict the patient's food intake. 由于带束缚胃,因此一小胃囊被形成在带和胃中永久减小的气孔上面。 Since the gastric band to be bound, and therefore a small gastric pouch is formed above the hole in the band and a reduced permanent stomach. 少量食物填充小囊的想法导致病人感觉饱了,即,饱胀感。 A small amount of food to fill a small bag of ideas cause the patient feel full, that is, a sense of fullness. AGB的示例公开在美国专利4,592,339和欧洲专利0611561中。 AGB example disclosed in US Patent No. 4,592,339 and European Patent 0611561 in.

[0005]在VBG中,典型地,胃被竖直地分为四行线性订合线,其将胃分隔为与食管相邻的细长的近侧较小隔间以及远侧较大隔间,使得较小隔间的容积为胃的容积的约10%。 [0005] In VBG, typically the stomach is vertically divided into four rows of linear staplers, which will be separated into the stomach and esophagus adjacent elongate proximal smaller compartment and a distal larger compartment so that the smaller compartment has a volume of about 10% of the volume of the stomach. 一圆形孔被穿出在胃中在线性订合线行的下端,且若干圆形的订合线行被放置在胃上围绕所述圆形孔。 A circular hole in the lower stomach is piercing linear staplers rows, and a plurality of circular staplers row is placed on the stomach around the circular hole. 带被放置为通过圆形孔且被紧固在胃周围,由此带限定从胃的较小隔间到较大隔间的狭窄出口。 Band is placed through the circular hole and is secured around the stomach, whereby the band defines a narrow outlet from the smaller compartment into the larger compartment of the stomach. 一旦被紧固,则带防止胃在出口处拉伸,这引起出口经久保持其初始的小直径。 Once secured, the band prevents the stomach stretch at the outlet, the outlet which causes prolonged retain its initial small diameter. 病人摄入的食物被保存在较小隔间中,从而导致饱腹感。 Patient intake of food is stored in a small compartment, leading to satiety. 然后,食物缓慢通过出口流入较大隔间,消化在该较大隔间正常进行。 Then, the slow inflow of large food compartment through the outlet, normal digestion in the larger compartment. VBG的示例公开在美国专利5,345,949和5,549,621中。 Example VBG are disclosed in U.S. Patent No. 5,345,949 and in 5,549,621.

[0006]存在很多与AGB和VBG相关联的并发症。 [0006] There are many VBG and AGB and associated complications. 然而,重要的是,病人在吞食食物之前非常仔细地完全咀嚼食物,从而聚集在胃的较小隔间中的食物碎渣能够穿过较小隔间的狭窄出口。 However, it is important that the patient very carefully chew food completely before swallowing the food, so food particles gathered in the narrow outlet smaller compartment of the stomach can pass through the small compartment. 如果食物碎渣堵在出口,则其可能使病人呕吐和感觉不舒服。 If food particles stuck in exports, it may make the patient vomit and feel uncomfortable. 在这种情况下,病人应该看医生或护士。 In this case, the patient should see a doctor or nurse. 与AGB和VBG相关联的另一并发症是:病人可能在晚上受胃酸返流的困扰。 Another complication associated with AGB and VBG are: patients may be plagued by acid reflux at night.

[0007]还使用胃壁的电刺激来使病人感觉饱胀。 [0007] also uses electrical stimulation to the stomach of the patient feeling of fullness.

发明内容 SUMMARY

[0008]本发明的目的在于解决与存在的用于治疗肥胖症的胃减小手术(S卩AGB和VBG)相关联的并发症。 [0008] The object of the present invention is to solve the stomach for treating obesity present surgical complications is reduced (S Jie AGB and VBG) associated.

[0009]本发明的另一目的在于提供一种新的用于治疗肥胖症的装置。 [0009] Another object of the present invention is to provide a new device for treating obesity.

[0010]这些和其他目的通过所附权利要求中描述的装置来实现。 [0010] These and other objects are achieved by means described in the appended claims. 因此,通过提供一种如下装置而获得用于治疗肥胖症的装置,即该装置包括:至少一个可操作的拉伸装置,其能植入在肥胖病人体中并适于拉伸病人胃壁的一部分;以及操作装置,用于在所述拉伸装置被植入时操作该拉伸装置,以拉伸所述胃壁部分从而引起饱胀感。 Thus, by providing a means to obtain the following apparatus for treating obesity, i.e., the apparatus comprising: at least one operable stretching device, which can be implanted in the patient's body obese patient and adapted to stretch the stomach wall portion ; and an operation means for, when the stretching device is implanted to operate the stretching device to stretch the stomach wall portion such that satiety. 本发明基于以下认识:通过引起胃壁的拉伸效果而引起饱胀感。 The present invention is based on the insight: stretching the stomach wall caused by the satiety effect. 因此,不需要如AGB和VBG所需那样在胃中提供减小的永久气孔。 Thus, no such desired AGB and VBG as providing a reduced permanent stoma in the stomach. 因此,与这种减小的气孔相关联的并发症通过本发明的新装置而消除,该新装置是更简单、安全和长期工作的装置。 Thus, the complications associated with this hole is eliminated by reducing the present invention a new device, the new device is more simple, and long-term safety of the device.

[0011 ]在拉伸装置能够拉伸胃壁的位置,拉伸装置可通过胃至胃的缝合线或订合线而保持与胃壁接触。 [0011] In the position of the stretching device capable of stretching the stomach wall, stretching by means of stomach to stomach sutures or staplers held in contact with the stomach wall. 具体而言,拉伸装置可借助于胃至胃的缝合线或订合线而被胃套叠。 Specifically, the stretching apparatus by means of stomach to stomach sutures or staplers are invaginated stomach.

[0012] 拉伸装置可适于放置在胃腔中。 [0012] The stretching device may be adapted to be placed in the stomach cavity. 为此,拉伸装置可适于经由胃镜或入腔器械插入胃腔,并适于通过手术附接到胃壁。 To this end, the stretching device may be adapted to be inserted into the stomach cavity via a gastroscope or the instrument chamber, and adapted to be attached to the stomach wall by surgery. 可替换地,拉伸装置可适于放置在胃的外侧。 Alternatively, the stretching device may be adapted to be placed on the outside of the stomach.

[0013]在本发明的实施例中,拉伸装置包括第一接合构件和第二接合构件,所述第一接合构件适于接合胃壁的第一部分,所述第二接合构件适于接合胃壁的与第一胃部分接近但分隔开的第二部分。 [0013] In an embodiment of the present invention, the stretching device comprises a first member and a second engaging member engaging said first engaging member adapted to engage the first portion of the stomach wall, the second engagement member adapted to engage the stomach wall close to but spaced apart from the second portion of the first portion of the stomach. 操作装置适于操作第一和第二接合构件背离彼此移动,以拉伸胃的第一和第二部分之间的胃壁部分,从而引起饱胀感。 Operating means adapted to operate the first and second engagement members move away from each other to the stomach wall portion between the first portion and the second stretch of the stomach, causing a feeling of satiety. 第一和第二接合构件中的至少一个可适于通过胃至胃的缝合线或订合线至少部分地被胃壁套叠,从而将接合构件保持在适当位置。 The first and second engaging members may be adapted at least by a stomach to stomach sutures or staplers at least partially nested stomach wall, thereby holding the engaging member in place. 另外,第一和第二接合构件中的至少一个可适于通过接合构件与胃壁之间的缝合线或订合线而保持在适当位置。 Further, the first and second engagement member adapted to engage at least one member and a suture between the stomach or staplers and held in place. 适当地,第一和第二接合构件中的至少一个包括组织生长促进结构,优选为网状结构,适于与胃壁接触以保证拉伸装置长期附接到胃壁。 Suitably, the first and second engaging members comprises at least a tissue growth promoting structure, preferably a net-like structure, adapted to contact with the stomach wall in order to ensure long-stretching device attached to the stomach wall.

[0014]在本发明的另一实施例中,拉伸装置包括适于被病人胃壁的一部分套叠的至少一个可膨胀主体,且操作装置包括流体贮存器,其与所述主体的室流体连通。 [0014] In another embodiment of the present invention, comprising a stretching device adapted to be invaginated stomach wall portion of the patient at least one inflatable body, and the operation device comprises a fluid reservoir chamber in fluid communication with said body . 操作装置可为非侵入性操作的,以将流体从流体贮存器分配到主体的室,从而使主体膨胀,使得当主体被套叠时,胃壁部分受到拉伸。 Operation means may be a non-invasive operation to distribute fluid from the fluid reservoir chamber to the body, so that the expander body, so that when the body invaginated stomach wall portion is stretched. 流体贮存器可通过手动按压其来操作。 The fluid reservoir may be operated by manually pressing it. 操作装置可包括回动伺服机构,其中流体贮存器中的小容积流体被较大的力压缩,且主体的室在每单位容积较小的力下引起较大总容积的运动。 Operating means may comprise a reverse servo, wherein a small volume of fluid in the fluid reservoir is compressed with a higher force and the chamber causes movement of the body in a larger total volume per unit volume of less force. 流体贮存器可被放置在皮下或腹腔中,并可通过例如利用马达移动贮存器的壁来调整。 The fluid reservoir may be placed subcutaneously or in the peritoneal cavity, and can be adjusted by, for example, using a motor for moving the wall of the reservoir. 可替换地,栗可被提供为将流体或空气从贮存器栗浦到主体的室。 Alternatively, Li may be provided as a fluid or air from the reservoir to the body of the pump chamber Li.

[0015]术语“回动伺服机构”包含如下含义:用较大的力和小冲程进行控制的装置,S卩,例如少量流体在较大的力下的运动控制由非常小的力移动的较大量的流体,但可替换地或另外地包含如下含义:将作用在具有短冲程的移动元件上的很大的力转变为作用在具有长冲程的另一移动元件上的很小的力的机构。 [0015] The term "reverse servo" includes the following meanings: means for, S Jie controlled by large force and a small stroke, for example, a small amount of fluid motion under the control of a large force by the movement of the relatively small force means acting on the moving element having a short stroke into a large force is a small force acting on another moving element having a long stroke of: large volumes of fluid, but may alternatively or additionally comprise the following meanings . 当可以通过完整皮肤手动控制装置时,优选使用回动伺服机构。 When the control device can be manually complete the skin, preferably using reverse servo.

[0016]在本发明的另一实施例中,该装置包括与一个或多个较小的室接触的大室。 [0016] In another embodiment of the present invention, the apparatus comprises a large chamber in contact with one or more smaller chambers. 所述室适于与分配在所述室之间的流体或空气连通。 The chamber is adapted to communicate with the dispensing chamber between the fluid or air. 用于在所述室之间分配流体的回动伺服机构可被提供,其中大室中的小容积流体被较大的力压缩,且较小的室在每单位容积较小的力下引起较大总容积的运动。 Reverse servo for distributing fluid between the chambers may be provided, wherein a small volume of the fluid in the large chamber is compressed with a higher force, and smaller than at a smaller chamber causes the force per unit volume the total volume of large movement. 大室可适于被套叠在病人的基底胃壁中,从而也通过限制贲门切口朝向病人的隔膜肌的运动来治疗返流疾病,而小室用作拉伸装置以治疗肥胖症。 Large chamber may be adapted in the base invaginated stomach wall of a patient, the movement of the diaphragm muscle of the patient to treat reflux disease by restricting the cardia thus toward the incision, and the chamber is used as the stretching means to treat obesity. 大室可将流体或空气分配到小室以使它们膨胀并拉伸胃基底壁。 Large chamber may be fluid or air into the distribution chamber so that they expand and stretch the stomach fundus wall.

[0017]在本发明的另一实施例中,拉伸装置包括机械拉伸装置,其中可提供用于机械调整拉伸装置的马达。 [0017] In another embodiment of the present invention, the stretching device comprises a mechanical stretching device, wherein the motor may be provided for mechanically regulating the stretching device. 机械调节的拉伸装置可适于接合胃壁的第一部分和胃的第二部分,其中该机械调节的拉伸装置包括适于被操作装置移动的关节机构。 Mechanically adjustable stretching device may be adapted to engage the first and second parts of the stomach wall and the stomach, wherein the mechanically regulated stretching device comprises a joint mechanism adapted to move the apparatus is operated. 可替换地,拉伸装置可包括适于接合胃壁的第一部分的第一接合构件和适于接合胃壁的与第一胃部分接近但分隔开的第二部分的第二接合构件,其中机械拉伸装置调节胃壁的第一和第二部分之间的距离。 Alternatively, the stretching device may comprise a first engaging member adapted to engage the first portion of the stomach wall and a second engaging member adapted to engage the first portion of the stomach close to but spaced apart from the second portion of the stomach wall, wherein the mechanical pulling the distance between the first and second portions of the stomach wall extending adjustment means.

[0018]作为可替代方案,以上描述的液压机构可用于通过液压分配流体或空气来调整这种机械拉伸装置。 [0018] As an alternative, the hydraulic means described above may be used to dispense through the hydraulic fluid or air is adjusted such mechanical stretching device.

[0019]拉伸装置可为术后非侵入性调节的。 [0019] The stretching device may be non-invasively adjustable postoperatively.

[0020]用于操作拉伸装置的操作装置可在其最简单的形式中包括适于通过手动按压开关以操作拉伸装置进行非侵入性操作的皮下开关。 [0020] The operation of the device for operating the stretching device may be adapted to include a non-invasive operation to operate the switch by manually pressing the subcutaneous switch stretching device in its simplest form.

[0021]适于拉伸胃壁的至少两个不同部分的至少两个可操作拉伸装置可被提供,其中该装置适于被术后和非侵入性调整。 [0021] at least two operable stretching devices adapted to at least two different portions of the stretching of the stomach wall may be provided, wherein the apparatus is adapted to be postoperatively and non-invasive adjustments. 具体而言,该装置可时常地调整,使得在第一时间,拉伸装置中的一个拉伸胃壁的一个部分,在第二时间,拉伸装置中的另一个拉伸胃壁的另一部分。 Specifically, the device may be adjusted from time to time, such that at a first time, a tensile stretch a stomach wall portion of the apparatus, at a second time, another portion of the other of the stretching devices stretching the stomach wall.

[0022]在本发明的另一实施例中,拉伸装置包括主体,其适于填充由胃的壁部分限定的容积。 [0022] In another embodiment of the present invention, the stretching device comprises a body adapted to fill defined by a wall portion of the stomach volume. 适当地,主体具有圆滑轮廓,而没有可能损坏病人胃壁的太尖的边缘。 Suitably, the body having a rounded profile, the patient may damage the stomach wall without too sharp edges. 在主体待被套叠的地方,其可具有变化的周界,以更好地保持在被病人的胃壁部分套叠的位置。 Where the body to be invaginated it may have varying perimeter to better held in a position overlapping part of the patient's stomach wall sleeve. 主体可被成形为类似于蛋或类似于肾。 The body may be shaped like an egg or like kidney.

[0023] 一般而言,可使用任何种类的机械结构。 [0023] In general, any kind of mechanical structure. 可使用任何机械或液压驱动的机械机构或任何气动结构。 You may use any mechanical or mechanical hydraulic drive mechanisms or any aerodynamic structure. 在被提供动力时任何马达或任何栗或改变形式的移动材料可被用于实现如下简单目标:通过使胃壁的至少两个部分背离彼此移动来拉伸胃壁的一部分。 When any powered motor or any form of change or Li may be used to move the material easy to achieve the following objectives: a portion of the stomach wall to stretch the stomach wall by moving at least two portions away from each other.

[0024]可使用任何种类的液压操作。 [0024] may be any kind of hydraulic operation. 可以意识到,可使用气动操作来代替液压操作,其中代替液压流体的空气在贮存器与由拉伸装置形成的室之间移动。 Can be appreciated, pneumatic operation can be used instead of hydraulic operation, wherein the hydraulic fluid in place of air moves between the reservoir and the chamber formed by the stretching device. 优选地,贮存器具有锁定位置,从而如果该贮存器由病人处理,则将其保持在希望的位置。 Preferably, the reservoir has a locking position, such that if the reservoir is processed by the patient, it is held in a desired position. 为了压缩贮存器,其优选保持压缩并在再次按压之后释放。 To compress the reservoir, which is preferably held in compression and released after pressing again.

[0025]任何种类的液压方案可用于拉伸装置。 [0025] Any kind of hydraulic scheme may be used for the stretching device. 液压方案可通过机械和由任何马达或栗提供动力以及通过手动来驱动。 By mechanical and hydraulic scheme may be provided by any motor or Li and driven by manual power.

[0026]当然,仅仅使胃的套叠部分膨胀也拉离胃壁,这也可机械、液压、气动以及由马达或栗提供动力或手动力地实现。 [0026] Of course, only the stomach portion of invaginated stomach wall expanded also pulled away, which may be mechanical, hydraulic, pneumatic, and implementation is provided by a motor or a manual force or power to Li.

[0027]根据一个实施例,提供一种用于治疗病人的肥胖症的装置,该装置包括至少一个可操作的拉伸装置,其能植入在病人体中并适于拉伸病人胃壁的一部分。 [0027] According to one embodiment a portion, there is provided apparatus for treating obesity of a patient, the apparatus comprising at least one operable stretching device, which can be implanted in the patient and adapted to stretch the stomach wall of the patient . 该装置进一步包括可植入控制单元,该可植入控制单元用于在控制单元和拉伸装置被植入时自动控制可操作拉伸装置,从而拉伸与病人吃饭关联的胃壁部分,从而引起饱胀感。 The apparatus further comprises an implantable control unit, wherein the implantable control unit for, when the control unit and stretching device are implanted operable to automatically control the stretching device to stretch the stomach wall portion associated with the patient to eat, causing a sense of fullness.

[0028]根据另一实施例,该装置进一步包括至少两个拉伸装置,第一拉伸装置和第二拉伸装置,或三个或更多拉伸装置。 [0028] According to another embodiment, the apparatus further comprises at least two stretching devices, a first stretching device and a second stretching device, or three or more stretching devices. 根据又一实施例,该装置进一步包括用于操作拉伸装置的操作装置,其中当控制单元和拉伸装置被植入时,控制单元控制操作装置拉伸胃壁部分。 According to yet another embodiment, the apparatus further comprising operating means for operating the stretching device, wherein when the control unit and stretching device are implanted, the control unit controls the operation of the stretching means part of the stomach wall.

[0029]根据又一实施例,该装置进一步包括传感装置,其包括用于传感病人的物理参数或拉伸装置的功能参数的传感器,其中传感装置将与所述参数相关的信息发送到控制单元,且控制单元基于该信息控制拉伸装置。 [0029] According to a further embodiment, the apparatus further comprising sensing means comprising a sensor for a physical parameter or the functional parameters stretching device sensing a patient, wherein the sensing means associated with the parameter information transmission to the control unit, and the control unit controls the stretching device based on the information. 该装置可适于控制拉伸装置,以在控制单元和拉伸装置被植入时间歇地拉伸胃壁。 The apparatus may be adapted to control the stretching device to rest in the control unit and stretching device are implanted time-stretch the stomach wall.

[0030]根据一个实施例,可植入控制单元适于根据一个实施例通过随时间的变化、胃壁的拉伸量和/或在预定时间周期内对胃进行拉伸,控制由胃壁上的拉伸装置执行的拉伸量。 [0030] According to one embodiment, the implantable control unit is adapted according to one embodiment, the amount of stretching of the stomach wall and / or stretching of the stomach within a predetermined time period by a change with time, controlled by a pull on the stomach It means the amount of stretch performed by stretching.

[0031]根据一个实施例,可植入控制单元适于基于病人的食物摄入来控制拉伸装置,可植入控制单元可被编程为包括任意如下:拉伸装置被控制以拉伸胃壁的预定时间周期以及施加在胃壁上的拉伸量。 [0031] According to one embodiment, the implantable control unit is adapted based on the patient's food intake to control the stretching device, the implantable control unit may be programmed to include any of the following: stretching device is controlled to stretch the stomach wall a predetermined time period and the amount of stretch applied to the stomach wall. 操作装置可为机械操作装置、液压操作装置、液压操作的机械操作装置或机械操作的液压操作装置。 Operation means may be a mechanical operation device, hydraulic operation device, a mechanical device operates hydraulically operated device operated hydraulically or mechanically operated.

[0032]根据一个实施例,传感装置的传感器直接或间接地传感病人的食物摄入,且可植入控制单元响应来自传感器的信号来控制操作装置以拉伸胃壁。 [0032] The sensing sensor according to the food intake of the patient to one embodiment, the sensing device according to either directly or indirectly, and the implantable control unit, in response to signals from the sensor means to control operation of stretching the stomach wall.

[0033]根据又一实施例,可植入控制单元适于控制操作装置以利用多于一个的拉伸装置来拉伸胃壁。 [0033] According to a further embodiment, the implantable control unit is adapted to control the operation of device using more than one stretching device to stretch the stomach wall. 这可通过可植入控制单元实现,该可植入控制单元适于在第一时间周期内控制第一拉伸装置以拉伸胃壁的第一部分,在第二时间周期内控制第二拉伸装置以拉伸胃壁的不同于该胃壁的第一部分的第二部分,从而允许胃壁在拉伸周期之间的较长放松。 This can be achieved by an implantable control unit, the implantable control unit is adapted to control the first stretching device to stretch the stomach wall in a first portion of a first time period, the second time period the second control means stretching a second portion of the first portion of the stomach wall different from the stretching of the stomach wall, thereby permitting the stomach to relax between the stretch longer period.

[0034]根据一个实施例,传感装置的传感器适于传感与病人的食物摄入相关的参数,例如食管运动、食管弯曲、食管蠕动、食管拉伸、食管压力、穿过食管的食物、胃中的食物、神经活动、交感神经活动、肌肉活动、荷尔蒙活动、胃蠕动、胃拉伸、胃压力、胃弯曲、胃填充和/或胃中的酸度。 [0034] The intake related parameter sensor according to one embodiment, the sensing means adapted to sense the patient embodiment of foods, e.g. esophagus movement, esophagus bending, esophagus motility, esophagus stretching, esophagus pressure, food passing through the esophagus, stomach food, neural activity, sympathetic nerve activity, muscle activity, hormonal activity, gastric motility, stomach stretched, stomach pressure, stomach bending, stomach filled and / or stomach acidity. 传感装置也可适于传感蠕动、拉伸、弯曲、压力、运动、荷尔蒙、神经活动、PH值、酸度、容积、电容、电阻、电压、安培、光吸收或视觉、超声反射或吸收、弯曲金属、双金属和PH0 Sensing means may also be adapted to sense motility, stretching, bending, pressure, movement, hormonal, neural activity, PH, acidity, volume, capacitance, resistance, voltage, amperage, or visual light absorption, ultrasound reflection or absorption, bending metal, bimetal and PH0

[0035]根据一个实施例,该装置进一步包括可植入贮存器,其中操作装置受贮存器液压控制。 [0035] According to one embodiment, the apparatus further comprises an implantable reservoir, wherein the reservoir by operating the hydraulic control means. 拉伸装置可适于利用病人控制而从病人身体外部得到控制,所述病人控制根据一个实施例可适于取代可植入单元的控制。 Stretching means may be adapted to be controlled from outside the patient to control the use of the patient's body, the patient may be adapted to control a substituted According to one embodiment the implantable control unit embodiment. 可植入控制单元可适于由病人从病人身体外部来控制。 The implantable control unit may be adapted to be controlled by the patient from outside the patient's body.

[0036]根据一个实施例,该装置进一步包括外部控制单元,其例如借助于可由病人操作的可植入开关来从病人身体外部控制可植入控制单元。 [0036] According to one embodiment, the apparatus further comprises an external control unit, for example, by means of which a patient may be operated to switch implantable implantable control unit from the patient's body outside the control.

[0037]根据一个实施例,该装置包括无线远程控制器,用于从病人身体外部控制和/或编程可植入控制单元。 [0037] According to one embodiment, the apparatus comprises a wireless remote control, from the patient's body for external control and / or programming the implantable control unit. 控制单元可包括力控制器,且机械操作装置可由该力控制器控制。 The control unit may comprise a force controller, and means by which the operation force of the mechanical controller.

[0038]根据一个实施例,可植入控制单元包括压力控制器,且液压操作装置由该压力控制器控制。 [0038] According to one embodiment, the implantable control unit comprises a pressure controller, and the hydraulic operation device is controlled by the pressure controller.

[0039] 拉伸装置 [0039] The stretching device

[0040]根据任意实施例的装置的拉伸装置可包括第一和第二接合部分,第一部分可适于接合到胃壁的第一区域,第二部分可适于接合到胃壁的第二区域。 [0040] The stretching device of the apparatus may comprise any embodiment of the first and second engaging portions, the first portion of the second region to the first region may be adapted to engage the stomach wall, the second portion may be adapted to engage the stomach wall. 拉伸装置由此适于拉伸胃壁的在第一区域与第二区域之间的部分。 Whereby the stretching means adapted to stretch the stomach wall portion between the first region and the second region. 拉伸装置可包括马达,例如可植入电动马达,其相应地可操作至少一个关节,以移动该关节从而拉伸胃壁部分。 Stretching means may comprise a motor, for example, an implantable electric motor, which in turn is operable at least one joint to move the joint to stretch the stomach wall portion.

[0041]根据另一实施例,该装置可包括具有可变容积的室,所述室可适于接纳流体。 [0041] According to another embodiment, the apparatus may comprise a chamber having a variable volume, the chamber may be adapted to receive a fluid. 该装置可进一步包括贮存器,其适于保持流体并与所述室流体连接。 The apparatus may further comprise a reservoir adapted to hold a fluid and connected to the fluid chamber. 拉伸装置可进一步包括栗浦装置,其可适于将流体从贮存器移动到室,并由此拉伸胃壁的一部分。 Li stretching apparatus may further include pump means which may be adapted to move the fluid from the reservoir to the chamber, and thereby stretching the stomach wall portion. 根据另一实施例,该装置进一步包括第二流体连接部,其适于在预定时间周期内允许流体从室流回贮存器。 According to another embodiment, the apparatus further comprising a second fluid connection which is adapted to allow fluid within a predetermined time period from the chamber back into the reservoir.

[0042] 液压 [0042] hydraulic

[0043]根据一个实施例,拉伸装置包括适于具有可变容积的室。 [0043] According to one embodiment, the stretching apparatus comprising a chamber adapted to having a variable volume. 所述室可包括至少一个可移动壁部,其可为弹性壁部。 The chamber may comprise at least one movable wall part, which may be an elastic wall portion. 所述室可具有大致圆形且可适于接纳流体。 The chamber may have a substantially circular shape and may be adapted to receive a fluid.

[0044]根据另一实施例,拉伸装置进一步包括适于保持流体并与室流体连接的贮存器,拉伸装置可进一步包括栗浦装置,其可适于经由将贮存器和室互连的第一流体连接部将流体从贮存器移动到室,由此拉伸胃壁的一部分。 [0044] According to another embodiment, the stretching apparatus further comprises a reservoir adapted to hold a fluid and connected to the fluid chamber, the stretching device may further comprise Li pump device, which may be adapted to the reservoir through the first chamber and interconnected a fluid connection portion to move fluid from the reservoir chamber, thereby stretching the stomach wall portion. 可以设想到,拉伸装置进一步包括第二流体连接部,其将室和贮存器互连并适于在预定时间周期内允许流体从室流回贮存器。 It is contemplated that the stretching device further comprises a second fluid connection, which interconnects the chamber and the reservoir and adapted to allow fluid within a predetermined time period from the chamber back into the reservoir.

[0045]根据任意实施例的贮存器可适于被放置在皮下或腹部中,且贮存器可通过移动贮存器的壁来控制,这可利用合适的马达来实现。 [0045] The wall of the reservoir to control any embodiment may be adapted to be placed subcutaneously or in the abdomen, and the reservoir by moving the reservoir, which may be implemented using a suitable motor. 室也可包括适于膨胀室的容积的电动马达。 Chamber may also comprise an electric motor adapted to the volume of the expansion chamber.

[0046]该装置可进一步包括回动伺服机构,其中贮存器中的小容积被较大的力压缩,且室利用每单位面积较小的力而引起较大总面积的运动。 [0046] The apparatus may further comprise a reverse servo, wherein a small volume in the reservoir is compressed with a higher force and the chamber with a smaller force per unit area caused by the motion of a larger total area.

[0047] 传感器 [0047] Sensor

[0048]根据任意实施例的植入在病人体中的传感器可为功能参数传感器,其传感装置的功能参数,例如用于充填内部能量源的能量的传输。 [0048] According to any embodiment of the transmission of energy implantable embodiment of the sensor in the patient may be a functional parameter sensor sensing device functional parameter which, for example, filling an internal energy source. 在其他实施例中,传感器为物理参数传感器,其传感病人的物理参数,例如病人的食物摄入。 In other embodiments, the sensor is a physical parameter sensor that senses a physical parameter of the patient, the patient's food intake, for example. 根据任意实施例的传感器可为如下中的至少一个:体温传感器、压力传感器、血压传感器、血流量传感器、心跳传感器、呼吸传感器、电导率传感器、PH传感器、光敏传感器、气体探测传感器以及传感机械应变的传感器,例如适于传感贲门的任意收缩和放松的传感器。 At least one sensor according to any of the embodiments may be in the following: temperature sensors, pressure sensors, blood pressure sensors, blood flow sensors, heartbeat sensors, respiration sensors, conductivity sensors, PH sensors, light sensors, gas detection sensors and mechanical sensors strain sensors, such as any suitable sensing cardiac contraction and relaxation of the sensor.

[0049]根据一个实施例,该装置进一步包括反馈装置,用于将信息从病人身体内部发送到其外部,以给出与功能参数相关的反馈信息。 [0049] According to one embodiment, the apparatus further comprises a feedback device for sending information from inside the patient's body to the outside thereof to give feedback related to the functional parameter information.

[0050] 控制单元 [0050] The control unit

[0051]根据一个实施例,该装置由适于控制拉伸装置的控制单元控制。 [0051] According to one embodiment, the device control unit is controlled by controlling the stretching device is adapted. 控制单元可适于响应来自传感器的信号来控制拉伸装置或两个或更多个拉伸装置。 The control unit may be adapted in response to signals from the sensor to control the stretching device or two or more stretching devices.

[0052]根据一个实施例,控制单元时常地控制拉伸装置,使得拉伸装置中的一个在第一时间拉伸胃壁的第一部分,拉伸装置中的另一个在第二时间拉伸胃壁的第二部分。 [0052] According to one embodiment, the control unit controls the stretching devices from time to time, such that a first stretching means stretching the stomach wall portion at a first time, another stretching means stretching the stomach wall at a second time, the second part. 控制单元可适于从病人身体外部例如通过无线远程控制器来控制,所述无线远程控制器相应地可包括至少一个外部信号发射器,其可适于发射包括频率调制信号、幅度调制信号或相位调制信号或其组合的无线控制信号。 The control unit may be adapted, for example, be controlled from outside the patient's body through a wireless remote control, the wireless remote control may comprise respectively at least one external signal transmitter, which may comprise a frequency modulated signal adapted to transmit, phase or amplitude modulated signal modulated signal or a combination of wireless control signal. 根据一个实施例,所述至少一个发射器适于发射包括模拟或数字信号或者模拟和数字控制信号的组合的无线控制信号,或者发射包括电场或磁场或者组合的电场和磁场的无线控制信号。 According to one embodiment, the at least one transmitter adapted to transmit a wireless control signal comprises an analog or a digital signal or an analog wireless control signals and digital control signals in combination, emitting electric and magnetic fields or electric or magnetic field, or a combination comprising a.

[0053] 根据任意实施例的控制单元可适于植入病人皮下,且可适于控制液压系统。 [0053] The control unit may be adapted to any of the embodiments subcutaneously implantable in the patient, and may be adapted to control the hydraulic system.

[0054]该装置可进一步包括用于为控制单元提供动力的传输构件,该传输构件可包括流体传输构件和/或电引线。 [0054] The apparatus may further comprise a transmission member for powering the control unit, the transmission member may comprise a fluid transferring member and / or electrical leads.

[0055]根据另一实施例,该装置进一步包括外部数据通信器以及与该外部数据通信器通信的可植入内部数据通信器。 [0055] According to another embodiment, the apparatus further comprises an implantable internal data communicator and an external data communicator communicating with the external data communication. 内部通信器可适于将与该用于治疗肥胖症的装置相关的数据反馈回外部数据通信器,或者外部数据通信器将数据供给到内部数据通信器。 Internal communication may be adapted to be used with the device for treating obesity-related data is fed back to the external data communicator, a data communicator or the external data supplied to an internal data communicator.

[0056]提供能量 [0056] providing energy

[0057]为了对该装置提供能量,该装置可进一步包括通过诸如波信号等至少一个无线能量信号发射能量的无线能量发射器,所述波信号例如为声波信号、超声波信号、电磁波信号、红外光信号、可见光信号、超紫外光信号、激光信号、微波信号、无线电波信号、X射线信号和伽马射线信号。 [0057] In order to provide energy to the apparatus, the apparatus may further comprise a wireless energy transmitter wave signal or the like, such as by at least one wireless energy signal emitted energy, said acoustic wave signal, for example, a signal, an ultrasonic signal, an electromagnetic wave signal, an infrared light signals, visible light signals, ultra-ultra violet light signal, a laser signal, a microwave signal, a radio wave signal, X-rays and gamma rays signal signal. 无线能量信号可进一步包括电场或磁场或组合的电场和磁场。 The wireless energy signal may comprise electric and magnetic fields further electric or magnetic field, or a combination.

[0058]根据又一实施例,该装置包括适于为该装置提供动力的能量源,其可包括内部能量源,该内部能量源相应地可适于接收来自以无线模式发射能量的外部能量源的能量。 [0058] According to another embodiment, the apparatus comprises means adapted to provide power for the energy source, which may comprise an internal energy source, the internal energy source may be correspondingly adapted to receive from the external energy source transmitting energy in a wireless mode energy of. 内部能量源可进一步包括蓄能器、至少一个电压值防护罩和/或至少一个恒流防护罩。 Internal energy source may further comprise an accumulator, at least one shield voltage value and / or at least one constant current guard.

[0059]该装置可进一步包括适于将能量从第一形式转换为第二形式的能量转换装置。 [0059] The apparatus may further comprise adapted to convert energy from a first form to a second form of energy conversion devices.

[0060] 固定 [0060] Fixed

[0061]根据任意实施例的装置可包括固定构件,其可适于将拉伸装置固定到病人的胃壁。 [0061] The device according to any of the embodiments may include a fixing member, which means may be adapted to stretch the stomach wall is secured to the patient. 固定构件可适于与缝合线或订合线接触,以将拉伸装置固定到病人的胃壁。 Fixing member may be adapted to contact with sutures or staplers, the stretching device to the stomach wall is secured to the patient. 固定构件可包括网状结构,其可适于促进长期固定到胃壁的人体组织的生长。 Fixing member may include a mesh structure, which is adapted to be secured to facilitate long-term growth of human tissue of the stomach wall.

[0062]系统 [0062] System

[0063]本发明还提供一种肥胖症治疗系统,包括如上所述的用于治疗肥胖症的装置。 [0063] The present invention also provides an obesity treatment system comprising a device as described above for the treatment of obesity. 该系统可包括皮下电子开关,其适于手动且非侵入性地控制该用于治疗肥胖症的装置的功會K。 The electronic system may comprise a subcutaneous switch adapted to manually and the means for non-invasively treating obesity control functions will K.

[0064]该系统可包括具有液压贮存器的液压装置,其中该用于治疗肥胖症的装置适于通过手动按压液压贮存器而被非侵入性地调整。 [0064] The system may comprise a hydraulic device having a hydraulic reservoir, wherein the device for treating obesity is adapted by manually pressing the hydraulic reservoir be adjusted non-invasively.

[0065] 该系统可包括用于控制该装置的功能的无线远程控制器。 [0065] The system may include a wireless remote control for controlling functions of the apparatus. 无线远程控制器包括至少一个外部信号发射器,且内部信号接收器可被提供为植入在病人体中。 Wireless remote control comprises at least one external signal transmitter and an internal signal receiver may be provided to be implanted in the patient. 无线远程控制器适于发射用于控制该装置的至少一个无线控制信号。 Wireless remote control adapted to transmit at least one wireless control signal for controlling the device. 无线控制信号可包括频率、幅度或相位调制信号或其组合,以及模拟或数字信号或模拟和数字信号的组合。 Wireless control signal may comprise a combination of frequency, amplitude or phase modulated signal or a combination thereof, and an analog or digital or analog signals and digital signals. 可替换地,无线控制信号包括电场或磁场或者组合的电场和磁场。 Alternatively, the wireless control signal comprises an electric or magnetic field, or a combined electric and magnetic field. 远程控制器可发射用于承载无线控制信号的载波信号。 Remote control may transmit a carrier signal for carrying the wireless control signal. 载波信号可包括数字、模拟或数字和模拟信号的组合。 Carrier signal may comprise a combination of digital, analog or digital and analog signals. 远程控制器可发射用于承载数字或模拟控制信号的电磁载波信号。 Remote control may transmit an electromagnetic carrier wave signal for carrying the digital or analog control signal.

[0066]该系统可包括用于非侵入性地用无线能量对该装置提供能量的无线能量发射器。 [0066] The system may include a non-invasively providing energy to the wireless device with the wireless energy to the energy transmitter. 能量发射器通过至少一个无线能量信号发射能量。 The energy transmitter transmits energy by at least one wireless energy signal. 无线能量信号可包括选自如下的波信号:声波信号、超声波信号、电磁波信号、红外光信号、可见光信号、超紫外光信号、激光信号、微波信号、无线电波信号、X射线信号和伽马射线信号。 The wireless energy signal may comprise a wave signal selected from: a sound wave signal, an ultrasonic signal, an electromagnetic wave signal, an infrared light signal, a visible light signal, ultra-ultra violet light signal, a laser signal, a microwave signal, a radio wave signal, X-ray and gamma ray signals signal. 可替换地,无线能量信号包括电场或磁场或者组合的电场和磁场。 Alternatively, the wireless energy signal comprises an electric or magnetic field, or a combined electric and magnetic field. 无线能量发射器可发射用于承载无线能量信号的载波信号。 The wireless energy transmitter may transmit a carrier signal for carrying the wireless energy signal. 载波信号可包括数字、模拟或数字和模拟信号的组合。 Carrier signal may comprise a combination of digital, analog or digital and analog signals.

[0067]该系统可包括用于将无线能量从第一形式转换为第二形式的能量转换装置。 [0067] The system may comprise means for wireless energy from a first form to a second form of energy conversion devices. 能量转换装置可在能量传输期间用第二形式能量直接操作该装置。 Energy conversion means with a second form of energy may directly operate the device during energy transfer. 第二形式的能量可包括直流或脉冲直流或者直流和脉冲直流的组合。 The second form energy may comprise a combination of a DC or pulsed DC and pulsed DC or DC. 第二形式的能量可包括交流或直流和交流的组合。 The second form energy may comprise an AC or a combination of DC and AC. 蓄能器可被提供,其中第二形式的能量至少部分地用于对该蓄能器充电。 The accumulator may be provided, wherein the second form energy is used at least partly to charge the accumulator. 第一或第二形式的能量可包括磁能、动能、声能、化学能、辐射能、电磁能、光电能、核能或热能。 The first or second form may comprise magnetic energy, kinetic energy, sound energy, chemical energy, radiant energy, electromagnetic energy, photo energy, nuclear energy or thermal energy. 第一形式的能量和第二形式的能量中的一个可为非磁、非动态、非化学、非声学、非核或非热的。 The first form of energy and the energy of the second form in a non-magnetic, non-dynamic, non-chemical, non-acoustic, non-nuclear or non-thermal.

[0068]该系统可包括适于为该装置提供动力的能量源。 [0068] The system may comprise means adapted to provide an energy source for power. 该能量源可包括内部能量源,其适于接收来自以无线模式发射能量的外部能量源的能量。 The energy source may comprise an internal energy source adapted to receive energy from an external energy source transmitting energy in a wireless mode. 内部能量源通过无线模式的能量充填。 Internal energy source of energy is filled by the wireless mode.

[0069]该系统可包括反馈装置,用于将信息从病人身体内部发送到其外部,以给出与功能参数相关的反馈信息。 [0069] The system may comprise a feedback device for sending information from inside the patient's body to the outside thereof to give feedback related to the functional parameter information.

[0070]该系统可包括传感诸如系统的功能参数等参数的传感器,其与用于充填内部能量源的能量的传输相互关联。 [0070] The system may include a sensor sensing a functional parameter such as a parameter of the system, and the like, and its transmission energy for the filling of the internal energy source interrelated. 内部控制单元可被提供用于响应传感功能参数的传感器来控制该装置的操作装置。 The internal control unit may be provided a sensor for sensing function parameters in response to operation of a control means of the apparatus. 可替换地,传感器传感病人的物理参数。 Alternatively, the physical parameter sensor sensing a patient. 物理参数可为体温、血压、血流量、心跳和呼吸中的一个。 Physical parameter may be temperature, blood pressure, blood flow, heartbeats and breathing one. 物理参数传感器可为压力或蠕动传感器,或者传感测量、弯曲、拉伸或食物摄入的传感器。 Physical parameter sensor may be a pressure or motility sensor, or a sensor measuring, bending, stretching or food intake sensor. 内部控制单元可响应传感物理参数的传感器来控制操作装置。 The internal control unit may be responsive to the sensor sensing a physical parameter to control the operation device. 内部控制单元可被提供为接收来自传感器的信息。 The internal control unit may be provided to receive information from the sensors.

[0071]该装置的操作装置可包括马达或栗。 [0071] The operating device may comprise a motor device or Li. 具体而言,操作装置可包括电动马达。 Specifically, the operation device may comprise an electric motor. 操作装置可为电动力的,可为液压操作装置,或者可为气动操作装置。 The operating device may be electrically powered, may be a hydraulic operating device, or may be a pneumatic operation device. 发射的能量可直接以其无线形式影响操作装置,以致使动能在能量传输期间操作该装置的拉伸装置。 Energy can be transmitted directly in its wireless form affect the operation device to cause transmission of kinetic energy during operation of the apparatus the stretching means.

[0072]该系统可包括反馈装置,用于将信息从病人身体内部发送到其外部,以给出与功能参数相关的反馈信息。 [0072] The system may comprise a feedback device for sending information from inside the patient's body to the outside thereof to give feedback related to the functional parameter information.

[0073]该系统可包括外部数据通信器和与该外部数据通信器通信的可植入内部数据通信器,其中内部数据通信器适于将与用于治疗肥胖症的装置或病人相关的数据反馈回外部数据通信器,或者外部数据通信器将数据反馈到内部数据通信器。 [0073] The system may comprise an external data communicator and the external data communicator implantable internal data communicator and, wherein the internal data communicator is adapted to the relevant feedback data to the device or patient for treating obesity back to the external data communicator or the external data communicator data back to the internal data communicator.

[0074] 该系统可包括可植入电子部件,其包括至少一个电压值防护罩和/或至少一个恒流防护罩。 [0074] The system may include an implantable electronic component comprising at least one shield voltage value and / or at least one constant current guard.

[0075] 方法 [0075] Method

[0076]本发明还提供如下列出的方法: [0076] The present invention also provides methods as listed below:

[0077] (a)—种用于通过手术治疗肥胖病人的方法,该方法包括步骤: [0077] (a) - kind of method for surgically treating obese patients, the method comprising the steps of:

[0078]在病人的腹壁中切割开口 ; [0078] The cutting openings in the patient's abdominal wall;

[0079]切除胃周围的一区域; [0079] removal of an area around the stomach;

[0080]放置如上所述的用于治疗肥胖症的装置,接合病人的胃壁,并缝合胃壁。 [0080] The placement device as described above for treating obesity, engaging the stomach wall of the patient, and suturing the stomach wall.

[0081]该方法可进一步包括另外的步骤:术后调整拉伸装置,以拉伸胃壁的一部分,从而影响病人的胃口,其中调整拉伸装置的步骤从病人身体外部控制。 [0081] The method may further comprise the additional step of: postoperatively regulating the stretching device to stretch a portion of the stomach wall to affect the appetite of the patient, wherein the step of adjusting the stretching device from outside the patient's body control.

[0082]该方法可进一步包括另外的步骤:放置如上所述的另外的用于治疗肥胖症的装置,接合病人的胃壁,借助于所述用于治疗肥胖症的装置拉伸胃壁的第一部分,并借助于所述另外的用于治疗肥胖症的装置拉伸胃壁的第二部分。 [0082] The method may further comprise the additional step of: further means for placing treating obesity as described above, engaging the stomach wall of the patient, the device for treating obesity by means for stretching the first portion of the stomach wall, by means of a second portion of said further means for stretching the stomach wall to treat obesity.

[0083] (b)—种用于经由腹腔镜腹进路将用于治疗肥胖症的装置通过手术放置在病人体中的方法,该方法包括步骤: [0083] (b) - via a method for laparoscopic abdominal approach for the treatment of obesity by means surgically placed in the patient, the method comprising the steps of:

[0084]将针或管状器械插入病人身体的腹部; [0084] The needle or tube like instrument into the abdomen of the patient's body;

[0085]利用该针或管状器械用气体填充病人的腹部,由此使病人的腹腔膨胀; [0085] The use of a needle or tube like instrument to fill the patient's abdomen with gas thereby expanding the patient's peritoneal cavity;

[0086]在病人身体中放置至少两个腹腔镜套针; [0086] placing at least two laparoscopic trocars in the patient's body;

[0087]将照相机通过腹腔镜套针之一插入病人腹部; [0087] The camera is inserted into one of the patient's abdomen through the laparoscopic trocar;

[0088]将至少一个切除工具通过至少两个腹腔镜套针之一插入并切除病人的意欲放置区域;以及 [0088] The at least one cut through the at least two laparoscopic trocar insertion and removal of one of the intended placement area of the patient's tools; and

[0089]放置如上所述的用于治疗肥胖症的装置,接合胃壁。 [0089] The placement device as described above for treating obesity, engaging the stomach wall.

[0090] (C) —种利用如上所述的用于治疗肥胖症的系统的方法,包括步骤:术后调整拉伸装置,以拉伸胃壁的一部分,从而影响病人的胃口,其中调整拉伸装置的步骤被非侵入性地执行。 [0090] (C) - a method for treating obesity using a kind of a system as described above, comprising the step of: postoperatively regulating the stretching device to stretch a portion of the stomach wall to affect the appetite of the patient, wherein adjusting the stretching means step is performed non-invasively. 拉伸装置包括机械或液压拉伸装置。 Stretching device comprises a mechanical or hydraulic stretching device. 液压拉伸装置可包括贮存器,用于将凝胶或气体或流体移动到或移动离开拉伸装置。 The hydraulic stretching device may comprise a reservoir, for moving gel or gas or fluid to or moving away from the stretching device. 贮存器可被放置在使病人的手够到的皮下,以手动将流体移动到或移动离开拉伸装置。 The reservoir may be placed subcutaneously in the hand to reach the patient to manually move the fluid to or move away from the stretching device. 拉伸装置可由内部能量源提供动力,以拉伸或释放拉伸装置,其中借助于控制装置控制来自内部控制单元或病人身体外部的动力。 Stretching means for providing power by internal energy source, in stretching or releasing the stretching device, wherein by means of the control means controls the internal control unit or the power from outside the patient's body. 用于无线传输能量的无线能量发射器为操作装置提供动力,以使得拉伸装置直接在能量传输期间致使拉伸装置拉伸胃壁。 Wireless energy transmitter for wireless transfer of energy is powering the operation device, so that the stretching device directly during energy transfer cause the stretching device stretch the stomach wall. 用于无线传输能量的无线能量发射器对内部能量源进行充电。 Wireless energy transmitter for wireless transfer of energy for charging the internal energy source. 回动伺服机构可被提供,其中在闭合式液压系统中移动少量流体,在第二较大闭合式液压系统中实现较大的流体运动,其中所述少量流体与大容积相比被每单位面积较大的力移动。 Reverse servo may be provided, wherein moving small amount of fluid in a closed hydraulic system, to achieve greater movement of fluid in a second larger closed hydraulic system, wherein the small amount of fluid compared to the relatively large volume per unit area a large force moved. 在病人的基底胃壁中套叠的拉伸装置适于可调节,其中被放置为套叠在胃基底壁中的拉伸装置适于被调节并拉伸胃基底壁由此引起饱胀感。 In the stomach of a patient base invaginated stretching device is adapted to be adjusted, wherein the stretching device is placed invaginated in the stomach fundus wall is adapted to be adjusted and stretching the stomach fundus wall thereby satiety.

[0091]该方法可进一步包括将反馈信息从身体内部发送到其外部,以给出与该装置的功能参数相关的反馈。 [0091] The method may further comprise sending feedback information from inside the body to the outside thereof, to give a functional parameter of the apparatus associated with the feedback. 可替换地,该方法可进一步包括将反馈信息从身体内部发送到其外部,以给出与病人的物理参数相关的反馈。 Alternatively, the method may further comprise sending feedback information from inside the body to the outside thereof, to give a physical parameter associated with the patient's feedback. 装置的功能参数可与用于对内部能量源充电的能量传输相互关联。 A transmission device may function parameters correlated with energy for charging the internal energy source. 该装置可从病人身体外部编程。 The device may be programmed from outside the patient's body.

[0092]该方法可进一步包括步骤: [0092] The method may further comprise the step of:

[0093]传感病人的物理参数或装置的功能参数;以及 [0093] The sensing physical parameters of a patient or a functional parameter of the device; and

[0094]将传感的信息发送到适于调整拉伸装置的控制单元。 [0094] The sensor sends the information to the control unit adapted to adjust the stretching device.

[0095]该方法可进一步包括步骤: [0095] The method may further comprise the step of:

[0096]传感病人的物理参数或装置的功能参数;以及 [0096] sense physical parameters of the patient or a functional parameter of the device; and

[0097]将传感的信息发送到适于调整内部能量源的充填的控制单元。 [0097] The sensor sends the information to the control unit adapted to adjust the filling of the internal energy source.

[0098]该方法可进一步包括皮下放置的回动伺服机构,其具有小控制贮存器并用每单位面积较大的力从该控制贮存器移动小容积,从而用每单位面积较小的力引起拉伸装置的较大运动。 [0098] The method may further comprise subcutaneously placing a reversed servo having a small control reservoir and moving a small volume from the control reservoir with a larger force per unit area, causing a relatively small pull force per unit area a large movement of the extension device.

[0099]该方法可进一步包括通过手动按压皮下开关执行非侵入性调整。 [0099] The method may further comprise performing the non-invasive adjustment by manually pressing the subcutaneous switch.

[0100] 该方法可进一步包括通过无线远程控制器执行非侵入性调整。 [0100] The method may further comprise performing the non-invasive adjustment through wireless remote control.

[0101 ]该方法可进一步包括通过无线能量发射器执行非侵入性调整。 [0101] The method may further comprise performing the non-invasive adjustment through a wireless energy transmitter.

[0102]该方法可进一步包括通过内部能量源为该用于治疗肥胖症的装置提供动力。 [0102] The method may further comprise an internal energy source by the device for treating obesity for providing power.

[0103]该方法可进一步包括通过发射无线能量的外部能量源为该用于治疗肥胖症的装置提供动力,其中所述能量源包括发射无线能量的外部能量源。 [0103] The method may further comprise transmitting wireless energy by external energy source device for treating obesity for providing power, wherein said energy source comprises an external energy source transmitting wireless energy.

[0104]该方法可进一步包括从外部能量源发射无线能量,以对可再充内部能量源充电。 [0104] The method may further comprise transmitting wireless energy from an external source of energy, in order to be charged rechargeable internal energy source.

[0105] (d)—种利用如上所述的装置的方法,其中拉伸装置包括主体,其包括与适于拉伸胃壁的一个或多个较小贮存器/室接触的大室,其中所述室适于与在所述室之间运动的流体或空气连通。 [0105] (d) - Method using the device described above kind, wherein the stretching device comprises a body and adapted to stretch a stomach wall comprises one or more smaller reservoirs / chambers large contact chamber, wherein said chamber adapted for communication between the chamber and the fluid or air movement.

[0106] (e)—种利用如上所述的装置的方法,其中大室的主容积适于成为拉伸装置最重要的容积,且其中小室用作拉伸胃壁的拉伸装置以治疗肥胖症,其中主室利用流体或凝胶与小室连通,从而在胃基底壁中引起拉伸效果,由此治疗肥胖症。 [0106] (e) - kinds of apparatus using the method described above, wherein the main volume of the large chamber is adapted to be the most important volume stretching device, and wherein the chamber is used as stretching means stretching the stomach wall to treat obesity wherein the main chamber with a fluid or gel and the small chamber, causing the stretching effect in the stomach fundus wall thereby treating obesity.

[0107] (f)—种利用如上所述的装置的方法,包括通过将大室的主容积套叠在基底胃壁中由此限制胃切口朝向病人的隔膜肌的运动来治疗返流疾病,并利用小室拉伸胃基底壁,利用流体或空气将大室与小室连通以在胃基底壁中引起拉伸效果由此治疗肥胖症。 [0107] (f) - the method using the apparatus of the kind described above, comprising a main volume through the large substrate in the chamber is invaginated stomach wall thereby restricting the stomach notch towards the diaphragm muscle of the patient motion treating reflux disease, and drawing chamber using stomach fundus wall using the large fluid or air chamber in communication with the chamber to cause a stretching effect in the stomach fundus wall thereby treating obesity.

[0108]提供一种利用适于拉伸病人胃壁的一部分的装置来治疗病人的肥胖症的胃镜方法。 A method of treating obesity in a patient endoscopic device adapted to stretch a portion of the stomach wall of the patient [0108] to provide a use. 该方法包括步骤:将所述装置通过食管插入病人的胃中,将所述装置放置为与胃壁接触,将所述装置固定到胃壁使得该装置能够拉伸胃壁的一部分。 The method comprising the steps of: inserting the device into the patient's stomach through the esophagus, placing the device in contact with the stomach wall, securing the device to the stomach wall such that a portion of the device to stretch the stomach wall.

[0109]根据一个实施例,固定所述装置的步骤包括步骤:将所述装置的第一部分固定到胃壁的第一部分,以及将所述装置的第二部分固定到胃壁的第二部分。 [0109] According to one embodiment, the step of fixing the device comprising: a first portion of the stomach wall is secured to a first portion of the device, and a second portion of the device is fixed to the second portion of the stomach wall. 固定所述装置的第一和第二部分的步骤包括步骤:利用胃至胃的缝合线或订合线来套叠第一和第二部分。 The step of fixing the first and second portions of said device comprises the steps of: using stomach to stomach sutures or staplers to nested first and second portions wires.

[0110]根据一个实施例,该方法包括另外的步骤:将适于拉伸胃壁的一部分的第二装置放置为与胃接触,将该第二装置固定到胃壁,利用第一装置拉伸胃壁的第一部分,并利用第二装置拉伸胃壁的第二部分。 [0110] According to one embodiment, the method comprises the further steps of: the second device adapted to stretch a portion of the stomach wall placed in contact with the stomach, the second means secured to the stomach wall, stretching of the stomach wall using the first device a first portion, a second portion and the stretching of the stomach wall using the second device.

[0111]根据一个实施例,第二部分的拉伸包括步骤:利用预定延时,延时拉伸第二部分。 [0111] According to one embodiment, the second portion comprises the step of stretching: using a predetermined delay, delay drawing the second portion.

[0112]根据任意实施例的方法可进一步包括步骤:将胃镜插入病人的胃中,推动胃壁的一部分以在胃的外部制备囊,将所述装置插入该囊,放置在胃壁的内部,在将所述装置插入所述囊之前或之后缝合或订合以将该装置封闭在囊中。 [0112] The method according to any of the embodiments may further comprise the step of: inserting a gastroscope stomach of the patient, pushing a portion of the stomach wall outside the stomach prepared from a pouch, inserting the device into the bladder, is placed inside of the stomach wall, in the the device is inserted into the bladder prior to or after suturing or stapling to the apparatus in a closed bag.

[0113]根据一个实施例,该方法进一步包括步骤:将胃镜插入病人的胃中,拉动胃壁的一部分以在胃的内部制备囊,在胃壁中形成到达所述囊的孔,将所述装置通过胃壁中的所述孔插入所述囊,在将所述装置通过所述孔插入之前或之后缝合或订合所述囊。 [0113] According to one embodiment, the method further comprising the step of: inserting a gastroscope stomach of the patient, pulling a portion of the stomach wall to the stomach inside the capsule preparation, hole reaching the bladder is formed in the stomach wall, through the device the hole in the stomach wall is inserted into the bladder, prior to inserting the device into the hole or by suturing or stapling after the bladder.

[0114]该方法可进一步包括步骤:将传输构件从所述装置放置到控制单元,所述传输构件可为流体传输构件和/或适于传输电动力的构件。 [0114] The method may further comprise the step of: placing a transfer member from the device to the control unit, the transmission member may be a fluid transfer member and / or a member adapted to transmit electrical power.

[0115]该方法可进一步包括步骤:放置控制单元,该控制单元可被放置在病人皮下。 [0115] The method may further comprise the step of: placing the control unit, the control unit may be placed on the patient skin.

[0116]根据一个实施例,将传输构件从所述装置放置到控制单元的步骤包括步骤:在病人的腹部切割开口,将所述传输构件连接到所述控制单元,将所述控制单元插入病人皮肤中的开口,以及将所述控制单元固定在皮下。 [0116] According to one embodiment, the transfer member is placed from the device to the control unit comprises the steps of: cutting an opening in the patient's abdomen, is connected to the transmitting member to the control unit, the control unit is inserted into a patient an opening in the skin, and the control unit is fixed in the skin.

[0117]根据一个实施例,该方法进一步包括将传输构件从所述装置放置到控制单元的步骤包括步骤:在病人的腹部切割开口,将所述传输构件连接到所述控制单元,将所述控制单元插入病人皮肤中的开口,以被放置在腹腔中。 [0117] According to one embodiment, the method further comprises the step of transmitting a control unit from the device to be placed member comprising the steps of: cutting the opening in the patient's abdomen, is connected to the transmitting member to the control unit, the control unit is inserted into the opening in the skin of the patient, to be placed in the abdominal cavity. 放置控制单元的步骤包括步骤:将所述控制单元固定到腹壁。 The step of placing the control unit comprises the steps of: the control unit is fixed to the abdominal wall.

[0118] 拉伸 [0118] Tensile

[0119]根据任意实施例的方法的一个实施例,该方法包括另外的步骤:术后且非侵入性地调整装置以拉伸胃壁的一部分,从而影响病人的胃口。 [0119] In accordance with one embodiment of the method of any of the embodiments, the method further comprising the step of: after and noninvasively regulating the device to stretch a portion of the stomach wall to affect the appetite of the patient.

[0120]术后且非侵入性地调整装置以拉伸胃壁的一部分的步骤包括步骤:增大胃壁的第一部分与胃壁的第二部分之间的距离。 [0120] postoperatively and noninvasively regulating the device to stretch the stomach wall portion step comprises the step of: increasing the distance between the first and second portions of the stomach wall and the stomach wall.

[0121 ]根据一个实施例,调整装置的步骤从病人身体外部执行,而根据其他实施例,该方法的调整装置的步骤包括通过可植入控制单元从病人内部调整装置。 [0121] performing the steps of one embodiment, the adjustment device from outside the patient's body, whereas according to other embodiments, the method step of adjusting means comprises adjusting means from the inside of the patient by the implantable control unit.

[0122]根据一个实施例,调整装置的步骤包括时常地调整不同装置,以在第一时间拉伸胃壁的第一部分,在第二时间拉伸胃壁的第二部分。 [0122] According to one embodiment, the step of adjusting means comprises time to time regulate different device to stretch the stomach wall in a first portion of a first time, at a second time stretch a second portion of the stomach wall.

[0123]根据一个实施例,该方法包括将两个或更多个装置放置为与胃接触,并时常地调整不同装置以拉伸胃壁的一部分。 [0123] According to one embodiment, the method comprises two or more devices placed in contact with the stomach, and often adjust different means to stretch a portion of the stomach wall.

[0124] 手动 [0124] Manual

[0125]将装置放置为与胃接触的步骤可包括:将适于具有可变容积的装置放置为与胃接触,所述容积可通过至少一个可移动壁部分呢变化,所述至少一个可移动壁部分相应地可为至少一个弹性壁部分。 [0125] step of placing the device in contact with the stomach can comprise: a variable volume means adapted to have placed a movable contact with the stomach, said volume by at least one movable wall part of it changes, at least accordingly, wall portions may be at least one elastic wall portion.

[0126]根据任意实施例的装置可具有大致圆形或者蛋形。 [0126] may have a generally circular or egg-shaped device according to any of the embodiments.

[0127]该装置可进一步包括皮下开关,且该方法可进一步包括按压所述开关并以便手动且非侵入性地调整该装置。 [0127] The apparatus may further comprise a subcutaneous switch, and the method may further comprise pressing the switch for manually and non-invasively and adjusting the apparatus.

[0128]根据一个实施例,调整装置的步骤包括将流体从贮存器移动到装置的步骤。 [0128] According to one embodiment the step, the adjustment means comprises fluid moving from the reservoir means to the step.

[0129]根据一个实施例,该装置可包括栗,且该方法可包括步骤:将流体从贮存器栗浦到该装置以拉伸胃壁。 [0129] According to one embodiment, the apparatus may comprise Li, and the method may comprise the steps of: Li pump fluid from the reservoir to the device to stretch the stomach wall.

[0130]将流体从贮存器移动到该装置的步骤包括移动贮存器的壁部分的步骤。 [0130] The moving fluid from the reservoir to the device comprises the step of moving a wall portion of the reservoir.

[0131]调整装置的步骤可包括步骤:手动按压贮存器,其可被放置在皮下或腹部中。 [0131] step of adjusting means may comprise the steps of: manually pressing the reservoir, which may be placed subcutaneously or in the abdomen.

[0132]机械 [0132] Machinery

[0133]根据一个实施例,增大胃壁的第一部分与胃壁的第二部分之间的距离包括将流体移动到具有可变容积的室中的步骤。 [0133] comprising the step of moving fluid into the chamber having a variable volume in accordance with the distance between the second part of one embodiment, a first portion of the stomach wall increased stomach wall.

[0134]自动化 [0134] Automation

[0135]根据一个实施例,将装置放置为与胃接触的步骤包括将适于具有可变容积的装置放置为与胃接触。 [0135] According to one embodiment, the step of placing a device in contact with the stomach comprises variable volume means adapted to have placed in contact with the stomach.

[0136]该可适于具有可变容积的装置包括至少一个可移动壁部分,其可包括至少一个弹性壁部。 [0136] The apparatus may be adapted to have a variable volume comprising at least one movable wall part, which may comprise at least one elastic wall portion.

[0137]该装置可具有大致圆形或大致蛋形形状。 [0137] The device may have a substantially circular or substantially egg-shaped.

[0138]该装置可进一步包括皮下开关,且该方法可进一步包括按压所述开关以非侵入性地调整该装置。 [0138] The apparatus may further comprise a subcutaneous switch, and the method may further comprise pressing the switch to non-invasively adjust the apparatus.

[0139]调整装置的步骤可包括将流体从贮存器移动到该装置的步骤,这相应地可包括步骤:操作栗浦装置,该栗浦装置将流体从贮存器移动到所述装置,且所述装置容积膨胀并由此拉伸胃壁的一部分。 Step [0139] The adjustment means may comprise a fluid from a reservoir to the step of moving the apparatus, which in turn may comprise the steps of: operating Li pump device, the pump device Li from the fluid reservoir to said moving means, and the said volumetric expansion device and thereby stretching the stomach wall portion.

[0140]该方法可进一步包括步骤:流体从所述装置流回贮存器,由此释放胃壁的拉伸。 [0140] The method may further comprise the step of: flowing back fluid from the reservoir means, thereby releasing the stretching of the stomach wall.

[0141 ] 根据一个实施例,该方法可包括步骤:利用可植入传感器传感变量,解译该传感到的变量,并利用该解译的变量控制所述装置。 [0141] According to one embodiment, the method may include the steps of: sensing a variable using an implantable sensor, interpreting the sensed variable, using the interpreted variable to control the device.

[0142]根据另一实施例,控制所述装置的步骤包括步骤:操作栗浦装置,以将流体从贮存器移动到所述装置,且所述装置容积膨胀并由此拉伸胃壁的一部分。 [0142] According to another embodiment, the step comprises the step of controlling the device: Li Pu operating means to move the fluid from the reservoir to the device, and the volume of the expansion device and thereby stretching the stomach wall portion.

[0143]根据一个实施例,该方法包括步骤:流体从所述装置流回贮存器,由此释放胃壁的拉伸。 [0143] According to one embodiment, the method comprises the steps of: drawing fluid from the apparatus back into the reservoir, thereby releasing the stomach wall.

[0144]传感变量的步骤可包括步骤:传感与病人的食物摄入相关的变量,该步骤可包括步骤:传感与病人的食物摄入相关的变量造成胃部的拉伸增加,并由此使病人的饱胀感增加。 Step [0144] sensing variables may include the steps of: sensing the patient's food intake related variables, this step may comprise the steps of: sensing the patient's food intake causes an increase in the variables related to stretch the stomach, and thereby increasing the patient's sense of fullness.

[0145]机械 [0145] Machinery

[0146]根据一个实施例,增大胃壁的第一部分与胃壁的第二部分之间的距离的步骤包括将流体移动到具有可变容积的室中的步骤。 [0146] the step of moving fluid into a chamber having a variable volume in accordance with the distance between the second step part of one embodiment, the first portion of the stomach wall increases with the stomach wall comprises.

[0147]该方法可进一步包括步骤:将流体从贮存器移动到具有可变容积的室。 [0147] The method may further comprise the step of: moving a fluid from the reservoir to the chamber having a variable volume. 将流体从贮存器移动到所述装置的步骤可包括步骤:操作栗浦装置,该栗浦装置将流体从贮存器移动到所述装置,且所述装置容积膨胀并由此拉伸胃壁的一部分。 Moving the fluid from the reservoir to the device may comprise the step of: operating a pump device Li, Li pump device which moves the fluid from the reservoir to the device, and the volume of the expansion device and thereby stretching the stomach wall portion .

[0148]根据一个实施例,操作栗浦装置的步骤包括利用无线远程控制器操作栗浦装置的步骤。 [0148] According to one embodiment the step, the operation of the pump device Li wireless remote control comprises the step of using a Li pump device operation.

[0149]根据一个实施例,该方法进一步包括步骤:流体从所述装置流回贮存器,由此释放胃壁的拉伸。 [0149] According to one embodiment, the method further comprising the step of: flowing back fluid from the reservoir means, thereby releasing the stretching of the stomach wall.

[0150]根据一个实施例,增大胃壁的第一部分与胃壁的第二部分之间的距离包括步骤:操作马达,该马达适于增大胃壁的第一部分与胃壁的第二部分之间的距离,由此拉伸胃壁的一部分。 [0150] The distance between the second part of one embodiment, the first portion of the stomach wall increases with the stomach wall comprises the step of: a distance between the second portion operating a motor adapted increase the stomach wall and the stomach wall of the first portion , thereby stretching the stomach wall portion. 操作马达可包括利用无线远程控制器操作马达的步骤。 Operation of the motor may comprise the step of using a wireless remote control operation of the motor.

[0151 ]根据一个实施例,该方法进一步包括步骤:利用可植入传感器传感变量,解译该传感到的变量,并利用该解译的变量控制所述装置。 [0151] According to one embodiment, the method further comprising the step of: sensing a variable using an implantable sensor, interpreting the sensed variable, using the interpreted variable to control the device.

[0152]根据一个实施例,该方法包括步骤:操作栗浦装置,该栗浦装置将流体从贮存器移动到室,且所述室被流体填充以增大胃壁的第一部分与胃壁的第二部分之间的距离,由此拉伸胃壁的一部分。 [0152] According to one embodiment, the method comprises the steps of: operating a second pump means Li, Li pump device which moves the fluid from the reservoir to the chamber, and the chamber is filled with fluid to increase the stomach wall and the stomach wall of the first portion the distance between the portions, thereby stretching the stomach wall portion.

[0153]根据一个实施例,该方法进一步包括步骤:流体从所述装置流回贮存器,由此释放胃壁的拉伸。 [0153] According to one embodiment, the method further comprising the step of: flowing back fluid from the reservoir means, thereby releasing the stretching of the stomach wall.

[0154]根据一个实施例,传感变量的步骤包括传感与病人的食物摄入相关的变量的步骤。 [0154] Step related variables in accordance with step one embodiment, the sensor includes a sensing variables embodiment of the food intake of the patient.

[0155] 根据一个实施例,该方法进一步包括步骤:利用可植入传感器传感变量,解译该传感到的变量,并利用该解译的变量控制所述装置。 [0155] According to one embodiment, the method further comprising the step of: sensing a variable using an implantable sensor, interpreting the sensed variable, using the interpreted variable to control the device. 传感变量的步骤可包括传感与病人的食物摄入相关的变量的步骤。 Sensing variable step may include the step of sensing the variables associated with the patient's food intake.

[0156]增大胃壁的第一部分与胃壁的第二部分之间的距离可包括步骤:操作机械装置,该机械装置适于增大胃壁的第一部分与胃壁的第二部分之间的距离,由此拉伸胃壁的一部分。 The distance between [0156] the second portion of the first portion of the stomach wall increases with the stomach wall may comprise the steps of: operating mechanism, which mechanism is adapted to increase the distance between the first and second portions of the stomach wall and the stomach, the this stretched portion of the stomach wall.

[0157]根据一个实施例,该装置包括机械构件,其适于移动以拉伸位于胃壁的第一与第二部分之间的胃壁的部分。 [0157] According to one embodiment, the apparatus comprises a mechanical member, which is adapted to move to stretch the stomach wall portion between the first and second portions located in the stomach wall. 该机械构件可利用马达移动以拉伸胃壁的一部分。 The mechanical member may be moved by a motor to draw a portion of the stomach wall.

[0158]根据一个实施例,拉伸胃壁的一部分的步骤包括步骤:操作至少一个机械装置以拉伸胃壁的一部分。 [0158] According to one embodiment, the step of stretching a portion of the stomach wall comprises the step of: operating at least one mechanical device for stretching a portion of the stomach wall.

[0159]根据一个实施例,该方法包括步骤:利用胃至胃的缝合线将机械装置套叠在胃壁中。 [0159] According to one embodiment, the method comprises the steps of: with stomach to stomach sutures mechanical device invaginated in the stomach wall.

[0160]根据一个实施例,该方法包括步骤:使套叠的胃壁中的机械装置膨胀以拉伸胃壁。 [0160] According to one embodiment, the method comprises the steps of: making of the stomach wall invaginated mechanical device expands to stretch the stomach wall.

[0161]根据一个实施例,该方法包括使胃壁膨胀的马达,根据另一实施例,该方法包括使胃壁膨胀的记忆金属。 [0161] According to one embodiment, the method includes a motor expanded stomach wall, according to another embodiment, the method includes expanding the stomach wall of a memory metal.

[0162]根据另一实施例,该方法包括使胃壁膨胀的液压控制的机械装置。 [0162] According to another embodiment, the method comprises a hydraulically-controlled mechanical means so that the stomach wall expanded.

[0163]放置 [0163] Put

[0164]根据一个实施例,放置装置的步骤包括将装置放置为在胃壁的外部与胃壁相连,这可包括将所述装置放置在病人的胃基底壁中的步骤。 [0164] According to one embodiment, the step of placing comprises placing the device means are connected to the outside of the stomach wall with the stomach wall, which may comprise the step of placing the device in the stomach fundus wall of a patient.

[0165]放置装置的步骤可包括将装置放置为在胃壁的内部与胃壁相连,这可包括将所述装置放置在病人的胃基底壁中的步骤。 Step [0165] placement apparatus may comprise a device placed internally connected to the stomach wall of the stomach, which may include placing the device in the stomach fundus wall of a patient step.

[0166] 固定 [0166] Fixed

[0167]固定至少一个装置的步骤包括将所述至少一个装置缝合或订合到胃壁。 [0167] Step fixing means comprises at least one of said at least one suturing or stapling to the stomach wall.

[0168]固定至少一个装置的步骤可包括利用胃至胃的缝合线或订合线套叠在胃壁中,在其他实施例中,固定至少一个装置的步骤包括借助于纤维组织放置适于被固定到胃壁的网。 [0168] Step fixing means may comprise at least one with stomach to stomach sutures or staplers step line invaginated in the stomach wall, in other embodiments, the fixing means comprises at least one fibrous structure by means adapted to be secured placed TripAdvisor stomach wall.

[0169]该网可另外地由缝合线或订合线支撑,并可包括适于促进人体组织生长的结构,例如网状结构。 [0169] The web may be additionally supported by sutures or staplers, and may include a structure adapted to promote the growth of human tissue, such as a mesh structure.

[0170]提供一种另外的方法,该方法包括步骤:在胃壁中形成孔;借助于器械将拉伸装置引入胃;移动所述装置通过所述孔并将其放置在胃壁的外部;在胃腔的内部形成胃壁的一部分的囊,其中所述装置被放置为抵靠胃壁的外部;将所述装置套叠在胃壁的囊中;以及优选利用缝合线或订合线密封所述孔。 [0170] provide a further method, the method comprising the steps of: forming a hole in the stomach wall; instrument by means of the stretching device into the stomach; moving the device through the hole and place it on the outside of the stomach wall; stomach forming the balloon portion of the interior cavity of the stomach wall, wherein said apparatus is placed against the outside of the stomach wall; the device in the invaginated stomach wall bladder; and preferably using sutures or staplers seal the aperture.

[0171]提供一种另外的方法,该方法包括步骤:在胃壁中形成孔;借助于器械在胃腔的内部形成胃壁的一部分的囊;借助于所述器械将所述装置引入胃;移动所述装置通过所述孔并将其放置在胃壁的外部;借助于所述器械将所述装置引入所述囊;将所述装置套叠到胃壁;以及优选利用缝合线或订合线密封所述孔。 [0171] provide a further method, the method comprising the steps of: forming a hole in the stomach wall; by means of a balloon forming part of the device in the stomach wall inside the stomach cavity; the instrument by means of the device into the stomach; movement said device through the hole and place it on the outside of the stomach wall; the instrument by means of the device into the bladder; means the invaginated stomach wall; and preferably using sutures or staplers said seal hole.

[0172]根据一个实施例,该方法进一步包括提供用于从病人身体外部调整拉伸装置的装置;以及操作所述装置来调整所述装置。 [0172] According to one embodiment, the method further comprises providing means for adjusting from outside the patient's body stretching means; and means to adjust the operation of the device.

[0173]根据另一实施例,该方法进一步包括步骤:切割病人的皮肤,将管插入病人的腹腔,将所述管连接到容积填充装置,用通过所述管注入的流体填充所述装置。 [0173] According to another embodiment, the method further comprising the step of: cutting the skin of the patient, inserting a tube into the patient's abdominal cavity, the volume of the filling tube is connected to means for injecting a fluid through the tube to fill the device.

[0174]根据另一实施例,该方法进一步包括步骤:皮下放置注入端口,并将所述管连接到所述注入端口。 [0174] According to another embodiment, the method further comprising the steps of: subcutaneously placing an injection port and connecting the tube to the injection port.

[0175]根据另一实施例,该方法进一步包括步骤:提供通过所述孔连接到拉伸装置并进一步到达腹壁或穿过腹壁的管。 [0175] According to another embodiment, the method further comprising the steps of: providing a connection to the stretching device through the hole and further to the abdominal wall through the abdominal wall or a tube.

[0176]根据另一实施例,该方法进一步包括步骤:切割病人的皮肤,从病人的连接到拉伸装置的腹腔接纳所述管,以及用通过所述管注入的流体填充所述装置。 [0176] According to another embodiment, the method further comprising the step of: cutting the skin of the patient, the patient's abdominal cavity is connected from the stretching device receiving the tube, and by injecting a fluid through the tube to fill the device.

[0177]根据另一实施例,该方法进一步包括步骤:皮下放置注入端口,并将所述管连接到所述注入端口。 [0177] According to another embodiment, the method further comprising the steps of: subcutaneously placing an injection port and connecting the tube to the injection port.

[0178]器械 [0178] Devices

[0179]进一步提供一种用于将适于拉伸病人的胃壁的一部分的装置放置为与胃壁相连的器械。 [0179] further provided an apparatus for stretching a portion of a patient's stomach wall adapted to be placed with the stomach wall is connected to the instrument. 该器械包括:适于可释放地保持所述装置的保持构件、适于将所述装置插入通过胃壁的插入构件以及适于帮助将所述装置固定到胃壁外部的固定构件。 The apparatus comprises: adapted to releasably holding member of the device, the device is adapted to be inserted through the stomach wall and the insert member is adapted to help secure the stomach wall to the outside of the device fixing member.

[0180]所述器械可进一步包括用于在胃壁中切割孔的切割构件、用于观察胃的区域的光学构件。 [0180] The apparatus may further comprise a cutting member for cutting a hole in the stomach wall, an optical member for observation of the stomach region. 固定装置可适于将所述装置缝合到胃壁在其内部,或者用于将所述装置订合到胃壁在其内部,或者用于利用胃至胃的缝合线将所述装置的至少一部分套叠在胃壁中在其内部,或者用于利用胃至胃的订合线将所述装置的至少一部分套叠在胃壁中在其内部,然而,器械可适于从其外部执行所述方法。 Fixing means may be adapted for suturing the device to the stomach wall inside thereof, or for stapling the device to the stomach wall inside thereof, or for at least a portion with stomach to stomach sutures sleeve means to said stack stacked inside thereof in the stomach wall, however, the instrument may be adapted to perform the method from at least part of the outer sleeve in the stomach wall with stomach inside thereof, or for stapling the stomach to the device line.

[0181]器械可进一步包括专门的保持装置,其可包括适于利用真空或利用机械保持构件保持胃的专门的保持装置。 [0181] The instrument may further include a special holding device, which may comprise a special holding device adapted to use a vacuum or using mechanical holding members holding the stomach.

[0182]提供一种利用适于拉伸病人胃壁的一部分的装置来治疗病人的肥胖症的手术或腹腔镜方法。 Patient to treat obesity or laparoscopic method of apparatus adapted to stretch a portion of the stomach wall of the patient [0182] to provide a use. 该方法包括步骤:在病人的腹壁中切割孔,切除围绕所述胃的一区域,将所述装置放置为与所述胃接触,以及直接或间接通过所述胃壁的套叠将所述装置固定到所述胃壁,使得所述装置能够拉伸所述胃壁的一部分。 The method comprising the steps of: cutting a hole in the abdominal wall of the patient, either directly or indirectly by excision of the stomach wall invaginated to secure the device about a region of the stomach, placing the device in contact with the stomach, and to the stomach wall, so that the device can stretch a portion of the stomach wall.

[0183]根据一个实施例,固定所述装置的步骤包括步骤:将所述装置的第一部分固定到所述胃壁的第一部分,以及将所述装置的第二部分固定到所述胃壁的第二部分,其中所述装置的第一和第二部分被固定,使得所述装置适于拉伸所述胃壁的在该胃壁的第一和第二部分之间的一部分。 [0183] According to step one embodiment, the fixing means of the embodiment comprises the steps of: a first portion of the device is secured to the first portion of the stomach wall, and the second portion of the stomach wall means secured to the second portion, wherein said first and second portions of the device are fixed, so that the apparatus is adapted to stretch the stomach wall portion between the first and second portions of the stomach wall.

[0184]根据另一实施例,所述装置为第一装置,所述方法包括另外的步骤:通过所述胃壁的套叠直接或间接地固定与所述胃接触的适于拉伸所述胃壁的一部分的第二装置,将所述第二装置固定到所述胃壁,利用所述第一装置拉伸所述胃壁的第一部分,以及利用所述第二装置拉伸所述胃壁的第二部分。 [0184] According to another embodiment, the device is a first device, the method comprising the further steps of: directly or indirectly secured stacked adapted to stretch the stomach in contact with the stomach wall by stomach wall of the sleeve the second part of the device, the second means secured to the stomach wall by means of the first stretch of the first portion of the stomach wall, and using the second means stretch the second portion of the stomach wall .

[0185]根据另一实施例,该方法包括另外的步骤:术后且非侵入性地调整装置,以拉伸胃壁的一部分,从而影响病人的胃口。 [0185] According to another embodiment, the method comprises the additional step of: postoperatively and noninvasively regulating the device to stretch a portion of the stomach wall to affect the appetite of the patient.

[0186]提供一种利用适于拉伸病人胃壁的一部分的装置来治疗病人的肥胖症的手术或腹腔镜方法。 Patient to treat obesity or laparoscopic method of apparatus adapted to stretch a portion of the stomach wall of the patient [0186] to provide a use.

[0187]该方法包括步骤:将针或管状器械插入病人身体的腹部,利用所述针或管状器械向病人的身体填充气体,将至少两个腹腔镜套针放置在病人身体中,将照相机通过所述腹腔镜套针之一插入病人身体,将至少一个切除工具通过所述至少两个腹腔镜套针之一插入,切除所述胃的一区域,将装置引入腹腔,将所述装置放置在所述胃壁的外部,接合所述胃壁。 [0187] The method comprises the steps of: inserting a needle or tube like instrument into the abdomen of the patient's body, using the needle or tube like instrument to fill the gas to the patient's body, at least two laparoscopic trocars in the patient's body is placed, by the camera one of the laparoscope trocar is inserted into the patient's body, at least one dissecting tool through one of said at least two laparoscopic trocar insertion, removal of a region of the stomach, the device into the abdominal cavity, placing the device in outside of the stomach wall, engaging the stomach wall.

[0188]根据另一实施例,该方法包括:术后且非侵入性地调整装置以拉伸胃壁的一部分的步骤包括增大胃壁的第一部分与胃壁的第二部分之间的距离的步骤。 [0188] According to another embodiment, the method comprising: non-invasively and after adjusting means for stretching the stomach wall portion step comprises the step distance is increased between the second portion of the stomach wall and the stomach wall of the first portion.

[0189]根据另一实施例,调整装置的步骤从病人的身体外部执行。 [0189] performed from outside the patient's body according to another embodiment the step of adjusting means.

[0190]根据另一实施例,调整装置的步骤包括时常地调整不同装置,以在第一时间拉伸胃壁的第一部分,在第二时间拉伸胃壁的第二部分。 [0190] According to another embodiment the step of adjusting means comprises a time to time regulate different device to stretch the stomach wall in a first portion of a first time, at a second time stretch a second portion of the stomach wall.

[0191 ]根据另一实施例,该方法包括将两个或更多个装置放置为与胃接触,并时常地调整不同装置以拉伸胃壁的一部分。 [0191] According to another embodiment, the method comprises two or more devices placed in contact with the stomach, and often adjust different means to stretch a portion of the stomach wall. 固定所述装置的第一和第二部分的步骤可进一步包括利用胃至胃的缝合线或订合线来套叠第一和第二部分的步骤。 The step of fixing the first and second portions of the device may further comprise with stomach to stomach sutures or step of the first and second portions to telescope staplers.

[0192]根据另一实施例,该装置进一步包括可植入控制单元,其中调整装置的方法步骤包括通过所述可植入控制单元从身体内部调整装置。 [0192] According to another embodiment, the apparatus further comprises an implantable control unit, wherein the method comprises adjusting means by adjustment of the implantable control unit from inside the body means.

[0193]根据另一实施例,第二部分的拉伸包括步骤:利用预定延时,延时拉伸第二部分。 [0193] According to another embodiment, the second stretching section comprising the steps of: using a predetermined delay, delay drawing the second portion.

[0194] 手动 [0194] Manual

[0195]根据另一实施例,将装置放置为与胃接触的步骤包括:将适于具有可变容积的装置放置为与胃接触,其可利用至少一个可移动壁部分调整,至少一个可移动壁部分相应地可为弹性壁部分。 [0195] According to another embodiment, the step of placing a device in contact with the stomach comprising: a variable volume means adapted to have placed in contact with the stomach, which may utilize at least one movable wall part of the adjustment, the at least one movable accordingly, wall portions may be an elastic wall portion. 该装置可具有大致圆形或蛋形形状。 The device may have a generally circular or egg-shape.

[0196]根据另一实施例,该装置可进一步包括皮下开关,且该方法可进一步包括按压所述开关以便手动并非侵入性地调整该装置。 [0196] According to another embodiment, the apparatus may further comprise a subcutaneous switch, and the method may further comprise pressing the switch for manually adjusting the not-invasive means. 调整装置可包括将流体从贮存器移动到所述装置的步骤。 Adjusting means may comprise a fluid from a reservoir to the step of moving the device.

[0197]根据另一实施例,该装置可包括栗,且该方法可进一步包括将流体从贮存器栗浦到该装置以拉伸胃壁的步骤。 [0197] According to another embodiment, the apparatus may comprise Li, and the method may further comprise the step of Li pump fluid from the reservoir to the device to stretch the stomach wall.

[0198]根据另一实施例,将流体从贮存器移动到该装置的步骤包括移动贮存器的壁部分的步骤,这可通过手动按压贮存器的步骤完成。 [0198] According to another embodiment, the fluid moving from the reservoir to the step of the step wall portion moving means comprises a reservoir, which can be accomplished by the step of manually pressing the reservoir.

[0199]根据任意实施例,贮存器可被放置在皮下或腹部。 [0199] According to any of the embodiments, the reservoir may be placed subcutaneously or in the abdomen.

[0200]机械 [0200] Machinery

[0201]根据另一实施例,增大胃壁的第一部分与胃壁的第二部分之间的距离的步骤包括将流体移动到具有可变容积的室中的步骤。 [0201] The distance between the second step portion according to another embodiment, the first portion of the stomach wall increases with the stomach wall comprises the step of moving fluid into the chamber having a variable volume in.

[0202]自动化 [0202] Automation

[0203]根据另一实施例,将装置放置为与胃接触的步骤包括将适于具有可变容积的装置放置为与胃接触。 [0203] According to another embodiment, the step of placing the device in contact with the stomach comprises variable volume means adapted to have placed in contact with the stomach.

[0204]该适于具有可变容积的装置可包括至少一个可移动壁部分,其相应地可为弹性壁部分。 [0204] The device adapted to have a variable volume may comprise at least one movable wall part, which in turn may be an elastic wall portion.

[0205]根据任意实施例的装置可包括皮下开关,该方法可进一步包括按压所述开关以非侵入性地调整所述装置。 [0205] The device according to any of the embodiments may comprise a subcutaneous switch, the method may further comprise pressing the switch for noninvasively said adjusting means.

[0206]根据另一实施例,调整装置的步骤包括将流体从贮存器移动到装置的步骤。 [0206] According to another embodiment the step of adjusting means comprises a fluid moving from the reservoir means to the step. 将流体从贮存器移动到所述装置的步骤可包括步骤:操作栗浦装置,以将流体从贮存器移动到所述装置,且所述装置容积膨胀并由此拉伸胃壁的一部分。 The step of moving the fluid from the reservoir to the device may comprise the steps of: Li Pu operating means to move the fluid from the reservoir to the device, and the volume of the expansion device and thereby stretching the stomach wall portion.

[0207]根据另一实施例,该方法进一步包括步骤:流体从所述装置流回贮存器,由此释放胃壁的拉伸。 [0207] According to another embodiment, the method further comprising the step of: stretching the stomach wall thereby releasing the fluid from the reservoir back into the apparatus.

[0208]根据另一实施例,该方法进一步包括步骤:利用可植入传感器传感变量,解译该传感到的变量,并利用该解译的变量控制所述装置。 [0208] According to another embodiment, the method further comprising the step of: sensing a variable using an implantable sensor, interpreting the sensed variable, using the interpreted variable to control the device.

[0209]根据另一实施例,控制所述装置的步骤包括步骤:操作栗浦装置,以将流体从贮存器移动到所述装置,且所述装置容积膨胀并由此拉伸胃壁的一部分。 [0209] According to another embodiment, the step comprises the step of controlling the device: Li Pu operating means to move the fluid from the reservoir to the device, and the volume of the expansion device and thereby stretching the stomach wall portion.

[0210]根据另一实施例,该方法进一步包括步骤:流体从所述装置流回贮存器,由此释放胃壁的拉伸。 [0210] According to another embodiment, the method further comprising the step of: stretching the stomach wall thereby releasing the fluid from the reservoir back into the apparatus.

[0211]传感变量的步骤可包括传感与病人的食物摄入相关的变量的步骤,这可导致增加胃部的拉伸,并由此增加病人的饱胀感。 Step [0211] The sensing may include sensing and variable patient variables related to the food intake of the step, which may lead to increased stretching of the stomach, and thereby increasing the feeling of satiety of the patient.

[0212]机械 [0212] Machinery

[0213]根据另一实施例,增大胃壁的第一部分与胃壁的第二部分之间的距离的步骤可包括将流体移动到具有可变容积的室中的步骤。 [0213] The distance between the second step portion according to another embodiment, the first portion of the stomach wall increases with the stomach wall may comprise the step of moving fluid into a chamber having a variable volume in.

[0214]根据另一实施例,将流体移动到室中的步骤包括将流体从贮存器移动到具有可变容积的室中的步骤。 [0214] According to another embodiment, the step of moving fluid into the chamber comprises moving a fluid from a reservoir having a variable volume chamber to step in.

[0215]根据另一实施例,将流体从贮存器移动到所述装置的步骤包括步骤:操作栗浦装置,该栗浦装置将流体从贮存器移动到所述装置,且所述装置容积膨胀并由此拉伸胃壁的一部分。 [0215] According to another embodiment, the fluid moving from the reservoir to the device comprises the step of: operating a pump device Li, Li pump device which moves the fluid from the reservoir to the device, and the volumetric expansion means and thereby stretching the stomach wall portion.

[0216]根据另一实施例,操作栗浦装置的步骤包括利用无线远程控制器操作栗浦装置的步骤。 [0216] According to another embodiment, step, operation of pump device Li wireless remote control comprises the step of using a Li pump device operation.

[0217]根据另一实施例,该方法进一步包括步骤:流体从所述装置流回贮存器,由此释放胃壁的拉伸。 [0217] According to another embodiment, the method further comprising the step of: stretching the stomach wall thereby releasing the fluid from the reservoir back into the apparatus.

[0218]根据另一实施例,增大胃壁的第一部分与胃壁的第二部分之间的距离的步骤包括步骤:操作适于增大胃壁的第一部分与胃壁的第二部分之间的距离的马达,由此拉伸胃壁的一部分。 [0218] According to another embodiment, a first step portion and the distance between the second portion of the stomach wall increased stomach wall comprises the steps of: operating adapted to increase the distance between the first portion of the stomach wall and the stomach wall of the second portion motor, thereby stretching the stomach wall portion.

[0219]操作马达的步骤可包括利用无线远程控制器操作马达的步骤。 Step [0219] may include the step of operating the motor using a wireless remote control operation of the motor.

[0220] 根据另一实施例,该方法可进一步包括步骤:利用可植入传感器传感变量,解译该传感到的变量,并利用该解译的变量控制所述装置。 [0220] According to another embodiment, the method may further comprise the step of: sensing a variable using an implantable sensor, interpreting the sensed variable, using the interpreted variable to control the device.

[0221 ]根据另一实施例,控制所述装置的步骤可包括步骤:操作栗浦装置,以将流体从贮存器移动到室,且所述室被流体填充以增大胃壁的第一部分与胃壁的第二部分之间的距离,由此拉伸胃壁的一部分。 [0221] According to another embodiment, the control means may comprise the step of: operating a Li pump means to move the fluid from the reservoir to the chamber, and the chamber is filled with fluid to increase the first portion of the stomach wall with stomach the distance between the second portion, thereby stretching the stomach wall portion.

[0222]根据另一实施例,该方法进一步包括步骤:流体从所述装置流回贮存器,由此释放胃壁的拉伸。 [0222] According to another embodiment, the method further comprising the step of: stretching the stomach wall thereby releasing the fluid from the reservoir back into the apparatus.

[0223]根据另一实施例,传感变量的步骤包括传感与病人的食物摄入相关的变量的步骤。 [0223], the step of sensing comprises sensing and variable according to the patient's food intake related variables according to another embodiment of the step.

[0224]根据另一实施例,该方法进一步包括步骤:利用可植入传感器传感变量,解译该传感到的变量,并利用该解译的变量控制所述装置。 [0224] According to another embodiment, the method further comprising the step of: sensing a variable using an implantable sensor, interpreting the sensed variable, using the interpreted variable to control the device. 传感变量的步骤可包括传感与病人的食物摄入相关的变量的步骤。 Sensing variable step may include the step of sensing the variables associated with the patient's food intake. 增大胃壁的第一部分与胃壁的第二部分之间的距离可包括步骤:操作机械装置,该机械装置适于增大胃壁的第一部分与胃壁的第二部分之间的距离,由此拉伸胃壁的一部分。 Increasing the distance between the second portion of the first portion of the stomach wall and the stomach wall may comprise the steps of: operating mechanism, which mechanism is adapted to increase the distance between the first and second portions of the stomach wall and the stomach wall, thereby stretching part of the stomach wall. 装置的第一和第二部分可包括机械构件,其适于移动以拉伸胃壁的在胃壁的第一和第二部分之间的部分。 The first and second portion of the device may comprise a mechanical member, which is adapted to move to stretch the stomach wall portion between the first and second portions of the stomach wall.

[0225]根据另一实施例,该方法包括马达,其中所述机械构件利用马达移动以拉伸胃壁的一部分。 [0225] According to another embodiment, the method comprises a motor, wherein the mechanical member is moved by a motor to draw a portion of the stomach wall.

[0226]根据另一实施例,拉伸胃壁的一部分的步骤包括步骤:操作至少一个机械装置以拉伸胃壁的一部分。 [0226] According to another embodiment, the step of stretching the stomach wall portion comprising the steps of: operating at least a part of a mechanical device to stretch the stomach wall.

[0227]根据另一实施例,将机械装置套叠在胃壁中的步骤包括利用胃至胃的缝合线套置。 [0227] According to another embodiment, the step of mechanical device invaginated in the stomach wall with stomach to stomach include suture sleeved.

[0228]根据另一实施例,该方法进一步包括步骤:使套叠的胃壁中的机械装置膨胀以拉伸胃壁。 [0228] According to another embodiment, the method further comprising the step of: making the invaginated stomach wall to stretch the stomach wall expanded mechanical means.

[0229]根据另一实施例,套叠的机械装置包括使该套叠的机械装置膨胀的马达。 [0229] According to another embodiment, mechanical means comprises telescoping sleeve so that the motor mechanism expanded stack.

[0230]该装置可进一步包括使胃壁膨胀的记忆金属或液压控制的机械装置。 [0230] The apparatus may further comprise a mechanical means so that the stomach wall expanded memory metal or a hydraulically controlled.

[0231 ] 放置 [0231] Put

[0232]根据另一实施例,放置装置的步骤包括将装置放置为在胃壁的外部或在胃基底壁中与胃壁相连,或者放置为在胃壁的内部与胃壁相连。 [0232] According to another embodiment, the step of placing a device comprises placing the device to the stomach wall outside the stomach wall or in the stomach fundus wall is connected to, or placed in the interior of the stomach connected to the stomach wall.

[0233]根据另一实施例,将装置放置为在胃壁的内部与胃壁相连可包括步骤:在胃壁中切割孔,以及通过该胃壁中的孔插入所述装置。 [0233] According to another embodiment, the device is placed inside the stomach wall and can be connected with the stomach wall comprises the step of: cutting a hole in the stomach wall, and is inserted through the hole in the stomach wall means.

[0234]根据另一实施例,放置装置的步骤包括将装置放置在病人的胃基底壁中。 [0234] According to another embodiment, the step of placing the device comprises placing the device in the stomach fundus wall of a patient.

[0235] 固定 [0235] Fixed

[0236]根据另一实施例,固定至少一个装置的步骤包括:例如通过胃至胃的缝合线或订合线,将至少一个装置缝合或订合到胃壁。 [0236] According to another embodiment, the step of securing at least one device comprises: for example, by means of stomach to stomach sutures or staplers, at least one device suturing or stapling to the stomach wall.

[0237]固定至少一个装置的步骤可包括:利用纤维组织放置适于被固定到胃壁的网。 [0237] the step of securing at least one device may comprise: using a web of fibrous tissue is placed is adapted to be secured to the stomach wall. 该网可另外地由缝合线或订合线支撑,并适于促进人体组织生长,例如网状结构。 The web may be additionally supported by sutures or staplers and adapted to promote growth of human tissue, such as a mesh structure.

[0238] 控制单元 [0238] The control unit

[0239]根据另一实施例,该方法可包括将传输构件从所述装置放置到控制单元的步骤。 [0239] Step another embodiment, the method may comprise a transmission member disposed from the device to the control unit according to. 传输构件可包括流体传输构件,或者适于传输电力的传输构件。 Transfer member may include a fluid transfer member or a transfer member is adapted for transmitting electric power.

[0240]根据另一实施例,该方法进一步包括步骤:放置控制单元,该控制单元可被放置在病人皮下。 [0240] According to another embodiment, the method further comprising the step of: placing the control unit, the control unit may be placed on the patient skin.

[0241]根据另一实施例,将控制单元放置在皮下的步骤进一步包括步骤:将控制单元插入病人腹部中的孔,以及固定控制单元。 [0241] According to another embodiment, the control unit further comprises the step of placing the skin in the step of: the control unit is inserted into the patient's abdomen in the hole, and a fixing control unit.

[0242]还提供一种另外的方法,该方法包括步骤:在胃壁中形成孔;将拉伸装置引入腹部;移动所述装置通过所述孔并将其放置在胃壁的内部;在胃腔的外部形成胃壁的一部分的囊,其中所述装置被放置为抵靠胃壁的内部;将所述装置套叠在胃壁的囊中;以及优选利用缝合线或订合线密封所述孔。 [0242] further provided a further method, the method comprising the steps of: forming a hole in the stomach wall; the stretching device into the abdomen; moving the device through the hole and place it inside the stomach wall; in the gastric cavity bladder formed of outer portion of the stomach wall, wherein said apparatus is placed against the inner stomach wall; the device in the invaginated stomach wall bladder; and preferably using sutures or staplers seal the aperture.

[0243]根据另一实施例,根据任意实施例的方法可包括步骤:在胃壁中形成孔;移动所述装置通过所述孔并将其放置在胃壁的内部;利用器械将所述装置引入所述囊;以及优选利用缝合线或订合线密封所述孔。 [0243] According to another embodiment, a method according to any of the embodiments may include the steps of: forming a hole in the stomach wall; moving the device through the hole and place it inside the stomach; the use of the device into the instrument said bladder; and preferably using sutures or staplers seal the aperture.

[0244]根据另一实施例,该方法进一步包括提供用于从病人身体外部调整拉伸装置的装置;以及操作所述装置来调整所述装置。 [0244] According to another embodiment, the method further comprises providing means for adjusting from outside the patient's body stretching means; and means to adjust the operation of the device.

[0245]根据另一实施例,该装置包括可植入控制单元,该方法进一步包括步骤:提供用于从病人身体内部调整拉伸装置的可植入控制单元;以及操作所述装置来调整所述装置。 [0245] According to another embodiment, the apparatus comprises an implantable control unit, the method further comprising the steps of: adjusting the stretching device from inside the patient's body implantable control unit; and a means to adjust the operation of the said means.

[0246]该方法可进一步包括步骤:皮下放置注入端口,以及将与所述装置相连的管连接到该注入端口。 [0246] The method may further comprise the step of: subcutaneously placing an injection port, and a tube connected to the device connected to the injection port.

[0247]根据另一实施例,该方法进一步包括步骤:提供通过所述孔连接到拉伸装置并进一步到达腹壁或穿过腹壁的管。 [0247] According to another embodiment, the method further comprising the steps of: providing a connection to the stretching device through the hole and further to the abdominal wall through the abdominal wall or a tube.

[0248]根据另一实施例,该方法进一步包括步骤:从病人的连接到拉伸装置的腹腔接收所述管,以及用通过所述管注入的流体填充所述装置。 [0248] According to another embodiment, the method further comprising the step of: connecting from the patient's peritoneal cavity to receive the tube stretching means, and a fluid injected through the tube to fill the device.

[0249]根据另一实施例,该方法可进一步包括步骤:皮下放置注入端口,并将所述管连接到所述注入端口。 [0249] According to another embodiment, the method may further comprise the step of: subcutaneously placing an injection port and connecting the tube to the injection port.

[0250]该方法可进一步包括另外的步骤:术后且非侵入性地调整装置,以拉伸胃壁的一部分,从而影响病人的胃口。 [0250] The method may further comprise the additional step of: postoperatively and noninvasively regulating the device to stretch a portion of the stomach wall to affect the appetite of the patient.

[0251]根据另一实施例,该方法包括另外的用流体填充所述装置的步骤。 [0251] According to another embodiment, the method further comprising the step of filling the device with fluid.

[0252]根据另一实施例,该方法可包括另外的将内部控制单元放置在病人身体内的步骤。 [0252] Step another embodiment, the method may further comprise an internal control unit will be placed in the patient's body. FIG.

[0253]根据一个实施例,该方法进一步包括另外的步骤:将内部控制单元连接到所述装置,这通过液压或利用电线来完成。 [0253] According to one embodiment, the method further comprising the further steps of: connecting the internal control unit to the device, this is done by using a hydraulic or electric wires.

[0254]提供一种利用适于拉伸病人胃壁的一部分的装置来治疗病人的肥胖症的手术或腹腔镜方法。 Patient to treat obesity or laparoscopic method of apparatus adapted to stretch a portion of the stomach wall of the patient [0254] to provide a use. 该方法包括步骤:将针或管状器械插入病人身体的腹部,利用所述针或管状器械向病人的身体填充气体,将至少两个腹腔镜套针放置在病人身体中,将照相机通过所述腹腔镜套针之一插入病人身体,将至少一个切除工具通过所述至少两个腹腔镜套针之一插入,切除所述胃的一区域,将装置引入腹腔,利用胃至胃的缝合线或订合线将所述装置套叠在所述胃壁的外部,以及通过操作装置术后拉伸套叠的胃壁部分。 The method comprising the steps of: inserting a needle or tube like instrument into the abdomen of the patient's body, using the needle or tube like instrument to fill the gas to the patient's body, at least two laparoscopic trocars in the patient's body is placed in the abdominal cavity through the camera one mirror trocar into the patient body, at least one dissecting tool through one of said at least two laparoscopic trocar insertion, removal of a region of the stomach, the apparatus into the abdominal cavity, with stomach to stomach sutures or staplers the wires on the outside of the device invaginated stomach wall, and stretching the stomach wall portion by a telescopic device after operation.

[0255]根据另一实施例,该方法包括另外的步骤:将第二或更多个装置引入腹腔,利用胃至胃的缝合线或订合线将所述第二或更多个装置套叠在所述胃壁的外部,以及通过操作所述第二或更多个装置术后拉伸套叠的胃壁部分。 [0255] According to another embodiment, the method comprises the further steps of: a second or more device into the abdominal cavity, with stomach to stomach sutures or staplers or more the second telescoping means outside the stomach wall, invaginated stomach wall and drawing portion by operating the device after a second or more.

[0256]根据另一实施例,该方法包括另外的步骤:在所述装置的彼此独立的第一或第二或更多个部分处术后拉伸套叠的胃壁部分。 [0256] According to another embodiment, the method comprises the further steps of: separate first or second or more parts from each other after the stretching device invaginated stomach wall portion.

[0257]提供一种另外的利用适于拉伸病人胃壁的一部分的装置来治疗病人的肥胖症的手术或腹腔镜方法。 [0257] further provided a use of obesity or laparoscopic method of stretching a portion of the apparatus is adapted to treat the patient's stomach wall of the patient. 该方法包括步骤:将针或管状器械插入病人身体的腹部,利用所述针或管状器械向病人的身体填充气体,将至少两个腹腔镜套针放置在病人身体中,将照相机通过所述腹腔镜套针之一插入病人身体,将至少一个切除工具通过所述至少两个腹腔镜套针之一插入,切除所述胃的一区域,将装置引入腹腔,利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述拉伸装置的第一部分套叠,以及利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述拉伸装置的与第一部分分离的第二部分套叠,以及通过操作所述装置术后拉伸所述第一和第二部分之间的胃壁部分。 The method comprising the steps of: inserting a needle or tube like instrument into the abdomen of the patient's body, using the needle or tube like instrument to fill the gas to the patient's body, at least two laparoscopic trocars in the patient's body is placed in the abdominal cavity through the camera one mirror trocar into the patient body, at least one dissecting tool through one of said at least two laparoscopic trocar insertion, removal of a region of the stomach, the apparatus into the abdominal cavity, with stomach to stomach sutures or staplers a first portion nested wires placed outside of the stomach wall in the stretching device, and with stomach to stomach sutures or staplers be placed outside the stomach wall and the first portion of the stretching device separating a second portion telescopically, and means by operating the stomach wall portion between the first and second portions after said stretching.

[0258]根据另一实施例,该方法包括另外的步骤:将第二或更多个装置引入腹腔,利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述第二或更多个拉伸装置的第一部分套叠,以及利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述第二或更多个拉伸装置的与第一部分分离的第二部分套叠,以及通过操作所述第二或更多个装置术后拉伸所述第一和第二部分之间的胃壁部分。 [0258] According to another embodiment, the method comprises the further steps of: a second or more device into the abdominal cavity, with stomach to stomach sutures or staplers placed on the outside of the stomach wall a second or more nested first part of the stretching device, and with stomach to stomach sutures or staplers and placing the first portion of the stomach wall outside the second or more stretching device isolated the second nested portion, and stretching the stomach wall portion between the first and second portions by operating the apparatus after a second or more.

[0259]根据另一实施例,该方法包括另外的步骤:利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述拉伸装置的与第一或第二部分分离的第三或更多个部分套叠,以及通过操作所述装置术后拉伸所述第一和第二部分的任意组合与第三或更多个部分之间的胃壁部分。 [0259] According to another embodiment, the method comprises the further step of: using stomach to stomach sutures or staplers placed on the outside of the stomach wall stretching device separated from the first or second portion the third or more parts nested, and by operating the apparatus after stretching the stomach wall portion between the first and second portion of any combination of one or more of the third portion.

[0260]提供一种利用适于拉伸病人胃壁的一部分的装置来治疗病人的肥胖症的手术方法,该方法包括步骤:切割人类病人的皮肤,切除胃的一区域,将装置引入腹腔,利用胃至胃的缝合线或订合线将所述胃壁外部的所述装置套叠,以及通过操作所述装置术后拉伸所述套叠的胃壁部分。 [0260] The method provides a surgical patient stretch the stomach wall portion of the apparatus is adapted to treat patients using obesity, the method comprising the steps of: cutting the skin of a human patient, a resection of the stomach area, the apparatus into the abdominal cavity, using stomach to stomach sutures or staplers to the stomach wall outside the nesting means, and by operating the apparatus after stretching the invaginated stomach wall portion.

[0261]该方法可进一步包括另外的步骤:将第二或更多个装置引入腹腔,利用胃至胃的缝合线或订合线将所述胃壁外部的所述第二或更多个装置套叠,以及通过操作所述第二或更多个装置术后拉伸套叠的胃壁部分。 [0261] The method may further comprise the further steps of: the second or more device into the abdominal cavity, with stomach to stomach sutures or staplers to the stomach wall or the second external sleeve means more fold, and the stretching of the stomach wall portion by operating the telescopic second or more after the apparatus.

[0262]根据另一实施例,该方法包括另外的步骤:在所述装置的彼此独立的第一或第二或更多个部分处术后拉伸套叠的胃壁部分。 [0262] According to another embodiment, the method comprises the further steps of: separate first or second or more parts from each other after the stretching device invaginated stomach wall portion.

[0263]提供一种另外的利用适于拉伸病人胃壁的一部分的装置来治疗病人的肥胖症的手术方法。 [0263] provide an additional surgical method of treating obesity of a patient using a device adapted to stretch a portion of the stomach wall of the patient. 该方法包括步骤:切割人类病人的皮肤,切除胃的一区域,将装置引入腹腔,利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述装置的第一部分套叠,利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述装置的与第一部分分离的第二部分套叠,以及通过操作所述装置术后拉伸所述第一和第二部分之间的胃壁部分。 The method comprising the steps of: cutting the skin of a human patient, a resection of the stomach area, the apparatus into the abdominal cavity, with stomach to stomach sutures or staplers be placed in a first portion of said sleeve means to the stomach wall outside the stack, the apparatus with stomach to stomach sutures or staplers be placed outside the stomach wall and a second portion separated from the first part telescopically, and by stretching the first and second operating means after said stomach wall portion between the two portions.

[0264]根据另一实施例,该方法包括另外的步骤:将第二或更多个装置引入腹腔,利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述第二或更多个拉伸装置的第一部分套叠,以及利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述第二或更多个拉伸装置的与第一部分分离的第二部分套叠,以及通过操作所述第二或更多个装置术后拉伸所述第一和第二部分之间的胃壁部分。 [0264] According to another embodiment, the method comprises the further steps of: a second or more device into the abdominal cavity, with stomach to stomach sutures or staplers placed on the outside of the stomach wall a second or more nested first part of the stretching device, and with stomach to stomach sutures or staplers and placing the first portion of the stomach wall outside the second or more stretching device isolated the second nested portion, and stretching the stomach wall portion between the first and second portions by operating the apparatus after a second or more.

[0265]根据另一实施例,该方法进一步包括步骤:利用胃至胃的缝合线或订合线将放置在所述胃壁外部的所述拉伸装置的与第一或第二部分分离的第三或更多个部分套叠,以及通过操作所述装置术后拉伸所述第一和第二部分的任意组合与第三或更多个部分之间的胃壁部分。 [0265] According to another embodiment, the method further comprising the step of: with stomach to stomach sutures or staplers placed at the first or second separate portion of the stomach wall outside the stretching device three or more sections telescopically, and by operating the apparatus after the first stretch, and any combination of said second portion of the stomach wall portion between the third or more parts.

[0266]根据另一实施例,该方法包括另外的步骤:术后且非侵入性地调整装置,以拉伸胃壁的一部分,从而影响病人的胃口。 [0266] According to another embodiment, the method comprises the additional step of: postoperatively and noninvasively regulating the device to stretch a portion of the stomach wall to affect the appetite of the patient.

[0267]根据任意实施例的方法可进一步包括用流体填充所述装置的步骤。 [0267] Step A method according to any of the embodiments may further comprise filling the device with fluid.

[0268]根据另一实施例,该方法包括另外的步骤:将内部控制单元放置在病人的身体内,以及将所述内部控制单元连接到所述装置,这可液压或利用电线来完成。 [0268] According to another embodiment, the method comprises the further steps of: placing an internal control unit within the patient's body, and the internal control unit is connected to the device, which may be done hydraulically or using wires.

[0269]器械 [0269] Devices

[0270]进一步提供一种用于将适于拉伸病人的胃壁的一部分的装置放置为与胃壁相连的器械。 [0270] further provided an apparatus for stretching a portion of a patient's stomach wall adapted to be placed with the stomach wall is connected to the instrument. 该器械包括:适于可释放地保持所述装置的保持构件,以及适于帮助将所述装置固定到胃壁在其外部的固定构件。 The apparatus comprises: adapted to releasably holding said member means, and means adapted to facilitate the fixing member is fixed to the stomach wall outside thereof.

[0271]器械可进一步包括用于观察胃的区域的光学构件。 [0271] The optical apparatus may further comprise means for observing the stomach region.

[0272]器械可包括适于将所述装置缝合到胃壁在其外部的固定构件。 [0272] The apparatus may comprise means adapted to be sutured to the stomach wall at its outer fixing member.

[0273]根据另一实施例,固定构件适于将装置订合到胃壁在其外部,在其他实施例中,固定构件适于利用胃至胃的缝合线将装置的至少一部分套叠在胃壁中在其外部。 [0273] According to another embodiment, the fixing member is adapted stapling device to the stomach wall at the outside thereof, in other embodiments, the fixing member is adapted with stomach to stomach sutures least a portion of the device in the stomach wall invaginated in its exterior.

[0274]根据另一实施例,固定构件可适于利用胃至胃的订合线将装置的至少一部分套叠在胃壁中在其外部。 [0274] According to another embodiment, the fixing member may be adapted with stomach to stomach staplers least a portion of the device is invaginated in the stomach wall on the outside thereof.

[0275]进一步提供一种用于将适于拉伸病人的胃壁的一部分的装置放置为与胃壁相连的器械。 [0275] further provided an apparatus for stretching a portion of a patient's stomach wall adapted to be placed with the stomach wall is connected to the instrument. 该器械包括:适于可释放地保持所述装置的保持构件、适于将所述装置插入通过胃壁的插入构件以及适于帮助将所述装置固定到胃壁内部的固定构件。 The apparatus comprises: adapted to releasably holding member of the device, the device is adapted to be inserted through the stomach wall and the insert member adapted to assist in securing the device to the stomach wall inside the fixed member.

[0276]所述器械可进一步包括用于在胃壁中切割孔的切割构件、用于观察胃的区域的光学构件。 [0276] The apparatus may further comprise a cutting member for cutting a hole in the stomach wall, an optical member for observation of the stomach region. 固定构件可适于将所述装置缝合到胃壁在其内部,或者用于将所述装置订合到胃壁在其内部,或者用于利用胃至胃的缝合线将所述装置的至少一部分套叠在胃壁中在其内部,或者用于利用胃至胃的订合线将所述装置的至少一部分套叠在胃壁中在其内部。 The fixing member may be adapted for suturing the device to the stomach wall inside thereof, or for stapling the device to the stomach wall inside thereof, or for at least a portion with stomach to stomach sutures sleeve means to said stack inside thereof in the stomach wall, with stomach to stomach or for staplers of at least part of the device invaginated in the stomach wall inside thereof.

[0277]器械可进一步包括专门的保持装置,其可包括适于利用真空或利用机械保持构件保持胃的专门的保持装置。 [0277] The instrument may further include a special holding device, which may comprise a special holding device adapted to use a vacuum or using mechanical holding members holding the stomach.

[0278]拉伸装置,适于术后可被调节且包括至少一个可膨胀部分,其中所述拉伸装置适于在第一塌缩状态与第二膨胀状态之间可调节。 [0278] stretching means can be adjusted and adapted surgery comprising at least one expandable portion, wherein the stretching device is adapted to be adjustable between a first collapsed state and a second expanded state. 在第一塌缩状态,可膨胀部分塌缩,在第二膨胀状态,可膨胀部分膨胀。 In a first collapsed state, the expandable partially collapsed, in a second expanded state, the expandable portion expandable. 所述可膨胀部分的外表面至少部分地包括表面结构,其具有交替的降低区域和升高区域。 The outer surface of the expandable portion comprises at least partially a surface structure, which has alternating raised regions and lowered regions. 在所述第一塌缩和第二膨胀状态中的至少一个中,可膨胀部分适于具有在相邻升高区域之间的第一距离,其充分延伸以在一定程度上防止纤维组织的生长直接互连相邻的升高区域从而削弱所述拉伸装置的第一塌缩和第二膨胀状态之间的可调节性。 At least one of said first collapsed and a second expanded state, the expandable portion adapted to have a first distance between adjacent elevated areas, which extend sufficiently to prevent fibrous tissue growth to a certain extent directly interconnecting adjacent elevated areas weaken adjustable between a first collapsed and a second stretching device of the expanded state. 所述可膨胀部分进一步包括在相邻的升高和降低区域之间的连接区域,在所述第一塌缩和第二膨胀状态中的至少一个中,进一步适于具有在相邻连接区域之间的第二距离,其充分延伸以在一定程度上防止纤维组织的生长直接互连相邻的连接区域从而削弱所述拉伸装置的第一塌缩和第二膨胀状态之间的可调节性。 The expandable section further comprising connecting the adjacent region between the raised and lowered regions, at least one of said first collapsed and a second expanded state, and further adapted to connect with adjacent area a second distance between which extends sufficiently to prevent the growth of fibrous tissue directly interconnecting adjacent connecting areas to some extent, thereby impairing adjustable between a first collapsed and a second expanded state of said stretching device .

[0279]根据一个实施例,可膨胀部分为中空的或包括中空主体。 [0279] According to one embodiment, the expandable section is hollow or comprises a hollow body.

[0280]根据另一实施例,拉伸装置基本上完全中空,或包括沿所述拉伸装置的大致整个长度和/或整个容积延伸的中空主体。 [0280] According to another embodiment the stretching device is substantially completely hollow or comprises substantially the entire length and / or the entire volume of the hollow body extending along said stretching device. [0281 ] 纤维组织可经常具有约0.5mm至约1.5_的延伸长度或厚度,因此表面结构的元件的相关表面之间的距离适当地大于约3mm,因而大于约2 X 1.5mm。 [0281] often have a fibrous structure may extend from about 0.5mm to about 1.5_ the length or thickness, the distance between the relevant surfaces of the element surface structure is suitably greater than about 3mm, hence greater than about 2 X 1.5mm. 但是根据情况,大于约1.0mm至约3mm的距离也可能是足够的。 However, according to circumstances, from about 1.0mm to about 3mm greater than the distance may be sufficient. 在纤维组织可预期具有大于约1.5mm的延伸长度或厚度的情况下,表面结构的元件的相关表面之间的距离以适当的方式适应。 In the case of fibrous structures can be expected to greater than about 1.5mm thickness or extended length, the distance between the relevant surfaces of the element surface structure adapted in a suitable manner.

[0282]表面结构可包括升高和降低区域,可能合适的是,升高和降低区域的不同平面之间的距离也大于特定阈值,以利于拉伸装置的可塌缩和/或可膨胀的功能性。 [0282] surface of the structure may include a raised and lowered regions, may be appropriate, the distance between the raised and lowered regions are also different planes above a certain threshold, in order to facilitate the stretching device may be collapsible and / or expandable Feature. 如果所述距离太小,则拉伸装置的可塌缩和/或可膨胀功能可受到限制。 If the distance is too small, the stretching device may be collapsible and / or expandable functionality may be limited. 所述距离的适当间隔为约0.5至1mm,更适当为约2至8mm,最适当为约3至7_。 The proper spacing distance of from about 0.5 to 1mm, more suitably from about 2 to 8mm, most suitably from about 3 to 7_. 表面结构可包括不同的几何元件或形状以及这些元件或形状的组合,只要能够符合以上所述的该距离的条件即可。 The surface structure may comprise different geometrical elements or shapes and combinations of these elements or shape, as long as the conditions that can meet the above-described distance. 表面结构可例如包括不同形状的脊和槽。 The surface structure may comprise, for example, ridges and grooves of different shapes. 脊和槽可分别具有截面,其为例如楔形、四边形、正方形、金字塔形、截断金字塔形。 Ridges and grooves may have a cross section, respectively, which, for example, a wedge, quadrangular, square, pyramidal, truncated pyramidal. 进一步可能的是,脊和槽具有不同形状的截面。 It is further possible that the ridges and grooves have different cross-sectional shapes. 表面结构也可大体上包括手风琴形结构,其中相同或其中不同种类的几何物体放置在表面上。 The surface structure may also include a generally accordion-shaped configuration, wherein the same or different types of geometrical objects which is placed on the surface. 几何物体可被在实践中随机或根据一些方案放置在表面上。 Geometrical objects may be randomly placed on the surface or according to some scheme in practice.

[0283]其中该类型的表面结构可以是合适的一种类型的拉伸装置为其中拉伸装置应该具有本质上改变形状和/或尺寸的拉伸装置。 [0283] wherein the type of surface structure may be suitable for the type of stretching apparatus wherein the stretching device should have a stretching device to change shape and / or size in nature. 因此,这就是纤维组织的存在本质上可妨害或阻碍拉伸装置的功能的情况。 Thus, this is may hinder or impede the function of the stretching device essentially fibrous tissue present case. 但表面结构可被任何拉伸装置使用,其中表面结构的特征对于拉伸装置而言是有利的。 But the surface structure may be used by any stretching device, which feature a surface structure for the stretching means is advantageous.

附图说明 BRIEF DESCRIPTION

[0284]现在将通过非限制性示例并参照附图更为详细地描述本发明,在附图中: [0284] By way of non-limiting examples will now be made, and the present invention is described in more detail with reference to the accompanying drawings, in which:

[0285]图1示出植入在病人的胃基底壁中在胃基底壁内部的拉伸装置。 [0285] FIG. 1 shows a stretching device in the stomach fundus wall is implanted in the patient's stomach fundus wall.

[0286]图2a示出植入在病人的胃基底壁中在胃基底壁外部的拉伸装置。 [0286] Figure 2a shows a stretching device implanted in the stomach fundus wall outside the stomach fundus wall of a patient.

[0287]图2b示出植入在病人的胃基底壁中在胃基底壁外部的处于第二状态的拉伸装置。 [0287] Figure 2b shows a stretching device implanted in the stomach fundus wall of a patient in a second state in the stomach fundus wall outside.

[0288]图3a示出根据第一实施例的实施例,其中拉伸装置包括两个拉伸装置。 [0288] FIG. 3a shows an embodiment according to the first embodiment wherein the stretching device comprises two stretching devices.

[0289]图3b示出根据第二实施例的实施例,其中拉伸装置包括两个拉伸装置。 [0289] Figure 3b shows an embodiment according to the second embodiment, wherein the stretching device comprises two stretching devices.

[0290]图4a至4i示出根据不同实施例的拉伸装置。 [0290] FIGS. 4a to 4i shows the stretching device according to different embodiments.

[0291 ]图5a为拉伸装置10的表面结构700的截面图。 [0291] FIG. 5a 700-sectional view of the surface structure of the stretching means 10.

[0292]图5b为类似于图5a的截面图但带有稍微不同的表面结构700的截面图。 [0292] Figure 5b is a cross-sectional view similar to FIG 5a, but with a slightly different cross-sectional view 700 of the surface structure.

[0293]图5c至5e为示出本文所述的表面结构700的示例的截面的附图。 [0293] FIGS. 5c to 5e to illustrate exemplary structures described herein a surface 700 of the cross section.

[0294]图5f示意性示出具有表面结构700的拉伸装置10的实施例。 [0294] FIG. 5f schematically shows an embodiment of the stretching device 700 has a surface structure 10.

[0295]图5g和5h示出假体的不同截面的示例。 [0295] Figure 5g and 5h shows an example of different cross-sections of the prosthesis.

[0296]图5i至5k为示出不同表面结构的示例的附图。 [0296] FIG. 5i to 5k shown in the drawings as an example of different surface structures.

[0297]图6a至6c示出套叠在胃壁中的拉伸装置。 [0297] Figures 6a to 6c shows the stretching device invaginated in the stomach wall.

[0298]图7示出根据第一实施例的实施例,其中拉伸装置为机械拉伸装置。 [0298] FIG. 7 shows an embodiment according to the first embodiment, wherein the stretching device is a mechanical stretching device.

[0299]图8示出根据第二实施例的实施例,其中拉伸装置为机械拉伸装置。 [0299] FIG. 8 shows an embodiment according to the second embodiment, wherein the stretching device is a mechanical stretching device.

[0300]图9a示出根据第三实施例的实施例,其中拉伸装置为机械拉伸装置。 [0300] Figure 9a shows an embodiment according to the third embodiment, wherein the stretching device is a mechanical stretching device.

[0301]图9b示出适于帮助固定拉伸装置的网。 [0301] Figure 9b shows the stretching device adapted to help secure the network.

[0302]图9c示出根据第四实施例的实施例,其中拉伸装置为机械拉伸装置。 [0302] Figure 9c shows an embodiment according to the fourth embodiment, wherein the stretching device is a mechanical stretching device.

[0303]图1Oa示出根据第五实施例的实施例,其中拉伸装置为机械拉伸装置。 [0303] FIG 1Oa shows an embodiment according to the fifth embodiment, wherein the stretching device is a mechanical stretching device.

[0304]图1Ob更为详细地示出根据第五实施例的处于第一状态下的实施例,其中拉伸装置为机械拉伸装置。 [0304] FIG. 1Ob illustrates in more detail the embodiment according to the first embodiment in a state of the fifth embodiment, wherein the stretching device is a mechanical stretching device.

[0305]图1Oc更为详细地示出根据第五实施例的在第二状态下的实施例,其中拉伸装置为机械拉伸装置。 [0305] FIG 1Oc shown in greater detail according to an embodiment of the embodiment in a second state to a fifth embodiment, wherein the stretching device is a mechanical stretching device.

[0306]图1la示出根据第一实施例的实施例,其中拉伸装置与用于治疗返流疾病的装置组合。 [0306] FIG 1la shows an embodiment according to the first embodiment wherein the stretching device in combination with a device for reflux disease treatment.

[0307]图1lb示出根据第二实施例的实施例,其中拉伸装置与用于治疗返流疾病的装置组合。 [0307] FIG 1lb shows an embodiment according to the second embodiment, wherein the stretching device in combination with a device for reflux disease treatment.

[0308]图12a示出一实施例,其中拉伸装置与容积填充装置组合。 [0308] Figure 12a shows an embodiment, wherein the volume filling device means the combination tension.

[0309]图12b示出手动类型的拉伸装置的又一实施例。 A further [0309] Figure 12b shows the stretching device of the manual type embodiment.

[0310]图12c示出自动类型的拉伸装置的又一实施例。 A further [0310] FIG. 12c shows the stretching device of the automatic type embodiment.

[0311]图13至36示出描述拉伸装置的不同功能的示意图。 [0311] FIGS. 13 to 36 shows a schematic description of the different functions of the stretching device.

[0312]图37a示出胃镜器械的控制单元。 [0312] FIG. 37a shows the control unit of the endoscopic instrument.

[0313]图37b示出放置在胃中的胃镜器械。 [0313] FIG 37b shows the gastroscopic instrument is placed in the stomach.

[0314]图37c示出刺穿胃壁时的胃镜器械。 [0314] FIG. 37c shows the gastroscopic instrument when piercing the stomach wall.

[0315]图37d更为详细地示出刺穿胃壁时的胃镜器械。 [0315] FIG. 37d shows the gastroscopic instrument when piercing the stomach wall in more detail.

[0316]图37e示出根据一个实施例的胃镜或腹腔镜器械。 [0316] FIG. 37e shows a gastroscopic or laparoscopic instrument according to the embodiment.

[0317]图37f示出处于第二状态的根据一个实施例的胃镜或腹腔镜器械。 The [0317] FIG. 37f shows a second state endoscopic or laparoscopic instrument according to an embodiment.

[0318]图37g示出处于第三状态的根据一个实施例的胃镜或腹腔镜器械。 The [0318] FIG. 37g shown in a third state of a gastroscope or laparoscopic instrument according to an embodiment.

[0319]图37h示出处于第四状态的根据一个实施例的胃镜或腹腔镜器械。 The [0319] FIG. 37h shows a fourth state in endoscopic or laparoscopic instrument according to an embodiment.

[0320]图37i示出处于第五状态的根据一个实施例的胃镜或腹腔镜器械。 The [0320] FIG. 37i shows a state in a fifth apparatus embodiment of the endoscopic or laparoscopic embodiment.

[0321]图38a至38d更为详细地示出胃镜或腹腔镜器械。 [0321] FIGS. 38a to 38d is shown in greater detail endoscopic or laparoscopic instrument.

[0322]图39a至39j示出胃镜或腹腔镜器械,其在胃壁中形成腔或袋,并插入拉伸装置。 [0322] FIGS. 39a-39j shown endoscopic or laparoscopic instrument, which form a cavity or pouch in the stomach wall, and inserted into the stretching device.

[0323]图40a至40f示出胃镜或腹腔镜器械,其在胃壁中形成腔或袋,并插入拉伸装置。 [0323] Figures 40a to 40f illustrates endoscopic or laparoscopic instrument, which form a cavity or pouch in the stomach wall, and inserted into the stretching device.

[0324]图41a、41b示出插入导线的胃镜或腹腔镜器械。 [0324] FIG. 41a, 41b shown inserted into the lead of endoscopy or laparoscopic instrument.

[0325]图42示出胃镜方法的流程图。 [0325] FIG. 42 illustrates a flowchart of a method of endoscopy.

[0326]图43示出腹腔镜或手术方法的流程图。 [0326] FIG. 43 shows a flowchart or laparoscopic surgical procedures.

具体实施方式 detailed description

[0327]套叠在胃壁中可以被理解为物体被放置在由胃壁材料形成的腔的内侧。 [0327] invaginated in the stomach wall can be understood as an object is placed inside the cavity formed by the stomach wall material. 套叠(invaginat1n)允许胃至胃的缝合或订合,该缝合或订合允许物体利用人体组织自愈来封闭。 Telescoping (invaginat1n) allows stomach to stomach sutures or staplers, suturing or stapling the object to allow the use of human tissue healing closed.

[0328]在下文中,将给出各实施例的详细描述。 [0328] Hereinafter, a detailed description will be given of various embodiments. 在附图中,相同的附图标记在所有不同附图中表示相同或对应的元件。 In the drawings, like reference numerals designate identical or corresponding elements throughout the different figures. 可以意识到,这些附图仅用于例示,并不以任何方式来限制范围。 It is appreciated that these figures are for illustration only and do not in any way limit the scope. 因此,任何涉及到的方向,例如“上”或“下”,仅指附图中所示的方向。 Thus, in any direction involving, for example direction "on" or "under" refers only shown in the drawings. 此外,附图中所示的任何尺寸等均出于例示的目的。 Moreover, any size etc. shown in the drawings for purposes of illustration.

[0329]图1示出肥胖症治疗装置的第一实施例。 [0329] FIG. 1 shows a first embodiment of the obesity treatment device embodiment. 该装置包括植入在人类病人体中的拉伸装置10。 The device comprises a stretching device 10 implanted in a human patient's body. 在图1中,拉伸装置10套叠在病人的胃12的壁12中,拉伸装置10的主体成形为静靠胃12的壁12,并进一步具有适于静靠该壁12的外表面。 In Figure 1, the stretching device 10 nested within the patient's stomach 12 in wall 12, drawing device main body 10 is shaped to the stomach wall 12 against the force 12, and further having an outer surface adapted to force against the wall 12. 这意味着拉伸装置10优选具有大致圆形形状,以不损坏胃壁。 This means that the stretching means 10 preferably has a substantially circular shape, so as not to damage the stomach wall. 然而,胃壁12很强固,因此可以使用许多不同的形状和形式。 However, the stomach wall 12 very solid, and thus can be used in many different shapes and forms.

[0330]拉伸装置10可以多种不同方式固定到胃12的壁12a。 [0330] stretching apparatus 10 may be secured to a variety of different ways stomach wall 12 12a. 在图1所示的实施例中,拉伸装置10套叠在胃壁12a中。 In the embodiment illustrated in Figure 1, the stretching device invaginated in the stomach wall 10 12a. 在套叠之后,施加多个胃至胃的缝合线或订合线14,以保持短期套叠。 After nested, applying a plurality of stomach to stomach sutures or staplers 14, to keep the short-term telescopically. 这允许人体组织的生长,从而保持长期套叠。 This allows the growth of human tissue, so as to maintain long-term intussusception.

[0331] 通过扩大拉伸装置的尺寸,环绕拉伸装置10的胃壁12由于拉伸装置10的周界增大而被拉伸。 [0331] By expanding the size of the stretching device, the stomach wall 10 surrounding the stretching device of the stretching apparatus 12 due to the perimeter 10 is pulled increases. 通过该拉伸,胃壁中的受体指示胃被充满,由此引起病人的饱胀感。 By this stretching, receptors in the stomach wall indicate the stomach is filled, thereby causing a sense of fullness in the patient. 因此,当拉伸装置1收缩时,受体指示胃未被充满,由此恢复饥饿感。 Therefore, when the drawing device 1 contracts, the stomach is not full indication receptor, thereby recovering hunger.

[0332]拉伸装置10的膨胀和收缩可在病人的直接控制下执行。 Expansion and contraction [0332] The stretching device 10 may be performed under the direct control of the patient. 可替换地,膨胀和收缩可根据预编程的安排执行。 Alternatively, the expansion and contraction can be performed according to a preprogrammed schedule.

[0333]返回图1,该附图还示出流体操作装置,S卩,适于操作拉伸装置的液压或气动操作装置,其将在下文中详细描述。 [0333] Returning to Figure 1, this figure also shows a fluid handling device, S Jie, hydraulic or pneumatic operating device is adapted to the stretching device, which will be described in detail below.

[0334]拉伸装置10形成流体室,流体被允许在该流体室中流动。 [0334] stretching apparatus 10 forming a fluid chamber, fluid is allowed to flow in the fluid chamber. 拉伸装置10因此形成可改变其在胃壁中所占据之容积的可膨胀室,由此形成液压或气动调整的拉伸装置10。 The stretching apparatus 10 thus formed can be varied inflatable chamber of which the volume occupied in the stomach wall, thereby stretching apparatus 10 forming a hydraulic or pneumatic adjustment.

[0335]用于流体的调整贮存器16利用采用管的形式的管路18连接到拉伸装置10。 [0335] regulation reservoir 16 for the fluid drawing device 10 is connected to the tube using a form of conduit 18. 拉伸装置10由此适于通过使液体或空气从调整贮存器16移动到由拉伸装置形成的室而被优选非侵入性地调整。 Thereby stretching device 10 is adapted by liquid or air from the regulation reservoir 16 is moved to the chamber formed by the stretching device is preferably adjusted non-invasively.

[0336]调整贮存器16可以多种方式调整。 [0336] regulation reservoir 16 can be adjusted in various ways. 在图1所示的实施例中,调整贮存器16通过手动按压调整贮存器16来调整。 In the embodiment illustrated in Figure 1, the regulation reservoir 16 16 manually adjusted by pressing the regulation reservoir. 换言之,调整贮存器16通过移动贮存器的壁来调整。 In other words, the regulation reservoir 16 is adjusted by moving the reservoir wall. 因而优选的是,调整贮存器16被放置在皮下,由此实现非侵入性的调整。 It is preferable that the regulation reservoir 16 is placed under the skin, thereby enabling adjustment of the non-invasive.

[0337]当调整贮存器16被按压时,其容积减小,液压流体经由管路18从贮存器移动到由拉伸装置10形成的室,从而扩大或膨胀拉伸装置10。 [0337] When the regulation reservoir 16 is pressed, the volume thereof is reduced, the hydraulic fluid moving from the reservoir to the chamber formed by the stretching device 10 via the line 18, thereby increasing or expanding the stretching means 10. 为了填充和计算装置的流体水平,进一步提供注入端口1001。 In order to fill the fluid level and computing devices, injection port 1001 is further provided. 注入端口优选包括自密封隔膜,例如硅隔膜。 Injection port preferably comprises self sealing membrane, such as a silicon diaphragm.

[0338]可以意识到,可使用气动操作来代替液压操作,其中代替液压流体的空气在贮存器16与由拉伸装置10形成的室之间移动。 [0338] It can be appreciated, pneumatic operation can be used instead of hydraulic operation, wherein the hydraulic fluid in place of air moves between the reservoir and the chamber 10 formed by the tension means 16 优选地,贮存器具有锁定位置,以将其保持在希望的位置。 Preferably, the reservoir has a locking position, to hold it in a desired position. 如果病人压缩贮存器16,其优选保持压缩并在再次按压之后释放。 If the patient compressing the reservoir 16, which is preferably held in compression and released after pressing again.

[0339]任何种类的液压方案可用于拉伸装置。 [0339] Any kind of hydraulic scheme may be used for the stretching device. 液压方案可通过机械或电力的任何马达或栗以及通过手动来驱动。 The hydraulic scheme may be driven by any mechanical or electrical motors or Li, and manually.

[0340]图1进一步示出回动伺服系统,其包括调整贮存器16和伺服贮存器90。 [0340] Figure 1 further shows a reversed servo system which comprises a regulation reservoir 16 and a servo reservoir 90. 伺服贮存器90通过管路18液压地控制拉伸装置10。 The servo reservoir 90 through line 18 hydraulically controlled stretching device 10. 回动伺服功能在图33至36中更为详细的描述。 Reverse servo function is described in FIGS. 33 to 36 in more detail. 图2a示出根据另一实施例的装置,在该装置中马达40适于移动调整贮存器16的壁。 Figure 2a shows a device according to another embodiment, wall 40 is adapted to move the motor to adjust the reservoir 16 in the device. 因而电力调整贮存器16优选被放置在病人的腹部中。 Thus the power regulation reservoir 16 is preferably placed in the patient's abdomen. 在该实施例中,可被提供无线外部远程控制单元34b、c和外部能量发射装置34a以通过能量转换装置30执行马达的非侵入性调整,能量转换装置30适于向能量消耗操作装置(在本示例中的马达40)供应能量。 In this embodiment, it may be provided wireless external remote control unit 34b, c and an external energy transmission device 34a non-invasive adjustment means 30 performs motor to convert energy by the energy conversion means 30 is adapted to the energy consumed by the operation means (in in this example the motor 40) supplied with energy.

[0341]远程控制器可包括无线能量发射器34a,其也可用作用于非侵入性地调整拉伸装置的调整装置。 [0341] remote control may comprise a wireless energy transmitter 34a, which is also useful for non-invasive adjustment means adjusting stretching device. 当通过远程控制器34执行调整时,提供用于为调整装置提供动力的内部电源70。 When the adjustment is performed by the remote controller 34, providing an internal power supply 70 for powering the adjustment device. 内部能量源70可例如为可再充电植入电池或电容器或者用于接收从病人身体外部发射的无线能量的电容器或装置。 Internal energy source 70 may be implanted, for example, a rechargeable battery or capacitor or a capacitor or receiving wireless energy transmitted from outside a patient's body. 以下将参照图13至29描述调整拉伸装置10的不同方式。 The following will be described with reference to FIGS. 13-29 regulating the stretching device 10 in different ways.

[0342]如图2a所示的装置进一步包括传感器201,其传感优选与病人的食物摄入相关的病人或装置的参数。 The apparatus shown in FIG. 2a [0342] further comprises a sensor 201, which is preferably the sensing parameter associated with the patient's food intake of the patient or device. 传感器利用传感器信号传输构件202连接到控制组件42。 A sensor using the sensor signal transmitting member 202 is connected to the control assembly 42. 传感器可用于以全自动方式调整所述装置,即,该装置响应与病人的食物摄入相关的传感器信号,由此影响控制组件来操作拉伸装置10拉伸胃壁12,并由此引起病人的饱胀感。 Sensors may be used in a fully automatic manner the adjusting means, i.e., the apparatus in response to a sensor signal related to the food intake of the patient, thereby affecting the control assembly 10 to operate the stretching device stretch the stomach wall 12 and thereby cause the patient's a sense of fullness. 传感器可适于通过温度、血压、血流量、心跳、呼吸和压力中的任一个来测量病人的食物摄入,并可被放置在胃 May be adapted by the temperature sensor, blood pressure, blood flow, heart rate, respiration and any pressure in a patient's food intake is measured, and may be placed in the stomach

12、食管203中或与贲门204相连。 12, esophagus 203 or 204 is connected to the cardia. 根据一个实施例,所述传感器为测量贲门204的收缩和/或放松的应变仪。 According to one embodiment, the sensor 204 to measure cardiac contraction and / or relaxation of the strain gauge.

[0343]如图2a所示的装置进一步包括用于液压流体的回流的第二管路222。 Apparatus shown in FIG. 2a [0343] further includes a second line 222 for reflux of hydraulic fluid. 回流适于形成希望的持续预定时间的饱胀感,之后,液压流体流回足够的量,以使拉伸装置不再拉伸胃壁,并由此使饥饿感返回给病人。 Reflux adapted to form satiety for a predetermined time desired, then, the hydraulic fluid flows back in a sufficient amount, so that no stretching device stretch the stomach wall, and thus the feeling of hunger returns to the patient. 该过程的适当时间为I到6小时之间。 The process is suitable time between I to 6 hours. 根据其他实施例,利用连接到所述管路18的阀系统在主管路18中发生回流。 According to other embodiments, by the connection to the reflux line 18 to valve system 18 in place in the main line.

[0344]为了填充和计算装置的流体水平,进一步提供注入端口 1001。 [0344] In order to fill the fluid level and computing devices, injection port 1001 is further provided. 注入端口1001优选包括自密封隔膜,例如硅隔膜。 Injection port 1001 preferably comprises self sealing membrane, such as a silicon diaphragm.

[0345]图2b示出处于第二状态下的根据图2a的实施例的装置,其中拉伸装置10膨胀并由此拉伸胃壁12。 [0345] Figure 2b shows the apparatus in the embodiment of Figure 2a, wherein the stretching device 10 is expanded in the second state and thereby stretching the stomach wall 12.

[0346]图3a示出一实施例,其中两个拉伸装置10”被提供。两个拉伸装置10”均根据以上参照图1所述的原理工作。 [0346] Figure 3a shows an embodiment, wherein two stretching devices 10 "is provided. Two stretching devices 10" are functioning according to the principles described above with reference to FIG. 它们可适于术后且非侵入性地被调整,并适于时常地调整不同的拉伸装置,以在第一时间拉伸胃壁的第一部分并在第二时间拉伸胃壁的第二部分。 They can be adapted to postoperatively and non-invasively be adjusted and adapted to be adjusted from time to time different stretching means to stretch a first portion of the stomach wall at a first time stretch a second portion of the stomach wall and at a second time.

[0347]这种拉伸装置10可用于保持电子元件和/或能量源和/或液压流体。 [0347] This stretching device 10 may be an electronic component and / or the energy source and / or for holding hydraulic fluid. 来自该装置的液压流体可被分配到若干较小的拉伸装置区域,以时常地改变拉伸区域,从而避免胃壁的任何可能的更为持久的拉伸效果。 The hydraulic fluid from the device can be assigned to several smaller stretching device areas to change from time to time stretching zone, thereby avoiding any possible more permanent stretching effect of the stomach wall. 甚至机械的若干拉伸区域可被使用。 Some even stretch zone of the machine can be used. 根据图3a的实施例进一步包括液压阀移位装置54,其被植入在病人体中,用于在操作第一和第二拉伸装置10”之间移位。该交替形成更具可持续性的装置,这是因为胃壁中的受体受到刺激在拉伸之间获得更长的恢复时间。 According to the embodiment of Figure 3a further comprises a hydraulic valve shifting device 54, which is implanted in the patient, for shifting between operating the first and the second stretching means 10. "The more sustainable alternately formed of means, since the receptors in the stomach wall is stimulated a longer recovery time in between the stretching.

[0348]在图3a中,系统为如以上参照图1所述的由病人控制的手动系统,在图3b中,系统如上文参照图2a所述利用无线能量来获得能量。 [0348] In Figure 3a, the system is a manual system as described above with reference to the control by the patient of Figure 1, in Figure 3b, the system described above with reference to FIG 2a using the wireless energy to obtain energy.

[0349]图4a至4e示出适于植入病人的拉伸装置10的不同实施例。 [0349] Figures 4a to 4e show different embodiments of the stretching device is adapted to implanted in a patient 10. 拉伸装置10包括:当装置套叠在胃壁中时适于与胃壁12接触的表面。 The stretching apparatus 10 comprising: a surface adapted for contact with the stomach wall 12 when the device is invaginated in the stomach wall. 图4b示出拉伸装置的实施例,其中拉伸装置包括固定构件206,用于将拉伸装置缝合或订合到胃壁。 FIG. 4b shows an embodiment of the stretching device, wherein the stretching device includes a stationary member 206 for suturing or stapling the stretching device to the stomach wall. 固定构件206可包括用于接收所述缝合线或订合线14的孔,或者固定装置206可被刺穿,使得缝合线或订合线可刺穿胃壁和固定装置206。 Fixing member 206 may comprise means for receiving said sutures or staplers line hole 14, the fixing device 206 or may be pierceable, such that the sutures or staplers can pierce the stomach wall 206 and the fixing means. 图4c示出根据一实施例的拉伸装置10,其中拉伸装置10包括用于向所述装置填充流体的入口构件207。 4c shows a stretching apparatus according to the embodiment 10, wherein the stretching means 10 comprises an inlet member to the fluid-filled unit 207. 所述入口构件优选连接到适于套叠在胃壁12中的液压管路18。 The inlet member is preferably adapted to be connected to the invaginated stomach wall 12 in the hydraulic line 18. 图4d示出根据一实施例的拉伸装置10,其中拉伸装置10包括保持构件208,当所述拉伸装置10插入胃壁12的套叠囊时,保持构件208适于连接到插入装置。 Figure 4d shows a stretching apparatus according to the embodiment 10, wherein the stretching means 10 comprises a holding member 208, when the stretching device 10 is inserted into the stomach wall of the housing 12 overlapping the balloon, retaining member 208 adapted to be connected to the insertion device. 图4e示出根据一实施例的拉伸装置10,其中拉伸装置具有稍微卵形或蛋形的形状。 Fig 4e shows the stretching apparatus 10 according to an embodiment wherein the stretching device has a slightly oval or egg-shape. 图4e进一步示出附接到所述拉伸装置10的液压管路18。 Figure 4e shows a further device 10 is attached to a hydraulic line 18 the stretching. 图4f示出根据一实施例的拉伸装置10,其中拉伸装置可被通过管路18传送的流体充胀。 FIG 4f illustrates 10, wherein the stretching device may be transmitted through the fluid conduit 18 inflatable stretching device in accordance with one embodiment. 根据图4f所示的一个实施例,管路包括两个部分18a、18b,其中第一部分18a用于将拉伸装置10拉到适当位置并用合适的流体填充装置10,第二部分18b用于操作所述装置10。 According to one embodiment shown in FIG. 4f embodiment, the line comprises two portions 18a, 18b, wherein a first portion 18a for the stretching means 10 is pulled in place and with a suitable fluid-filled apparatus 10, a second portion 18b for operating the apparatus 10. 图4g示出处于紧缩状态的根据图4f的实施例的拉伸装置10。 Figure 4g shows the stretching apparatus 10 according to the embodiment of FIG. 4f in a compacted state. 拉伸装置10以其紧缩状态被插入通过胃壁12中的孔,之后装置10被合适的流体填充以进行操作。 The stretching apparatus 10 in its collapsed condition is inserted through the hole in the stomach wall 12, device 10 is then filled with a suitable fluid for operation. 图4h示出根据一实施例的拉伸装置10,其中拉伸装置10包括两个可移动壁部223a、223b,其可利用由柔性材料制成的手风琴结构209移动。 Figure 4h shows 10, wherein the stretching device 10 comprises two movable wall portions 223a, 223b, which may use an accordion structure made of a flexible material stretching the mobile device 209 according to an embodiment. 图4i示出根据一实施例的拉伸装置,其中拉伸装置可利用四个可膨胀部分210膨胀,四个可膨胀部分210沿拉伸装置的表面对称地放置在四个位置,如图4i的截面图所示。 FIG. 4i shows the stretching device according to an embodiment wherein the stretching device may utilize four expandable portion 210 expands, the expandable four surface portion 210 along the stretching device placed symmetrically at four positions, as shown in FIG 4i the cross-section shown in FIG. 可膨胀部分210由柔性材料制成,从而当所述拉伸装置10被液压流体填充时,允许所述部分210膨胀。 When the expandable portion 210 is made of a flexible material, such that when the stretching device 10 is filled with hydraulic fluid, allowing the expansion portion 210.

[0350] 见图5a,两个升高区域701之间的第一距离708a长到足以防止直接连接两个相邻升高区域707的纤维组织的生长。 [0350] Figure 5a, a first distance between the two raised areas 701 708a is long enough to prevent direct connection of two fibrous tissue growth adjacent elevated areas 707. 也就是,可以使纤维组织在升高和降低区域701、702以及连接区域704的表面上生长。 That is, the fibrous tissue can grow on the surface of raised and lowered areas 701, 702 and the connection region 704. 然而,由于第一距离708a的延伸长度,纤维组织被防止从一个升高区域701直接生长到另一相邻的升高区域701。 However, since the first distance 708a extending the length of a fibrous tissue is prevented from growing directly raised area 701 to another adjacent elevated area 701.

[0351]关于表述“从一个升高区域701直接生长到另一相邻的升高区域701”,其例如意味着纤维组织从一个升高区域701生长到另一个,但没有生产在连接区域704或者仅在连接区域704上生长很小程度。 [0351] For the expression "growth from a raised area 701 directly to another adjacent elevated area 701," which means, for example fibrous tissue growth from a raised area 701 to another, and do not produce the connecting region 704 or grown only a small extent in the connecting region 704. 如图5i的704a所示,第一距离708a可从升高区域701的水平在间隔704a内测量。 704a shown in FIG. 5i is a first distance 708a from the level of the raised area 701 within the measurement interval 704a. 表述“从一个升高区域701直接生长到另一相邻的升高区域701”还包括如下情况:纤维组织生长在相邻的区域上,例如,两个相邻的连接区域704,该生长的厚度使得来自每个相邻区域的纤维组织交汇并桥接在两个升高区域701之间的距离或空间。 The expression "growing from a raised area 701 directly to another adjacent elevated area 701" further include the following: the growth of fibrous tissue in the region adjacent to, e.g., two adjacent connecting area 704, the growth of the thickness of such fibrous tissue from each adjacent area of the intersection and bridge the distance or space between two elevated areas 701. 在这种情况下,两个升高区域701之间的空间可被纤维组织部分地或完全地填充。 In this case, the space between two elevated areas 701 may be completely or partially filled with fibrous tissue.

[0352]可能优选的是,对应于降低区域702的延伸长度的第二距离708b也延伸得足够大,以防止纤维组织从一个连接区域704直接生长到另一连接区域704。 [0352] It may be preferred that the second distance corresponding to the reduced region 702 extending the length of the extension 708b also large enough to prevent fibrous tissue grows from one connecting area 704 to another connecting area 704 directly. 关于表述“从一个连接区域704直接生长到另一连接区域704”,其意味着纤维组织从一个连接区域704生长到另一个,但没有在降低区域702上生长或者仅在降低区域702上生长很小程度。 About The expression "directly from one connecting area 704 to another connecting area 704 Growth", which means that the fibrous tissue grows from one connecting area 704 to another, but not only in reducing the growth or decrease in the area of region 702 is grown on 702 small degree.

[0353]在图5中,包括升高和降低区域的表面结构被示出,但是除了升高和降低区域以夕卜,也可使用许多其他几何结构,只要可以实现以上提及的防止纤维组织的生长。 [0353] In FIG. 5, including raising and lowering the surface area of the structure is shown, in addition to raising and lowering Bu Xi region, may also be used in many other geometries, can be achieved as long as the fibrous tissue to prevent the above-mentioned growth. 特别是,以上提及的防止在升高区域之间和连接区域之间生长纤维组织。 In particular, the above-mentioned prevent the growth of fibrous tissue between elevated areas and the connecting area.

[0354] 一些这种其他几何结构的示例示于图5i至5k中。 [0354] Some examples of other such geometries are shown in Figure 5i to 5k are. 在包括脊和槽的表面结构中,脊和槽也可具有不同部分,一些不例适于图5a至5e中。 In a surface structure comprising ridges and grooves, the ridges and grooves may also have different sections, some of the embodiments is not adapted to figures 5a to 5e.

[0355] 现在将主要参照图5a和5b阐释一些表述和方面。 [0355] Referring now primarily to FIGS. 5a and 5b illustrate some expressions and aspects. 在该应用中,使用了相邻升高区域701、710之间的第一距离708&、718&的概念。 In this application, a first distance 708 & 701, 710 between adjacent elevated regions 718 & concept. 关于该第一距离708&、718&,其意味着大致从升高区域701、710的边缘706、714到相邻升高区域701、710的边缘706、714测量的距离。 & About the first distance 708, & 718, which means that the raised edge region substantially from 706,714 to 701, 710 of an adjacent elevated area measured from the edge 701, 710 of 706,714. 大致从边缘测量意味着:测量可从升高区域701、710的水平在第一间隔704a内完成,第一间隔704a从升高区域701、710的水平朝向相邻的降低区域702、712的水平延伸。 Level measurements can be done from levels in the region 701, 710 of the first spacer 704a, 704a of the first spacer region 701, 710 from the elevated levels of 702, 712 facing the adjacent region of reduced: measured substantially from the edge means extend.

[0356]在该应用中,还使用了相邻连接区域704、716之间的第二距离708b、718b的概念。 [0356] In this application, the concept used adjacent to the connection area a second distance between 704,716 708b, 718b of. 关于该第二距离708b、718b,其意味着大致从在连接区域704、716与降低区域702、712之间的连接点到涉及相邻连接区域704、716的另一连接点所测量的距离。 With respect to the second distance 708b, 718b, which means that in the connection area from approximately 704,716 to reduce the distance between the point of attachment regions 702, 712 to another connection point involving an adjacent connecting area 704,716 measured. 大致从连接点测量意味着:测量可从降低区域702、712的水平在第二间隔704b内完成,第二间隔704b从降低区域702的水平朝向相邻升高区域701、710的水平延伸。 Substantially from the connection point means that the measurement: measurement can be done from a reduced level in the second region 702, 712 of the spacer 704b, the second interval 704b from the level of the raised area 701, 710 toward the reduced level adjacent region 702 extends.

[0357]关于升高和降低区域,其意味着位于不同平面703、705、720、722中的区域,其中所述平面分隔开距离707、724、728。 [0357] On the raised and lowered regions, which means that the regions situated in different planes 703,705,720,722, wherein the plane separated by a distance 707,724,728. 所述平面可平行或大致平行,但也可不平行。 The plane may be parallel or substantially parallel to, but not parallel. 如果平面平行,则限定它们之间的距离不重要。 If the plane-parallel, defining a distance between them is not important. 如果平面不平行(如图5b),平面之间的距离可通过平面720、722之一的法线724、728限定,其中法线延伸到另一平面722、726中的区域上的一点,且平面之间的距离等于法线724、728的延伸长度。 If the plane is not parallel (FIG. 5B), the distance between the plane through the normal one of 720, 722 define a plane 724,728, which extends normal to a point on the other plane in the region of 722,726, and equal to the distance between the plane extending normal to the length of 724,728. 由图5b可见,法线724、728从平面720、722延伸到距区域的边缘近似相等距离的点。 5b can be seen from FIG extending normal to the plane of 724,728 to 720,722 from the region of the edge point distance approximately equal. 存在限定平面之间的法线或距离的两种可能方式。 There may be two kinds of normal way limit or distance between the planes. 以法线728为例,可将法线限定为728a或728b。 In normal 728, for example, may be defined as a normal line 728a or 728b. 可适于将两个平面之间的距离限定为最长法线的延伸长度,因此平面720和722之间的距离可等于法线728a的延伸长度。 May be adapted to the distance between the two planes defines a normal line to extend the longest length, the distance between the planes 720 and 722 may be equal to the extended length of the normal line 728a. 该限定将在下文中使用。 This definition will be used hereinafter.

[0358]升高和降低区域可具有不同形状,它们可为平面或大致平面,但它们也可具有某一种类的曲面形状。 [0358] raising and lowering of the curved shape region may have different shapes, they may be flat or substantially planar, but they may also have some kind.

[0359] 升高区域701、710利用连接区域704、716连接到相邻的降低区域702、712。 [0359] elevated areas 701, 710 with the connection area 704,716 connected to an adjacent regions 702, 712 decreases. 在升高/降低区域与连接区域704、716之间的连接可包括不同尺寸的半径,较大或较小的半径。 The raised / lowered region and the connection between the connection region 704,716 may include a radius of different sizes, bigger or smaller radius. 当半径非常小时,将大致存在对区域进行连接的边缘706、714。 When the radius is very small, there is an edge of the region substantially connecting 706,714.

[0360]表述“可膨胀部分”暗指所述部分也是可塌缩的。 [0360] The expression "expandable portion" implies the portion is collapsible.

[0361]适当地,拉伸装置10至少部分地包括具有高度生物兼容性的材料,这种材料可被称为生理惰性、生物惰性或生物兼容的。 [0361] Suitably, the stretching device 10 at least partially comprises a material having a high degree of biocompatibility, such materials may be called physiologically inert, biologically inert or biocompatible.

[0362] 具体参照图5a和5b,在表面结构700中,在相邻升高区域701、710之间可优选地存在特定第一距离708a、718a。 [0362] With particular reference to FIGS. 5a and 5b, in the surface structure 700, may preferably be present a certain first distance 708a, 718a between adjacent elevated areas 701, 710. 相邻升高区域701、710之间的距离被选定为纤维组织无法跨越相邻升高区域701、710之间的第一距离708&、718&。 The distance between adjacent elevated areas 701, 710 is selected as the fibrous tissue can not span the distance between adjacent first elevated regions 701, 710 & 708, 718 &. 因此,相邻升高区域701、710之间的第一距离708a、718a优选足够大,以防止形成跨过相邻的升高区域701、710的纤维组织。 Thus, between adjacent elevated areas 701, 710 of the first distance 708a, 718a preferably large enough to prevent the formation of fibrous tissue across adjacent raised area of 701, 710.

[0363] 如上所述,在相邻连接区域704、716之间可优选地存在特定第二距离708b、718b。 [0363] As described above, it may be preferably in the connecting area between the adjacent 704,716 presence of a particular second distance 708b, 718b. 相邻连接区域704、716之间的第二距离708b、718b被选定为纤维组织无法跨过相邻连接区域704、716之间的第二距离708b、718b。 Adjacent to the connecting region a second distance between 704,716 708b, 718b is selected to fibrous tissue not cross a second distance between adjacent connecting areas 704,716 708b, 718b. 因此,相邻连接区域704、716之间的第二距离708b、718b优选足够大,以防止形成跨过相邻的连接区域704、716的纤维组织。 Accordingly, the connection region adjacent to a second distance between 704,716 708b, 718b is preferably large enough to prevent the formation of fibrous tissue connecting the adjacent cross regions of 704,716.

[0364] 还可优选的是,升高和降低区域的不同平面703、705、720、722、726之间的第三距离707、724、728a比特定阈值大,以便于拉伸装置发挥可塌缩和/或可膨胀功能。 [0364] also preferred that the distance between the raising and lowering of the third plane different regions 703,705,720,722,726 707,724,728a larger than a certain threshold, in order to play collapsible tensile means reduction and / or expandable functionality. 如果第三距离707、724、728a太小,则拉伸装置的可塌缩和/或可膨胀功能会受到限制。 707,724,728a If the third distance is too small, the stretching device may be collapsible and / or expandable functionality is limited. 第三距离707、724、728a的合适间隔为0.5至10111111,更合适的为2-8111111,最合适的为3-7111111。 Suitable spacing 707,724,728a third distance is 0.5 to 10,111,111, more suitable for 2-8111111, 3-7111111 is most suitable. 为使纤维组织不应阻碍拉伸装置的可塌缩/可膨胀功能,优选的是,距离707、724、728a不太小,但如前所述的间隔是合适的。 For fibrous tissue stretching device should not impede the collapsible / expandable functionality, it is preferred that the distance 707,724,728a too small, but the interval is appropriate as described above.

[0365]表面结构700可包括不同几何形状的物体或元件,例如不同形状的脊、不同形状的凸起以及能够允许本文所述的表面结构的其他形状。 [0365] surface of the structure 700 may include objects or elements of different geometrical shapes, for example ridges of different shapes, and other shapes capable of allowing the protrusions of the surface structures herein different shapes. 升高区域701、710的面积可以非常小,但仍然形成具有希望功能的表面结构。 Elevated areas 701, 710 may be very small area, but still have a desired surface structure forming function. 升高区域701、710的面积可甚至几乎为零,如图5e中的例示。 Elevated areas 701, 710 may even be almost zero area, illustrated in Fig. 5e. 图5a和5b至5e示出表面结构700的示例的横截面,图5i至5k示出不同表面结构700的示例的立体图。 5a and 5b cross-sectional view to 5e illustrates an example of a surface structure 700, FIG. 5i to 5k illustrates a perspective view of an example of the different surface structures 700. 表面结构700中的物体或元件可成行放置,以一些其他方式编排,或者可以或多或少随意分配在拉伸装置的表面上。 The surface structure of the object or element 700 can be placed in rows, organized in some other way, or more or less randomly distributed on the surface of the stretching device. 不同类型的物体也可一同使用在表面结构700中,例如金字塔形和圆柱形物体与一些形状的脊的组合。 Different types of objects may also be used together in the surface structure 700, for example, a combination of pyramidal and cylindrical object with a number of ridge shape.

[0366]在图5f至5h中,拉伸装置10的实施例被示出,其中使用了表面结构700,未完全示出拉伸装置10。 [0366] In FIG. 5f to 5h, the stretching device of Example 10 is shown, in which the surface structure 700, shown not fully stretching device 10. 图3示出拉伸装置10的纵向截面,其中740表示拉伸装置10的上侧的表面结构,742表示拉伸装置10的下侧的表面结构。 Figure 3 shows a longitudinal section of the stretching apparatus 10, wherein the surface structure 740 represents the stretching apparatus 10 side, 742 denotes the surface structure of the lower side 10 of the stretching device. 如图5f所示,下侧的表面结构742具有的延伸长度可比阴茎假体的上侧的表面结构740的延伸长度大。 FIG. 5f, the surface structure of the surface of the upper structure 742 has a lower side than the extended length of extension of the penile prosthesis 740 is large. 当拉伸装置10膨胀时,这为拉伸装置1赋予弯曲位置。 When inflated the stretching apparatus 10, which is stretched to impart bending apparatus 1 position. 表面结构140和142为弯曲部分的一个不例。 Surface structures 140 and 142 as an embodiment of the bent portion. 图5g不出拉伸装置10的横截面,其中拉伸装置10包括腰部744,其中腰部包括腰表面结构746和748。 Figure 5g is a cross-sectional no stretching apparatus 10, wherein the stretching means 10 comprises a waist 744, wherein the waist comprises waist surface structures 746 and 748. 带有腰表面结构746和748的腰部使拉伸装置10也可沿径向膨胀。 With the waist surface structures 746 and 748 back to the draw device 10 may be radially expandable. 拉伸装置10也可具有如图10所示的横截面,其包括具有四个腰表面结构750、752、754、756的腰部744,从而进一步便于使拉伸装置10也能够沿径向膨胀。 The stretching apparatus 10 may also have a cross section as shown in FIG. 10, which includes a waist having four waist surface structures 744 750,752,754,756, thereby further facilitates the stretching apparatus 10 can be expanded radially. 图5g中的横截面沿图5f的线A1-A2截取。 5g in a cross sectional view taken along line 5f A1-A2.

[0367] 图6a例示出设置有入口18b的拉伸装置10。 [0367] Figure 6a illustrates a stretching device is provided with an inlet 10 18b a. 拉伸装置10套叠在胃壁12中,入口18b可以从病人的腹区域连接到管或类似形式。 Stretching device invaginated in the stomach wall 10 in 12, from the inlet 18b may be connected to the abdominal area of the patient in the form of a tube or the like. 管或管路18可优选地连接到控制单元42或注入端口1001。 Tube or pipe 18 is preferably connected to the control unit 42 or the injection port 1001.

[0368]图6b例示出套叠的拉伸装置10,其中管路18或电引线代替入口延伸到病人的腹区域。 Stretching apparatus [0368] FIG. 6b shows a nested embodiment 10, wherein the conduit 18 or electrical lead extends into the abdomen instead of an inlet area of the patient.

[0369]图6c示出拉伸装置10的一部分和拉伸装置被套叠所在的胃的部分。 [0369] Figure 6c shows the stretching device 10 and a portion of the quilt portion of the stomach where the stack of the stretching device. 管路18或电引线利用胃至胃的缝合线或订合线14套叠在胃壁12中,缝合线或订合线14形成放置拉伸装置10的胃壁组织的整个密封囊。 Line 18 or the electrical leads with stomach to stomach sutures or staplers 14 telescoped 12, sutures or staplers 14 formed on the entire apparatus drawing the sealed bag is placed in the stomach were stomach wall 10. 管路18或电引线由此在入口18b与填充装置10的容积之间掘进于胃壁12中。 Whereby electrical lead or line 18 between the inlet 18b and the volume filling device 10 in the stomach wall 12 of the excavation.

[0370]已经示出拉伸装置10的形状可采取许多不同形式。 [0370] have shown the shape of the stretching apparatus 10 may take many different forms. 可以意识到,拉伸装置10的材料也可改变。 It can be appreciated, the material stretching apparatus 10 may also change. 优选的是,拉伸装置10设置有涂层,例如聚对二甲苯、聚四氟乙烯(PTFE)或聚氨酯涂层,或者这些涂层的组合,即,多层涂层。 Preferably, the stretching device 10 is provided with a coating, such as polyethylene polytetrafluoroethylene (PTFE) or polyurethane coating, or a combination of xylene, these coatings, i.e., the multilayer coating. 该涂层或多层涂层改善拉伸装置的性质,例如其抗磨损性。 The coating or multilayer coating to improve the properties of the stretching device, such as its abrasion resistance.

[0371]在图7所示的另一实施例中,拉伸装置10根据与以上参照图1至6所述的原理不同的原理工作。 [0371] In another embodiment shown in FIG. 7, the stretching device 10 operates according to a different principle above with reference to FIGS. 1 to 6 principles. 拉伸装置10在此包括第一固定部分IlOa和第二固定部分110b,第一固定部分IlOa适于在胃壁12上的第一位置具有第一固定,第二固定部分IlOb适于在胃壁12上的第二位置具有第二固定。 The stretching apparatus 10 includes a first and a second fixing portion IlOa fixed portion 110b, a first fixing portion adapted IlOa the stomach wall 12 in a first position having a first fixed, second fixed portion 12 to the stomach adapted IlOb a second position having a second fixed. 优选具有大致圆形形状并优选适于套叠在胃壁12中的这些固定部分110a、I 1b附接到各自腿部211的远端,腿部211接着在其各自的近端附接到操作装置,例如马达40。 Preferably it has a substantially circular shape and preferably adapted invaginated stomach wall 12 in the fixed portion 110a, I 1b is attached to the distal end of each leg 211, leg portion 211 is then at its proximal end attached to the respective operation means , such as a motor 40. 根据图7所示的实施例,马达为液压马达,包括液压活塞,其连接到先前参照图1所述的手动操作装置。 According to the embodiment shown in FIG. 7, the motor is a hydraulic motor, comprising a hydraulic piston, which is connected to the manually operable means previously described with reference to FIG. 液压活塞通过其与放置在腿部的极限处的关节212的连接影响腿部。 Effect of the hydraulic piston 212 is connected via its leg to the limit of the joint is placed in the leg. 拉伸装置110被封闭在壳体214中,以保护装置而避免纤维组织的生长,纤维组织可能损坏所述装置10的功能。 Stretching device 110 is enclosed in a housing 214, a protection device to prevent the growth of fibrous tissue, fibrous tissue may impair the function of the device 10. 然而,同样可以设想到,马达为另一液压马达、气动马达或电动马达。 However, it is equally conceivable that the motor is another hydraulic motor, a pneumatic motor or an electric motor.

[0372]拉伸装置10适于增大胃壁12上的第一位置与第二位置之间的距离,由此拉伸胃壁 [0372] stretching device 10 is adapted to increase the distance between the first position on the stomach wall 12 and the second position, thereby stretching the stomach wall

12。 12. 第一和/或第二固定部分110a、110b适于利用胃至胃的缝合线或订合线14至少部分地套叠在胃壁12中,从而将固定部分110a、110b关于胃壁12悬浮地保持在适当位置。 The first and / or second fixing portions 110a, 110b is adapted with stomach to stomach sutures or staplers 14 at least partly invaginated in the stomach wall 12, so that the fixed portion 110a, 110b on the stomach wall 12 is held in suspension place.

[0373]当然,第一和第二位置可以多种可能的方式被缝合或固定到胃壁,本发明覆盖所有可能性,以通过使胃壁的两个部分背离彼此移动并由此首先将装置固定到胃壁上的至少两个位置来扩张胃壁。 [0373] Of course, the first and second position may be many possible ways are stitched or secured to the stomach wall, the present invention covers all possibilities to one another by two portions away from the stomach wall and thereby fixed to the first device at least two positions on the stomach wall to expand the stomach. 然而,优选软悬浮连接到胃壁12,其中纤维胃至胃的组织帮助给定长期稳定的位置。 Preferably, however, the soft suspended connection to the stomach wall 12, wherein the fibers stomach to stomach tissue helps location with long term stability.

[0374]当然,仅仅使胃的套叠部分膨胀也拉离胃壁12,这也可机械、液压、气动以及由马达或栗提供动力或手动力地实现。 [0374] Of course, just the stomach of invaginated stomach wall portion 12 is pulled away from the expansion can, which may be mechanical, hydraulic, pneumatic, and implementation is provided by a motor or a manual force or power to Li.

[0375]任何种类的机械结构可被使用,公开的机械实施例为一个示例。 [0375] Any kind of mechanical construction may be used, mechanical embodiment disclosed is an example. 可使用通过机械或液压或任何气动结构驱动的任何机械。 It may be used by any mechanical or mechanical hydraulic or pneumatic structural any drive. 任何马达或任何栗或在被供应电力时改变形式的移动材料可被用于实现如下简单目标:通过使胃壁的至少两个部分背离彼此移动来拉伸胃壁的一部分。 Any motor or any form of change or Li when supplied with electric power may be used to move the material easy to achieve the following objectives: a portion of the stomach wall to stretch the stomach wall so that at least two portions move away from each other by.

[0376]图8示出根据一实施例的拉伸装置110,其中拉伸装置由可植入控制组件42控制,如前所述,传感器输入被其接收。 [0376] FIG. 8 shows the stretching device 110 according to an embodiment wherein the stretching device 42 controlled by an implantable control assembly, as previously described, the sensor input is receiving. 拉伸装置因而利用栗44通过管路18调整,栗44连接到至少一个流体贮存器16、46并由连接到无线能量的接收器205、放置在皮肤36下面的能量转换构件30或者可植入能量源70 (例如,可再充电电池)提供动力。 Thus a receiver using a stretching device 44 Li, Li 44 is connected via line 18 to adjust the at least one fluid reservoir 16, 46 is connected by a wireless energy 205, placed under the skin 36 of the energy conversion member 30 or the implantable an energy source 70 (e.g., a rechargeable battery) powered.

[0377] 在图9a所示的变型中,第一和/或第二固定部分210a、210b分别展现出适于与胃壁12接触的结构,以促进人体组织的生长,从而确保附接到胃壁12的保拉伸装置10的长期放置。 [0377] In the variant shown in Figure 9a, the first and / or second fixing portions 210a, 210b, respectively, exhibit 12 is adapted to contact with the stomach wall structures, to promote growth of human tissue, to ensure that the stomach wall 12 is attached to the Paul stretching device 10 for long periods. 该结构优选包括网状结构213。 The structure 213 preferably comprises a mesh structure. 固定部分210a、210b可适于通过固定部分与胃壁12之间的缝合线或订合线来将拉伸装置10保持在适当位置,以确保拉伸装置10的短期放置。 Fixing portions 210a, 210b may be adapted to fixed portions of the suture between the stomach wall 12 or staplers to the stretching device 10 is held in place, to ensure that the short-term placement of the stretching means 10. 除机械操作之外,根据图9a所示的实施例的拉伸装置10根据参照图7所述的装置发挥作用。 In addition to the mechanical operation, the stretching apparatus shown in the embodiment of the apparatus 10 to function in accordance with reference to FIG. 7 according to Figure 9a. 图9b示出固定装置213,其包括适于传播纤维组织的生长以将两个固定部分固定到胃壁12的网状结构。 Figure 9b shows the fixing device 213, which comprises a fibrous tissue growth adapted to spread the two fixing portions secured to the stomach wall 12 of the mesh structure.

[0378]图9c示出根据图9a的实施例的处于第二状态的拉伸装置,其中两个固定部分已经彼此分离,且胃12已被拉伸。 [0378] Figure 9c shows the stretching device in a second state of the embodiment according to Figure 9a, wherein the two fixing portions have been separated from each other and the stomach 12 has been stretched.

[0379]图1Oa示出根据一实施例的拉伸装置,其中拉伸装置为通过电源线32'连接到控制组件42的电机械拉伸装置。 [0379] FIG 1Oa shows a stretching apparatus according to an embodiment in which the power supply line 32 through the stretching 'mechanical stretching device connected to the electrical control assembly 42 of the apparatus. 电源线32连接到动力转换装置30,与无线能量的接收器205(例如线圈)接触,接收器205从无线能量的发射器34a接收能量。 The power supply line 32 is connected to a power conversion device 30 (e.g., coil) into contact with a receiver of wireless energy 205, a receiver 205 receives energy from a transmitter of wireless energy 34a. 控制组件可进一步包括电池70,用于存储从无线能量发射装置34a接收的能量。 Control assembly may further include a battery 70, means 34a for storing energy received from the transmitting wireless energy. 控制组件接收来自传感器201的输入,传感器201根据本实施例为测量贲门204的收缩和/或放松的应变仪。 Control means receives input from a sensor 201, a sensor 201 according to the present embodiment to measure cardiac contraction 204 and / or relax strain gauge.

[0380]图1Ob进一步详细示出拉伸装置10。 [0380] FIG. 1Ob further detail stretching device 10 is shown. 拉伸装置10包括壳体,其具有由柔性材料制成的手风琴结构209,以使壁部分能够移动。 The stretching apparatus 10 comprises a housing having an accordion structure made of flexible material 209, such that the movable wall portion. 电源线32连接到电动马达的定子217,所述马达进一步包括设有螺纹的转子218,转子218与包括对应螺纹的可移位构件219相互作用。 The power supply line 32 is connected to the electric motor stator 217, the motor further includes a rotor provided with threads 218, the rotor 218 includes a corresponding threaded displaceable member 219 interaction. 移位构件可旋转地固定到壳体接触构件220,其推靠壳体以影响拉伸装置的容积并由此拉伸胃12。 Displacement member is rotatably secured to the housing contacting member 220 which pushes against the housing to influence the volume of the stretching device and thereby stretching the stomach 12.

[0381]图1Oc示出处于第二状态下的根据图1Ob的拉伸装置,其中拉伸装置10膨胀并由此拉伸胃壁12。 [0381] FIG 1Oc shown in a drawing device according to FIG. 1Ob, wherein the stretching device 10 is expanded in the second state and thereby stretching the stomach wall 12.

[0382]图1la示出一实施例,其中适于治疗返流疾病的装置与根据以上任意实施例的拉伸装置组合。 [0382] FIG 1la shows an embodiment wherein the device is adapted to treat reflux disease according to the above stretching means for combining any embodiment. 在装置410套叠在基底416中之后,由多个胃至胃的缝合线或订合线422a组成的固定被施加,以保持套叠短期不受损。 In the apparatus after the laminated substrate 416, a plurality of stomach to stomach sutures or staplers 422a composed of a fixed sleeve 410 is applied to keep the short-term telescopically not impaired. 由多个胃至胃的缝合线或订合线422b组成的第二固定被设置为将装置410保持在贲门414上方的位置。 A plurality of second fixed stomach to stomach sutures or staplers 422b composition means 410 is arranged to remain in a position 414 above the cardia. 缝合线或订合线422b被施加在基底416的壁与食管424的壁之间。 Sutures or staplers 422b is applied between the base wall and the wall 416 of the esophagus 424. 另外,采用缝合线或订合线422c形式的第三固定可被提供在基底416的壁与隔膜418的壁之间,也用于将装置410保持在贲门414上方的位置。 Further, the use of sutures or staplers in the form of a third 422c may be provided between the fixed wall and the base wall 416 of the separator 418, and also means for holding in position above the cardia 414 410.

[0383]在图1la所示的第四实施例中,返流疾病治疗装置410的尺寸在被植入时可被调整。 [0383] In the fourth embodiment shown in FIG 1la, the size of the reflux disease treatment device 410 may be adjusted when implanted. 返流疾病治疗装置410与通过引线452b连接到返流疾病治疗装置410的皮下液压贮存器452关联,其中非侵入性调整可通过手动按压贮存器452执行。 And reflux disease treatment apparatus 410 by wire 452b is connected to a subcutaneous hydraulic reservoir 410 of the reflux disease treatment device 452 is associated, wherein the non-invasive adjustment may be performed by manually pressing the reservoir 452. 按压贮存器452将液压流体经由引线452b从贮存器452移位到较小的室410b。 Pressing hydraulic fluid reservoir 452 via leads 452b displaced from the reservoir 452 to the smaller chambers 410b. 返流疾病治疗装置410接着连接到一个或多个较小的室410b。 Reflux disease treatment device 410 is then connected to one or more smaller chambers 410b. 采用该方式,病人可以适于治疗的方式来调节流疾病治疗装置410的尺寸。 In this manner, the patient can be treated manner adapted to adjust the size of the reflux disease treatment device 410.

[0384] 而且,以上实施例可替换地也用于治疗肥胖症。 [0384] Further, the above embodiments may alternatively be used to treat obesity. 在该实施例中,通过利用返流疾病主体的容积来包含流体,并进一步利用连接到该装置主体的一个或多个较小的室40b被栗填充流体来膨胀并由此拉伸基底壁来制造饱胀感,该装置可适于治疗肥胖症。 In this embodiment, by using a volume of reflux disease body to contain a fluid, and further using one or more smaller chambers 40b are expanded to fill Li means fluidly connected to the main body and the base wall thereby to draw producing a sense of fullness, the apparatus may be adapted to treat obesity. 小室410b也适于被套叠在基底胃壁中,且当被填充流体时,发生胃的膨胀,这导致人体传感器反馈,从而造成饱胀感。 Chamber 410b in the base are also suitable invaginated stomach wall, and when filled with fluid, the expansion of the stomach occurs that results in human sensor feedback, causing a feeling of fullness. 皮下液压贮存器/栗使病人能够方便地栗浦液压流体以填充小室410b,从而造成他或她希望的饱胀感。 Subcutaneous hydraulic reservoir / Li Li enable the patient to easily pump the hydraulic fluid to fill the chamber 410b, thereby causing him or her desired feeling of fullness.

[0385]可替换实施例示于图1lb中。 [0385] alternative embodiment of the embodiment shown in FIG 1lb. 该实施例基本类似于图1la所示的实施例,不同之处在于如何控制返流治疗装置410和室410b。 This embodiment is substantially similar to the embodiment shown in FIG 1la, except that the reflux control how the treatment means 410 and the chamber 410b. 这里,室410b不由皮下的栗控制,而是由动力式内部控制单元456控制。 Here, Li subcutaneous chamber 410b help control, the control unit 456 but by the internal powered. 内部控制单元456包括如下机构,该机构用于使病人控制应该如何使用装置410来进行关于返流和/或肥胖症的治疗。 The control unit 456 comprises an internal mechanism that is used to control how the patient should be treated using the device 410 on regurgitation and / or obesity. 其也可包括将动力供应到所述装置的机构。 It may also include the power supplied to said mechanism means.

[0386]内部控制单元456可包括电池470、电开关472、马达/栗444、贮存器452、注入端口1001。 [0386] The internal control unit 456 may include a battery 470, power switch 472, the motor / Li 444, reservoir 452, injection port 1001. 带有远程控制器的能量发射装置34适于控制装置并为该装置提供动力。 Energy transmitting means with a remote controller 34, and control means adapted to provide power for the device. 例如,如果装置是电、液压、气动或机械操作的,则项目根据环境选择。 For example, if the device is electrically, hydraulically, pneumatically or mechanically operated, the selection items according to the environment.

[0387]装置10可用于保持电子元件和/或能量源和/或液压流体。 [0387] means 10 may be an electronic component and / or the energy source and / or for holding hydraulic fluid.

[0388]图12a示出可调节容积填充装置810,其被套叠在病人的胃12的胃壁中。 [0388] FIG. 12a shows an adjustable volume filling device 810, which is nested in the stomach wall 12 of a patient's stomach. 容积填充装置810适于占据胃中的空间,并由此减小可放置食物的容积。 Volume filling device 810 is adapted to take up space in the stomach and thereby reduce the volume of the food can be placed. 另外,根据任意实施例的可调节拉伸装置10被套叠在病人的胃基底壁中。 Further, in accordance with any of the embodiments of an adjustable stretching device 10 invaginated in the stomach fundus wall of a patient. 优选的是,容积填充装置810显著大于拉伸装置10。 Preferably, the volume filling device 810 is significantly larger than the stretching device 10.

[0389]容积填充装置810和拉伸装置10经由其中设置有栗54的第一流体管52彼此流体连通。 [0389] 810 and the volume filling device wherein the stretching device 10 via a pipe 52 provided with a first fluid 54 Li fluid communication with each other. 栗54由能量转换装置30控制,能量转换装置30适于经由能量供应管线56向栗54供应能量。 Li control means 54 by the energy converter 30, the energy conversion means 30 is adapted to power supply line 56 via the power supply 54 to the Li. 能量转换装置30还连接到设置在病人食管中的传感器201,使得食物摄入可被检测。 The energy conversion device 30 is also connected to a sensor 201 in a patient's esophagus, so that food intake can be detected.

[0390]容积填充装置810和拉伸装置10还经由第二流体管58彼此流体连通,第二流体管58优选具有比第一流体管52小的截面面积。 [0390] volume filling device 810 and a second stretching device 10 via a further fluid communication with each fluid tube 58, a second fluid tube 58 preferably has a tube 52 smaller than the first cross-sectional area of the fluid.

[0391]该设置结构的操作如下。 [0391] Operation of the structure provided below. 容积填充装置810用在上述实施例中,S卩,其减小病人的胃12的食物腔的尺寸。 Volume filling device 810 used in the above embodiments, S Jie, which reduces the size of the food cavity 12 of a patient's stomach. 另外,当通过利用栗54将流体从容积填充装置810栗浦到拉伸装置10而扩大拉伸装置10时,胃基底壁得到拉伸,从而造成病人的饱胀感。 Further, when the volume filling device 810 from the fluid pump to Li stretching apparatus 10 is enlarged by using Li 54 stretching device 10, by stretching the stomach fundus wall, resulting in the patient feeling of satiety. 因此,例如当食物摄入被传感器201检测到时,流体自动栗浦到拉伸装置10,以增加饱胀感并由此限制食物摄入。 Thus, for example, when food intake is detected by sensor 201, the fluid pump to automatically Li stretching device 10, in order to increase the feeling of satiety and thereby limit the food intake.

[0392]当流体已被注入拉伸装置10时,其中的内部压力高于容积填充装置810中的内部压力。 [0392] When the fluid has been injected into the stretching device 10, wherein the internal pressure is higher than the internal pressure of the volume filling device 810. 该压力差将引起第二、优选较窄的管58中的流体从拉伸装置10流动到容积填充装置810。 The pressure difference will cause fluid from the second, preferably narrower tube 58 from the stretching apparatus 10 to flow to the volume filling device 810. 流动率将首要通过压力差和第二管58的截面面积以及其他可能方法来确定。 The primary difference between the flow rate through the pressure pipe 58 and the second cross-sectional area, and other methods may be determined. 优选的是,第二管的尺寸适于使得容积填充装置810和拉伸装置10中的压力将在流体已被注入拉伸装置10以引起饱胀感之后的3个小时之后恢复平衡。 Preferably, the size of the second tube is adapted such that the volume filling device 810 and the pressure in the stretching device 10 which has been injected into the stretching device 10 to cause the fluid to restore Ping Heng after 3 hours after fullness.

[0393]在该实施例中,第二管58的功能是允许流体从拉伸装置10返回容积填充装置810。 [0393] In this embodiment, the second tube 58 functions to permit fluid return volume filling device 810 from the stretching apparatus 10. 可以意识到,该功能还可通过第一管52中的栗54执行,且因而第二管58可被省略。 It can be appreciated, this function can also be performed by a first tube 52 Li 54, and thus the second tube 58 may be omitted.

[0394]现在将参照图12b描述用于治疗肥胖症的装置的又一可替换实施例,其示出被治疗肥胖症的病人的胃12。 [0394] Referring to FIG 12b will now be described with further means for treating obesity alternative embodiment, showing the stomach 12 of the patient being treated obesity. 该装置包括采用可充胀装置10形式的容积填充装置810,其被套叠在病人的胃12的壁12a中。 The apparatus comprises a packed volume of the inflatable device 810 in the form of apparatus 10, which is invaginated in the stomach wall of the patient's 12a 12. 然而,在该情况下,套叠在基底(S卩,胃的上部,在该处胃壁中的受体的数量较大)执行,且可充胀装置用作针对胃基底壁一部分的拉伸装置。 However, in this case, the nested substrate (S Jie, the upper portion of the stomach, where the number of receptors in the stomach wall is large) performed, and the inflatable device is used as means for stretching the stomach fundus wall portion .

[0395]用于流体的调整贮存器利用采用管的形式的管路18连接到可充胀装置。 Regulation reservoir [0395] for use in the form of a fluid conduit tube 18 is connected to the inflatable device. 可充胀装置810由此适于通过使液体或空气从调整贮存器移动到由可充胀装置810形成的室而被优选非侵入性地调整。 Thus the inflatable device 810 is preferably adapted to be adjusted non-invasively by means of liquid or air from the regulation reservoir to the chamber moves from the inflatable device 810 is formed. 可充胀装置810的调整优选包括回动伺服机构,S卩,小容积例如通过病人的手指启动,且该小容积与较大容积(即,调整贮存器)相连。 Inflatable means 810 preferably comprises adjusting a reversed servo, S Jie, initiated by a small volume, for example, a patient's finger, and the small volume and large volume (i.e., the regulation reservoir) is connected.

[0396]因此,可充胀装置810被放置在胃壁外部,并适于拉伸胃基底壁的一部分,由此影响病人的胃口。 [0396] Thus, the inflatable device 810 is placed outside the stomach wall, and a portion adapted to stretch the stomach fundus wall, thereby affecting the appetite of the patient. 通过扩大拉伸装置的尺寸,由于可充胀拉伸装置810的周界增大,因此环绕可充胀拉伸装置810的胃基底壁被拉伸。 By enlarging the size of the stretching device, since the periphery of the inflatable stretching device 810 is increased, thus surrounding the inflatable stretching device 810 stomach fundus wall is stretched. 通过该拉伸,胃壁中的受体指示胃被充满,由此引起病人的饱胀感。 By this stretching, receptors in the stomach wall indicate the stomach is filled, thereby causing a sense of fullness in the patient. 因此,当拉伸装置810收缩时,受体指示胃没有满,由此恢复饥饿感。 Thus, when the stretching device 810 contracts, the stomach is not full indication receptor, thereby recovering hunger. 可以意识到,该实施例组合了减小胃食物腔的容积以及拉伸胃壁12的部分的效果,由此增加治疗效果。 It can be appreciated, the embodiments reduce the available stomach food composition volume of the cavity and the effect of stretching the stomach wall portion 12 in this embodiment, thereby increasing the therapeutic effect.

[0397]拉伸装置810的膨胀和收缩可在病人的直接控制下执行。 [0397] The stretching device 810 expansion and contraction can be performed under the direct control of the patient. 可替换地,膨胀和收缩可根据预编程安排执行。 Alternatively, the expansion and contraction can be performed according to a preprogrammed schedule.

[0398]在图12c所示的优选实施例,传感器201被设置在合适的位置,例如食管处。 [0398] In a preferred embodiment shown in FIG. 12c, the sensor 201 is disposed at a suitable location, e.g. esophagus. 采用可充胀拉伸装置形式的容积填充装置810类似于图12b所示的容积填充装置810。 Volume using inflatable stretching device in the form of a filling device 810 in FIG. 12b is similar to the volume filling device 810 shown in FIG. 通过提供一个或多个传感器,用于治疗肥胖症的装置可被自动化,这是因为采用可充胀拉伸装置形式的容积填充装置810的尺寸根据进入胃的食物腔的食物量来调节。 By providing one or more sensors, a device for treating obesity can be automated, this is because the use of the volume of the inflatable stretching device in the form of a filling device 810 is adjusted according to the size of the amount of food entering the food cavity of the stomach. 流体由此移动在可充胀容积填充装置810与流体贮存器之间。 Thereby moving the fluid between the inflatable volume filling device 810 and the fluid reservoir.

[0399]邏 [0399] logic

[0400]现在将参照图13至29描述大体上由附图标记28表示且包括如上所述的拉伸装置的肥胖症治疗系统。 [0400] Referring now to FIGS. 13 to 29 will be described generally by the reference numeral 28 denotes and obesity treatment system comprising a stretching device as described above.

[0401]图8的系统包括放置在病人腹部中的拉伸装置10。 System [0401] Figure 8 includes the abdomen of the patient is placed in the stretching device 10. 采用植入的能量转换装置30形式的内部能量源适于经由动力供应管线32向肥胖症治疗系统的能量消耗部件供应能量。 Internal energy using implanted energy transforming means 30 forms a source adapted to supply energy consuming components of energy via a power supply line 32 to the obesity treatment system. 夕卜部能量发射装置34包括发射由能量接收器接收的无线信号的无线远程控制器,能量接收器可并入植入的能量转换装置30或与其分立。 Xi Bu energy emitting portion 34 comprises a wireless signal transmitter received by the energy receiver of a wireless remote control, the receiver may be incorporated into the energy implantable energy transforming device 30 or separate thereto. 植入的能量转换装置30将能量从信号转换为经由动力供应管线32供应的电能。 The energy from the signal into electric energy supplied via the power supply line 32, the implanted energy transforming device 30.

[0402]图8的系统以更概括的框图形式示于图15中,其中大体上由竖直线示出的病人的皮肤36将线右侧的病人的内部与线左侧的外部分离。 [0402] FIG. 8 shows the system in a more generalized block diagram form in FIG. 15, wherein the outer right side of the left inside a patient generally shown by vertical lines the patient's skin 36 and the wire line split.

[0403]图13示出简化框图,其示出拉伸装置10、经由动力供应管线32为拉伸装置提供动力的能量转换装置30、以及外部能发射装置34。 [0403] FIG. 13 shows a simplified block diagram illustrating the stretching means 10, switching means 30 via a power supply line 32 for powering the stretching device energy, and the external device 34 can transmit.

[0404]图14示出等同于图17的实施例的本发明的实施例,不同之处在于可由极化能操作的采用电开关38形式的回动装置也植入在病人体中,以使拉伸装置10回动。 [0404] FIG. 14 shows an embodiment of the present invention is equivalent to the embodiment of Figure 17, except that the return means 38 in the form of an electrical switch using polarization may be capable of operating also be implanted in the patient, so that stretching means 10 return. 外部能量发射装置34的无线远程控制器发射承载极化能的无线信号,植入的能量转换装置30将无线极化能转换为极化电流,以操作电开关38。 Energy external energy transmission device 34 of the wireless remote control transmitting a wireless signal carries polarized energy and the implanted device 30 converts the wireless polarized energy is converted into polarization current to operate the electrical switch 38. 当电流的极性被植入的能量转换装置30移位时,电开关38使通过拉伸装置10执行的功能回动。 When the polarity of the current to be implanted energy transforming means 30 shift, the electrical switch 38 that the function performed by the stretching device 10 return.

[0405]图15示出等同于图13的实施例的本发明的实施例,不同之处在于植入在病人体中用于调整拉伸装置10的操作装置40被设置在植入的能量转换装置30与拉伸装置10之间。 [0405] FIG. 15 shows an embodiment of the present invention is equivalent to the embodiment of FIG. 13, except that the operation of the device in the patient for regulating the stretching device 10 is provided in the implant 40 implanted energy transforming stretching means 30 between the apparatus 10. 该操作装置可采用马达40的形式,例如电动伺服马达。 The operation means 40 may take the form of a motor, such as an electric servomotor. 当外部能量发射装置34的远程控制器将无线信号发射到植入的量转换装置30的接收器时,马达40由植入的能量转换装置30的能量提供动力。 When the external energy transmission device 34 of the wireless remote controller signal is transmitted to the converter means an amount of the implanted receiver 30, the motor 40 by the implanted device 30 to provide energy in the energy conversion power.

[0406]图16示出等同于图17的实施例的本发明的实施例,不同之处在于其也包括操作装置,该操作装置采用包括马达/栗单元78的组件42的形式且流体贮存器46植入在病人体中。 [0406] FIG. 16 shows an embodiment equivalent to the embodiment 17 of the present embodiment of the invention, except that it also includes an operating means, and uses the operation means comprises a fluid reservoir 42 in the form of a motor assembly 78 / Li unit implant 46 in the patient. 在该情况下,拉伸装置10被液压操作,即液压流体通过马达/栗单元44从流体贮存器46通过管路48栗浦到拉伸装置10以操作该拉伸装置,液压流体通过马达/栗单元44从拉伸装置10栗浦回流体贮存器46,以使拉伸装置恢复起始位置。 In this case, the stretching device 10 is hydraulically operated, i.e. hydraulic fluid through the motor / Li unit 44 from the fluid reservoir 46 through line 48 to pump Li stretching device 10 to operate the stretching device, the hydraulic fluid through the motor / Li the stretching unit 44 from the apparatus 10 Li pump 46 back to the fluid reservoir, so that the stretching means to restore the initial position. 植入的能量转换装置30将无线能量转换为电流,例如极化电流,以经由电源供应管线50为马达/栗单元44提供动力。 Implanted energy transforming means 30 convert the wireless energy into a current, for example, the polarization current to the motor 50 via the power supply line / Li unit 44 to power.

[0407]还可以设想到,拉伸装置包括气动操作装置,以代替液压操作的拉伸装置10。 [0407] It is also contemplated that the stretching means comprises a pneumatic operating device, in place of the stretching device 10 is hydraulically operated. 在该情况下,加压空气可用于调整,流体贮存器由空气室代替,流体由空气代替。 In this case, pressurized air can be used to adjust the fluid reservoir is replaced by an air chamber, the fluid is replaced by air.

[0408]在所有这些实施例中,能量转换装置30可包括可再充蓄能器(例如电池或电容器)以被无线能量充电,并将功能供应给装置的任何能量消耗部分。 [0408] In all of these embodiments, the energy conversion device 30 may comprise any energy rechargeable energy storage device (e.g., battery or capacitor) is charged to the wireless energy, and supplied to the consumption of the device function portion.

[0409]外部能量发射装置34优选是无线的,且可包括远程控制的控制装置,用于从人体外部控制装置。 [0409] the external energy transmission device 34 is preferably wireless and may include a remotely controlled control means, the control device for the human body from the outside.

[0410]这种控制装置可包括无线远程控制器以及最可能间接地与病人的手接触的任何植入部分的手动控制器,例如放置在皮肤下面的用于按压的按钮。 [0410] Such a control means may comprise a wireless remote control as well as any portion of the implant hand most likely indirect contact with the patient's manual controller, for example, is placed under the skin for pressing a button.

[0411]图17示出本发明的实施例,其包括带有无线远程控制器的外部能量发射装置34、在该情况下液压操作的拉伸装置10、以及植入能量转换装置30,并进一步包括液压流体贮存器52、马达/栗单元44和采用液压阀移位装置54形式的回动装置,所有均植入在病人体内。 [0411] FIG. 17 shows an embodiment of the present invention, which includes an external wireless remote controller having an energy-emitting device 34, in this case 10, and a hydraulically operated stretching device implantation energy conversion device 30, and further 52, the motor / Li unit 44 and the reversing means in the form of hydraulic valve shifting device 54 includes a hydraulic fluid reservoir, all of which are implanted in the patient. 当然,液压操作可易于通过仅仅改变栗浦方向执行,液压阀因此可被省略。 Of course, may be hydraulically operated easily by merely changing the direction Pu Li performed, the hydraulic valve may therefore be omitted. 远程控制器可为与外部能量发射分离或包括在其内的装置。 Isolated or remote controller may include means therein to emit the external energy. 马达/栗单元44的马达为电动马达。 Motor Motor / Li unit 44 is an electric motor. 响应来自外部能量发射装置34的无线远程控制器的控制信号,植入的能量转换装置30利用由控制信号承载的能量为马达/栗单元44提供能量,其中马达/栗单元44将液压流体分配在液压流体贮存器52与拉伸装置10之间。 Response to control signals from the wireless remote control the external energy transmission device 34, the implanted energy transforming device 30 using the control signal by the energy carried by the motor / Li power unit 44, wherein the motor / Li unit 44 distributes hydraulic fluid in between the hydraulic fluid reservoir 52 and the stretching means 10. 外部能量发射装置34的远程控制器控制液压阀移位装置54,以使液压流体流动方向在一个方向与另一相反方向之间改变,在所述一个方向上,流体由马达/栗单元44从液压流体贮存器52栗浦到拉伸装置10以操作拉伸装置,在所述另一相反方向上,流体由马达/栗单元44从拉伸装置10栗浦到液压流体贮存器52以将拉伸装置恢复到起始位置。 External energy transmission device 34 of the remote controller controls the hydraulic valve shifting device 54, so that the hydraulic fluid flow direction change in a direction between the direction opposite to the other, in the one direction, fluid from the motor / Li unit 44 from Li hydraulic fluid reservoir 52 to the pump 10 to operate the stretching device of the stretching means, on the other opposite direction, the fluid 44 by the motor 52 / Li Li unit from the stretching apparatus 10 to pump the hydraulic fluid reservoir to pull stretching means to return to the starting position.

[0412]图18示出等同于图17的实施例的本发明的实施例,不同之处在于由外部能量发射装置34的无线远程控制器控制的内部控制单元56、蓄能器58和电容器60也被植入在病人体中。 [0412] FIG. 18 shows an embodiment equivalent to the embodiment 17 of the present embodiment of the invention, except that the internal control unit of the wireless remote control device 34 is controlled by an external energy transmitter 56, an accumulator 58 and a capacitor 60 also it is implanted in the patient. 内部控制单元56将从植入的能量转换装置30接收的电能的存储布置在蓄能器58中,蓄能器58将能量供应到拉伸装置10。 Internal memory control unit 56 is arranged from the implanted energy transforming device 30 receives electrical energy in the accumulator 58, the accumulator 58 supplies energy to the stretching device 10. 响应来自外部能量发射装置34的无线远程控制器的控制信号,内部控制单元56或者释放来自蓄能器58的电能并将释放的电能经由动力线62和64转换,或者直接将来自植入的能量转换装置30的电能经由动力线66、稳定电流的电容60、动力线68和动力线64转换,用于操作拉伸装置10。 Response to control signals from the wireless remote control the external energy transmission device 34, the internal control unit 56 to release electric energy from the accumulator or 58 and 62 and the discharged energy converter 64 via a power line, or directly from the implanted energy 30 power conversion apparatus 66, a stable current of capacitor 60, power line 68 and power line 64 via the power line converter, 10 for operating the stretching device.

[0413]内部控制单元优选可从病人身体外部编程。 [0413] The internal control unit is preferably programmable from outside the patient's body. 在优选实施例中,内部控制单元被编程为调整拉伸装置10,以根据预编程的时间或来自任意传感器的输入来安排拉伸胃,所述任意传感器传感病人的任何可能的物理参数或装置的任何功能参数。 In a preferred embodiment, the internal control unit is programmed to adjust the stretching device 10, in any possible physical parameter according to a preprogrammed time or to input from any sensor arrangement stretching the stomach, the patient or any sensor sensing any functional parameters of the device.

[0414]根据可替换方案,图18的实施例中的电容器60可被省略,根据另一可替换方案,该实施例中的蓄能器58可被省略。 [0414] According to an alternative embodiment, the embodiment of FIG. 18 in the capacitor 60 may be omitted, according to another alternative embodiment, the embodiment of the accumulator 58 embodiment may be omitted.

[0415]图19示出等同于图13的实施例的本发明的实施例,不同之处在于用于供应能量以操作拉伸装置10的电池70和用于切换拉伸装置10的操作的电开关72也被植入在病人体中。 [0415] FIG. 19 shows an embodiment of the present invention is equivalent to the embodiment of Figure 13, except that the operation of the operation for supplying energy to the battery 70 and the stretching means 10 for stretching the switching device 10 is electrically switch 72 also is implanted in the patient. 电开关72通过由植入的能量转换装置30供应的能量操作,以从电池70未被使用的截止模式切换到电池70供应能量以操作拉伸装置10的导通模式。 30 electrical switch 72 by the energy supplied by the implanted energy transforming means is operable to cut-off mode from the battery 70 is not used to switch the battery 70 supplies energy to operate the stretching device 10 to conduction mode.

[0416]图20示出等同于图19的实施例的本发明的实施例,不同之处在于可由外部能量发射装置34的无线远程控制器控制的内部控制单元56也被植入在病人体中。 [0416] FIG. 20 shows an embodiment of the present invention is equivalent to the embodiment of Figure 19, except that the energy emitted by the external control unit 56 internal wireless remote control device 34 controls also implanted in the patient . 在该情况下,电开关72通过由植入的能量转换装置30供应的能量操作,以从防止无线远程控制器控制内部控制单元56且电池未被使用的截止模式切换到允许无线远程控制器控制内部控制单元56以从电池70释放电能从而操作拉伸装置10的待命模式。 In this case, the electric switch 72 by the energy supply device 30 by the implant energy conversion operations to prevent the radio from the remote controller to control the internal control unit 56 is turned off and the switching mode of the battery is not in use to allow the wireless remote controller internal control unit 56 to release electric energy from the battery 70 to operate the stretching device 10 in a standby mode.

[0417]图21示出等同于图20的实施例的本发明的实施例,不同之处在于蓄能器58代替电池70,且植入的部件被不同地互连。 [0417] FIG. 21 shows an embodiment of the present invention is equivalent to the embodiment of Example 20, except that the accumulator 58 instead of the battery 70 and the implanted components are interconnected differently. 在该情况下,蓄能器58存储来自植入的能量转换装置30的能量。 In this case, the energy accumulator 30 stores energy from the implanted 58 conversion. 响应来自外部能量发射装置34的无线远程控制器的控制信号,内部控制单元56控制电开关72,以从蓄能器58未被使用的截止模式切换到蓄能器58供应能量以操作拉伸装置10的导通模式。 Response to control signals from the wireless remote control the external energy transmission device 34, the internal control unit 56 controls the electric switch 72 to switch from the accumulator 58 to the off mode is not used in the accumulator 58 supplies energy to operate the stretching device 10 conduction modes.

[0418]图22示出等同于图21的实施例的本发明的实施例,不同之处在于电池70也被植入在病人体中,且植入的部件被不同地互连。 [0418] FIG. 22 shows an embodiment of the present invention is equivalent to the embodiment of FIG Example 21, except that a battery 70 also is implanted in the patient and the implanted components are interconnected differently. 响应来自外部能量发射装置34的无线远程控制器的控制信号,内部控制单元56控制蓄能器58输送能量来操作电开关72,以从电池70未被使用的截止模式切换到电池70供应能量以操作拉伸装置10的导通模式。 Response to control signals from the wireless remote control the external energy transmission device 34, the internal control unit 56 controls the accumulator 58 to deliver energy to operate the electrical switch 72 to off mode from the battery 70 is not used to switch the battery 70 supplies energy to operating the stretching device 10 conduction mode.

[0419]可替换地,电开关72可通过由蓄能器58供应的能量操作,以从防止无线远程控制器控制电池70供应电能且不被使用的截止模式切换到允许无线远程控制器控制电池70供应电能以操作拉伸装置10的待命模式。 [0419] Alternatively, switch 72 may be electrically by the energy supplied by the accumulator 58 operates to prevent the cut-off mode from the wireless remote controller 70 controls the battery power supply is not switched to allow the use of wireless remote control controls the battery 70 supply power to operate the stretching device 10 is a standby mode.

[0420]应该理解的是,开关应该被解释在其最宽泛的实施例中。 [0420] It should be understood that the switch should be interpreted in its broadest embodiment. 这意味着FPGA或DA转换器或任何其他电部件或电路可切换优选从身体外部或由内部控制单元控制的导通或截止。 This means an FPGA or a DA converter or any other electrical components or circuits can be switched from outside the body, or preferably the conduction control by the internal control unit or off.

[0421]图23示出等同于图19的实施例的本发明的实施例,不同之处在于马达40、采用齿轮箱74形式的机械回动装置、以及用于控制齿轮箱74的内部控制单元56也被植入在病人体中。 [0421] FIG. 23 shows an embodiment of the present invention is equivalent to the embodiment of Figure 19, except that a motor 40, a mechanical reversing device in the form of box 74 of the gear, and an internal control unit for controlling the gearbox 74 56 also is implanted in the patient. 内部控制单元56控制齿轮箱74回动由拉伸装置10(被机械操作)执行的功能。 Internal control unit 56 controls the gearbox 74 10 return (to be mechanically operated) function performed by the stretching device. 更简单的是电动切换马达的方向。 More simply switching the direction of the electric motor.

[0422]图24示出等同于图22的实施例的本发明的实施例,不同之处在于植入的部件被不同地互连。 [0422] FIG. 24 shows an embodiment of the present invention is equivalent to the embodiment 22 of FIG, except that the implanted components are interconnected differently. 因此,在该情况下,当蓄能器58(适当而言,电容器)启动电开关72以切换到导通模式时,内部控制单元56由电池70提供动力。 Thus, in this case, when the accumulator 58 (appropriately, the capacitor) to start the electric switch 72 is switched to conductive mode, the internal control unit 56 powered by battery 70. 当电开关72处于其导通模式时,内部控制单元56被允许控制电池70供应或不供应用于操作拉伸装置10的能量。 When the power switch 72 is in its conducting mode, the internal control unit 56 is permitted to control the battery 70 supplies energy for the operation of supplying or drawing device 10.

[0423]图25示意性示出用于实现各种连通选择的装置的植入部件的能设想到的组合。 [0423] FIG. 25 schematically illustrates an implant component for implementing the selected communication means to the various combinations can be envisaged. 基本上,存在拉伸装置10、内部控制单元56、马达或栗单元44、和包括外部无线远程控制器的外部能量发射装置34。 Basically, there are the stretching apparatus 10, the internal control unit 56, the motor unit 44, or Li, and an external wireless remote control comprises an external energy transmission device 34. 如上所述,无线远程控制器发射控制信号,该控制信号由内部控制单元56接收,内部控制单元56相应地控制装置的各种植入部件。 As described above, the wireless remote control transmitting a control signal, the control signal received by the internal control unit 56, 56 correspondingly controls the various internal components of the control unit of the device implant.

[0424]优选采用传感器76形式的反馈装置可被植入在病人体中,以传感病人的物理参数,例如食管203中的收缩波动,以告知病人正在吃饭。 Feedback means [0424] preferably used in the form of sensor 76 may be implanted in the patient for sensing a physical parameter of the patient, for example, fluctuations in the esophagus contraction 203, to inform the patient is eating. 内部控制单元56、或者可替换地外部能量发射装置34的外部无线远程控制器可响应来自传感器76的信号控制拉伸装置10。 Internal control unit 56, or alternatively the external energy transmission device 34, an external wireless remote control may be responsive to a control signal from the sensor 76 of the stretching means 10. 收发器可与传感器76组合,以将关于传感到的物理参数的信息发送到外部无线远程控制器。 The transceiver may be combined with the sensor 76, to send information about the transmit sensed physical parameter to the external wireless remote control. 无线远程控制器可包括信号发射器或收发器,内部控制单元56可包括信号接收器或收发器。 Wireless remote control may comprise a signal transmitter or transceiver, the internal control unit 56 may comprise a signal receiver or transceiver. 可替换地,无线远程控制器可包括信号接收器或收发器,内部控制单元56可包括信号发射器或收发器。 Alternatively, the wireless remote control may comprise a signal receiver or transceiver, the internal control unit 56 may comprise a signal transmitter or transceiver. 以上收发器、发射器和接收器可用于将关于拉伸装置10的信息或数据从病人身体内部发送到其外部。 Above transceivers, transmitters and receivers may be used to send the patient's body from the inside to the outside thereof on the tensile means 10 of the information or data.

[0425]可替换地,传感器76可被布置为传感拉伸装置10的功能参数。 [0425] Alternatively, the sensor 76 may be arranged as a functional parameter sensor 10 of the stretching device.

[0426]在马达/栗单元44和用于为马达/栗单元44提供动力的电池70被植入时,电池70可装备有收发器,以发送关于电池70的状况的信息。 [0426] When the motor / Li is used as the motor unit 44 and / Li battery 44 provides power unit 70 are implanted, the battery 70 may be equipped with a transceiver, to transmit information regarding the status of the battery 70. 更精确而言,当为电池或蓄能器进行能量充电时,与所述充电过程相关的反馈信息被发送,且能量供应相应地改变。 More precisely, when the energy to charge the battery or accumulator charging process associated with the feedback information is transmitted, and the energy supply accordingly changed.

[0427]图26示出可替换实施例,其中拉伸装置10从病人身体外部调整。 [0427] FIG. 26 illustrates an alternative embodiment wherein the stretching device 10 from the patient's body external adjustment. 肥胖治疗系统28包括经由皮下开关80连接到电池70的拉伸装置10。 Bariatric system 28 includes switch 80 connected via a subcutaneous battery 70 to the stretching device 10. 因此,拉伸装置10的调整通过手动按压皮下开关非侵入性地执行,由此拉伸装置10的操作被导通和截止。 Thus, the stretching means for adjusting the switch 10 is performed non-invasively by manually pressing the subcutaneous, whereby the stretching device is turned on and off operation 10. 可以意识到,所示实施例为简化版,其他部件(例如内部控制单元或本申请公开的任何其他部分)可被添加到该肥胖治疗系统。 It can be appreciated, the illustrated embodiment is a simplified version of other components (e.g., the internal control unit or any other part disclosed herein) may be added to the obesity treatment system.

[0428]图27示出可替换实施例,其中肥胖治疗系统28包括与液压流体贮存器52流体连接的拉伸装置10。 [0428] FIG. 27 shows an alternative embodiment in which the stretching bariatric system 28 includes means 10 connected to the hydraulic fluid reservoir 52 with fluid. 非侵入性调整通过手动按压连接到拉伸装置10的液压贮存器执行。 Non-invasive adjustment reservoir connected to a hydraulic pressing apparatus 10 is performed by drawing manually.

[0429]根据本发明的系统的另外的实施例包括反馈装置,用于将信息从病人身体内部发送到其外部,以给出与拉伸装置或系统的至少一个功能参数或病人的物理参数有关的反馈信息,由此最优化系统的性能。 [0429] includes a feedback device for sending information from inside the patient's body to the outside thereof to give at least one function associated with the physical parameter or parameters of the patient or drawing apparatus system according to a further embodiment of the system of the present invention. feedback information, thereby optimizing system performance.

[0430]装置的一个优选功能参数可与用于对内部能量源充电的能量传输相互关联。 [0430] One preferred functional parameter of the device may be correlated with the transmission of energy for charging the internal energy source.

[0431]在图28中,适应性示出一设置结构,用于将准确量的能量供应到植入在病人体中的肥胖治疗系统28,病人的皮肤36由竖直线表示。 [0431] In FIG 28, illustrates an adaptive structure is provided, for supplying an accurate amount of energy to the implant in the patient's obesity treatment system 28, the patient's skin 36 is represented by a vertical line. 拉伸装置10连接到植入的能量转换装置30,例如位于病人体内,优选在病人皮肤36紧下面。 Stretching device 10 is connected to the implanted energy transforming means 30, for example, it is located in the patient, preferably 36 immediately below the skin of the patient. 一般而言,植入的能量转换装置30可被放置在腹部、胸腔、肌肉筋膜(例如,腹壁中)、皮下、或任何其他合适的位置。 Generally speaking, the implanted energy transforming device 30 may be placed in the abdomen, thorax, muscle fascia (e.g., the abdominal wall), subcutaneously, or any other suitable location. 植入的能量转换装置30适于接收从设置在外部能量发射装置34中的外部能量源34a发射的无限能量EjF部能量发射装置34位于病人皮肤36外部并处于植入的能量转换装置30邻近。 Energy implanted energy transforming means 30 is adapted to receive from the external energy transmitter is provided external energy device 34 emitted infinite energy source 34a EjF energy emitting portion 34 located outside the patient's skin 36 and switching means 30 is adjacent the implantation.

[0432]本领域众所周知,无线能量E可大体上利用任何合适的经皮肤能量传输(TET)装置传输,例如包括布置在外部能量源34a中的主线圈和布置在植入的能量转换装置30中的相邻的次线圈的装置。 [0432] known in the art, the wireless energy E may generally transmitted using any suitable means of energy transmission through the skin (the TET), including, for example, disposed in the primary coil and the external energy source 34a arranged in the implanted energy transforming device 30 It means adjacent secondary coils. 当电流通过主线圈供给时,采用电压形式的能量被引入于次线圈中,次线圈可用于操作拉伸装置,例如在将输入能量存储于能量存储装置或诸如电池或电容器等的蓄能器之后。 After the current through the primary coil when the supply voltage using the energy is introduced in the form of a secondary coil, the secondary coil may be used to operate the stretching device, for example, the input energy stored in the accumulators or energy storage devices such as a battery or a capacitor . 然而,本发明大体上不限于任何特定的能量传输技术,TET装置或能量存储装置以及任何种类的无线能量可被使用。 However, the present invention is generally not limited to any particular energy transfer technique, TET devices or energy storage devices, and any kind of wireless energy may be used.

[0433]身体内部对装置接收的能量值可与装置使用的能量相当。 [0433] value of the internal energy of the body means for receiving an energy comparable to apparatus used. 装置使用的术语因而被理解为也包括装置存储的能量。 The term is thus to use the device also comprises means for storing understood as energy. 如上所述,传输的能量值可基于确定的能量平衡利用控制外部能量源34a的外部控制单元34b调整。 As described above, the energy value of the transmission may be determined based on the energy Ping Heng adjustment using the external control unit 34b controlling the external energy source 34a. 为了传输正确的能量值,能量平衡和所需的能量值可利用与拉伸装置10相连的内部控制单元56确定。 In order to correct the value of the transmission power, energy Ping Heng and energy values required by the internal control unit connected to the drawing device 1056 is determined. 内部控制单元56因而可被布置为接收由合适的传感器或类似物获得的各种测量结果,所述传感器或类似物未被示出,从而测量拉伸装置10的特定特性,一定程度上反映正确操作拉伸装置10所需的能量值。 Internal control unit 56 may thus be arranged to receive various measurements obtained by suitable sensors or the like, the sensor or the like not shown, so that measurement of the particular characteristics of the stretching device 10, to some extent reflect the correct 10 energy values required to operate the stretching device. 而且,病人的当前状况也可利用合适的测量装置或传感器检测到,以提供反映病人状况的参数。 Moreover, the current condition of the patient may be using a suitable measuring device or the sensor detects, in order to provide parameters reflecting the patient's condition. 因此,这种特性和/或参数可与拉伸装置10的当前状态相关,例如功耗、操作模式和温度,以及由例如体温、血压、心跳和呼吸反映的病人状况。 Thus, such characteristics and / or parameters associated with the current state of the stretching apparatus 10, such as power consumption, operational mode and temperature, and for example, temperature, blood pressure, heart rate and breathing patient status reflected.

[0434]此外,能量存储装置或蓄能器58可选择性地连接到植入的能量转换装置30,以积蓄接收的能量,从而供拉伸装置10稍后使用。 [0434] In addition, the energy storage device or accumulator 58 may be selectively connected to the implanted energy transforming device 30 to accumulate energy received thereby stretching device 10 for later use. 可替换地或可添加地,还可测量这种蓄能器的也反映所需的能量值的特性。 Alternatively or additively, also the measurement of such energy storage device reflects a desired characteristic energy value. 蓄能器可由电池替代,测量的特性可与电池的当前状态相关,例如电压、温度等。 The accumulator battery may be replaced with the measured characteristics may be related to the current state of the battery, such as voltage, temperature and the like. 为了向拉伸装置10提供充足的电压和电流,也避免过度加热,清楚理解的是,电池应最佳地通过接收来自植入的能量转换装置30的正确能量值(即不过少或过多)来充电。 In order to provide sufficient voltage and current to the stretching device 10, but also to avoid excessive heating it is clearly understood that the battery should be optimally correct energy value (i.e., however, little or too much) the conversion device 30 by receiving energy from the implanted to charge. 蓄能器也可为具有对应特性的电容器。 The accumulator may also be a capacitor having a corresponding characteristic.

[0435]例如,电池特性可定期测量以确定电池的当前状态,然后该当前状态可在内部控制单元56中的合适的存储机构中被存储为状态信息。 [0435] For example, battery characteristics may be measured periodically to determine the current state of the battery, and the current state can be stored in a suitable internal control mechanism unit 56 is stored as the status information. 因此,无论何时进行新的测量,存储的电池状态信息可相应地更新。 Thus, whenever a new measurement, the stored battery state information can be updated accordingly. 采用该方式,电池的状态可通过传输正确的能量值来“计算”,以保持优化条件下的电池。 In this manner, the state of the battery can be "calculated" value is transmitted through the correct energy to keep the battery in optimum condition.

[0436]因此,基于由上述传感器或者拉伸装置10或病人的测量装置或者能量存储装置(如果使用的话)或者其任意组合所得出的测量结果,内部控制单元56适于确定能量平衡和/或当前所需的能量值(每单位时间的能量或积蓄的能量)。 [0436] Accordingly, based on the measuring device 10 or the energy storage means or by the patient, or a stretch sensor means (if used) or any combination thereof measurements derived, the internal control unit 56 is adapted to determine the energy Ping Heng and / or required for the current value of the energy (energy per unit time or energy savings). 内部控制单元56进一步连接到内部信号发射器82,其被布置为将反映确定的所需能量值的控制信号发射到与外部控制单元34b相连的外部信号接收器34c。 Internal control unit 56 is further connected to an internal signal transmitter 82, which is arranged to control the desired signal energy values to reflect the determined transmitted to the external signal receiver and the external control unit 34b connected to 34c. 从外部能量源34a发射的能量值因而可响应接收到的控制信号来调整。 Energy emitted from an external energy source 34a may be in response to the control value thus received signal to be adjusted.

[0437]可替换地,传感器测量结果可被直接发射到外部控制单元34b,其中能量平衡和/或当前所需的能量值可通过外部控制单元34b确定,因而将内部控制单元56的上述功能集成在外部控制单元34b中。 [0437] Alternatively, sensor measurements can be transmitted directly to the external control unit 34b, wherein the energy Ping Heng and / or the current value of the energy required can be determined by the external control unit 34b, thus connecting the internal control unit 56 of the above-described function integrated in the external control unit 34b. 在该情况下,内部控制单元56可被省略,且传感器测量结果被直接供应到内部信号发射器82,其将所述测量结果发送到外部信号接收器34c和外部控制单元34b。 In this case, the internal control unit 56 may be omitted and the sensor measurements are supplied directly to the internal signal transmitter 82, which transmits the measurement result to the external signal receiver 34c and the external control unit 34b. 能量平衡和当前所需的能量值因而可基于这些传感器测量结果通过外部控制单元34b确定。 Energy Ping Heng and thus the current value of the energy required 34b may be determined based on these sensor measurements by an external control unit.

[0438]因此,本方案采用反馈表示所需能量的信息,这比先前的方案更有效,因为其基于与接收的能量相比的实际使用的能量,例如关于与拉伸装置使用的能量率相比而言的能量值、能量差或能量接收率。 [0438] Accordingly, the program uses the information represented by the energy required for feedback, this scheme is more efficient than the previous, because it is based on actual use of energy compared to the energy received, such as on the energy rate used by the stretching device relative than the energy value terms, the energy difference, or the energy receiving rate. 拉伸装置可利用接收的能量消耗或存储在能量存储装置或类似物中的能量。 Stretching device may utilize the received energy consumption or energy stored in the energy storage device or the like of. 因此,以上论述的不同参数如果相关或需要则可被使用,然后用作确定实际能量平衡的工具。 Thus, the different parameters discussed above if relevant, or may need to be used, then used as a tool to determine the actual energy Ping Heng. 然而,这种参数本质上也可能对于内部采取的任何动作以特定地操作拉伸装置均是需要的。 However, the nature of such parameters may also be any actions taken internally to specifically operate the stretching device are required.

[0439]内部信号发射器82和外部信号接收器34c可被实施为分立的单元,利用合适的信号传输机构,例如无线电、红外(IR)或超声信号。 [0439] the internal signal transmitter 82 and the external signal receiver 34c may be implemented as separate units using suitable signal transfer means, such as radio, infrared (IR) or ultrasound signals. 可替换地,内部信号发射器82和外部信号接收器34c可分别集成在植入的能量转换装置30和外部能量源34a中,以基本上利用相同的发射技术沿相对于能量传输相反的方向传递控制信号。 Alternatively, the internal signal transmitter 82 and the external signal receiver 34c may be integrated in the implanted energy transforming device 30 and the external energy source 34a in order to use substantially the same transmission technique opposite direction with respect to the transfer direction of energy transfer control signal. 控制信号可在频率、相位或幅度方面进行调制。 The control signal may be modulated in frequency, phase or amplitude aspects.

[0440]总之,图28中示出的能量供应设置结构可基本上以如下方式操作。 [0440] In summary, FIG. 28 shows the energy supply structure is provided substantially in the following manner. 能量平衡首先由内部控制单元5 6确定。 The energy Ping Heng is first determined by the internal control unit 56. 反映所需的能量值的控制信号也由内部控制单元5 6形成,且控制信号从内部信号发射器82发射到外部信号接收器34c。 A control signal reflecting the required energy values is also formed by the internal control unit 56, and the control signal transmitted from the internal signal transmitter 82 to the external signal receiver 34c. 可替换地,能量平衡可通过取代植入的外部控制单元34b确定,如上所述。 Alternatively, the energy Ping Heng can be determined by substituting the external control unit implanted 34b, as described above. 在该情况下,控制信号可承载由各种传感器形成的测量结果。 In this case, the control signal may carry measurement results from various sensors formed. 由外部能量源34a发射的能量值然后可例如响应接收到的控制信号基于确定的能量平衡通过外部控制单元34b来调整。 Emitted by the external energy source 34a may then be, for example, an energy value in response to a control signal received by Ping Heng adjusting 34b based on the external control unit determines the energy. 该过程可在正在进行的能量传输期间以特定间隔间歇地重复,或者可在能量传输期间或多或少连续地作用。 The process may be repeated intermittently at certain intervals during ongoing energy transfer, or may act more or less continuously during the energy transfer.

[0441]传输的能量值可大体上通过调节外部能量源34a中的各种发射参数来调整,例如电压、电流、幅度、波动频率和脉冲特性。 [0441] Energy values of the transmission parameters may generally transmit adjust various external energy source 34a is adjusted, such as voltage, current, amplitude, wave frequency and pulse characteristics.

[0442]因此,提供一种方法,用于控制供应到植入在病人体中的电操作拉伸装置的无线能量的发射。 [0442] Accordingly, there is provided a method for controlling transmitting wireless energy supplied to an electrically operable stretching device implanted in the patient's body. 无线能量E从位于病人体外的外部能量源发射,并由位于病人体内的内部能量接收器接收,内部能量接收器连接到拉伸装置,以用于将接收的能量直接或间接地供应到拉伸装置。 Transmit the wireless energy E from an external energy source located outside the patient, the patient is positioned by the internal energy receiver receives, the internal energy receiver is connected to stretching means for receiving the energy supplied directly or indirectly to the stretch device. 能量平衡在由内部能量接收器接收的能量与用于拉伸装置的能量之间确定。 Determining the energy Ping Heng between the energy received by the internal energy receiver and the energy used for the stretching device. 从内部能量源发射的无线能量E然后基于确定的能量平衡来控制。 Wireless energy emitted from the internal energy source E based on the determined energy Ping Heng and controlled.

[0443]还提供一种系统,用于控制供应到植入在病人体中的电操作拉伸装置的无线能量的发射。 [0443] Also provided is a system for controlling transmit wireless energy supplied to an electrically operable stretching device implanted in the patient's body. 该系统适于从位于病人体外的外部能量源发射无线能量E,无线能量E由位于病人体内的植入的能量转换装置接收,植入的能量转换装置连接到拉伸装置,以用于将接收的能量直接或间接地供应到拉伸装置。 The system is adapted to transmit energy from an external source located outside the patient wireless energy E, E converter means for receiving wireless energy from the patient's body located implanted energy, the implanted energy transforming means connected to the stretching device, for receiving the energy directly or indirectly supplied to the stretching apparatus. 该系统进一步适于确定由植入的能量转换装置接收的能量与用于拉伸装置的能量之间的能量平衡,并基于确定的能量平衡控制从外部能量源的无线能量E的发射。 The system is further adapted to determine an energy Ping Heng between the energy received by the implanted energy means the energy conversion means for stretching and Ping Heng control wireless energy E from the external energy source is determined based on the energy emitted.

[0444]该装置的功能参数与用于对内部能量源充电的能量传输相互关联。 [0444] The function of the device parameters and the energy for charging the internal energy source transmission interrelated.

[0445]在又一可替换实施例中,外部能量源从病人身体外部控制以释放电磁无线能量,释放的电磁无线能量用于操作拉伸装置。 [0445] In a further alternative embodiment, the external energy source controlled from outside the patient's body to release electromagnetic wireless energy electromagnetic wireless energy, releasing means for operating the stretching.

[0446]在另一实施例中,外部能量源从病人身体外部控制以释放非磁无线能量,释放的非磁无线能量用于操作拉伸装置。 [0446] In another embodiment, the external source of energy from outside the patient's body to control the non-magnetic non-magnetic wireless energy released wireless energy, releasing means for operating the stretching.

[0447]本领域技术人员将意识到,根据图17至29的以上各种实施例可以多种不同方式组合。 [0447] Those skilled in the art will appreciate that the above various embodiments according to FIGS. 17 to 29 may be combined in many different ways. 例如,由极化能操作的电开关38可并入图11、18至24的任意实施例,液压阀移位装置54可并入图16的实施例,齿轮箱74可并入图15的实施例。 For example, the electric switch 38 operable by the polarization may be incorporated into any of FIGS. 11, 18 through 24 embodiment, a hydraulic valve shifting device 54 may be incorporated in the embodiment of FIG. 16, the gear box 74 may be incorporated into the embodiment of FIG. 15 example. 请注意开关仅仅可以意味着任何电子电路或部件。 Note that the switch can only mean any electronic circuit or component.

[0448]用于操作拉伸装置的能量的无线传输被描述为允许非侵入性操作。 [0448] energy for operating the stretching device is described as a wireless transmission to allow non-invasive procedures. 将意识到,拉伸装置也可用电线约束能量来操作。 It will be appreciated, the wire stretching means may be operated with minimum energy. 一个这种示例示于图29中,其中外部开关84利用动力线86和88互连在外部能量源34a与操作装置(例如调整拉伸装置10的电动马达)之间。 One such example is shown in FIG. 29, wherein an external switch 84 by power lines 86 and 88 interconnecting the external energy source 34a and the operating means (e.g. an electric motor regulating the stretching device 10) between. 外部控制单元34b控制外部开关的操作,以实现拉伸装置10的正确操作。 External control unit 34b controls the operation of the external switch to effect proper operation of the stretching device 10.

[0449] 液压或气动提供动力 [0449] hydraulically or pneumatically powered

[0450]图30至33更为详细地示出为根据本发明的用于治疗肥胖症的装置提供液压或气动动力的四种不同方式的框图。 [0450] FIGS 30 to 33 show in greater detail a block diagram illustrating four different ways of providing power for hydraulic or pneumatic device according to the invention obesity treatment.

[0451]图30示出以上参照任意图1至6所述的用于治疗肥胖症的装置。 [0451] FIG. 30 shows an apparatus for treating obesity 1 to 6 in any of the above with reference to FIG. 该装置包括拉伸装置10以及另一个分立的调整贮存器16、单向栗44和供选阀54。 The apparatus comprises stretching means 10 and the other a separate regulation reservoir 16, 44 Li and alternative way valve 54.

[0452]图31示出拉伸装置10和流体贮存器16。 [0452] FIG. 31 shows the stretching device 10 and a fluid reservoir 16. 通过以任何其他不同方式移动调整贮存器的壁或改变调整贮存器的尺寸,拉伸装置的调节可在没有任何阀、而只是流体畅通经过的情况下在任何时间通过移动贮存器壁来执行。 By adjusting movement of the reservoir in any other way different from the regulation reservoir or changing the size of the wall, the stretching device may be adjusted without any valve, but only the case where the fluid to flow through performed at any time by moving the reservoir wall.

[0453] 图32示出拉伸装置10、双向栗44和调整贮存器16。 [0453] FIG. 32 shows the stretching device 10, 44 and the bidirectional Li regulation reservoir 16.

[0454]图33示出回动伺服系统的框图,其中第一闭合式系统控制第二闭合式系统。 [0454] FIG. 33 illustrates a block diagram of a reversed servo system, wherein the first closed system controlling a second closed-type system. 伺服系统包括调整贮存器16和伺服贮存器90。 The servo system comprises a regulation reservoir 16 and a servo reservoir 90. 伺服贮存器90通过机械互连器94机械地控制拉伸装置10,拉伸装置具有可膨胀/可接触腔。 The servo reservoir 90 controls a mechanical stretching device by the interconnector 94 10 mechanically, the stretching device having an expandable / contactable cavity. 该腔优选通过从与拉伸装置10流体连接的大型可调节贮存器92供应液压流体而膨胀或收缩。 The chamber is preferably adjustable by means of the reservoir from large fluid connection with the stretching device 10 supplying hydraulic fluid 92 is expanded or contracted. 可替换地,腔包含可压缩气体,其可在伺服贮存器90的控制下被压缩和膨胀。 Alternatively, the cavity contains compressible gas, which can be compressed and expanded under the control of the servo reservoir 90.

[0455]伺服贮存器90也可为拉伸装置自身的一部分。 [0455] The servo reservoir 90 can also be part of the stretching device itself.

[0456]在一个实施例中,调整贮存器被放置在皮下在病人皮肤36下面,并通过用手指推动其外表面来操作。 [0456] In one embodiment, the regulation reservoir is placed subcutaneous under the patient's skin 36 and is operated by pushing the outer surface thereof with a finger. 该肥胖治疗系统例示于图34a至34c中。 The obesity treatment system illustrated in FIGS. 34a to 34c. 在图34a中,柔性皮下调整贮存器16被示出为通过管路18连接到鼓起形的伺服贮存器90。 In FIG. 34a, a flexible subcutaneous regulation reservoir 16 is shown connected to a bulge shaped servo reservoir 90 through line 18. 该手风琴形状的伺服贮存器90被包含在柔性拉伸装置10中。 The accordion-shaped servo reservoir 90 is comprised in a flexible stretching device 10. 在图34a所示的状态下,伺服贮存器90包含最少的流体,大部分流体被发现于调整贮存器16中。 In the state shown in FIG. 34a, the servo reservoir 90 contains a minimum of fluid, the fluid was found in the majority of the regulation reservoir 16. 由于伺服贮存器90与拉伸装置10之间的机械互连,拉伸装置10的外部形状收缩,S卩,其比其最大容积占据得更小。 Since the mechanical interconnection between the servo reservoir 90 and the stretching device 10, the outer shape of the stretching means 10 is contracted, S Jie, which occupies a smaller volume than the maximum. 该最大容积在附图中用虚线示出。 This maximum volume is shown in dashed lines in the drawings.

[0457]图34b示出一状态,其中使用者(例如植入有拉伸装置的病人)按压调整贮存器16,以使其内包含的流体流动通过管路18并流进伺服贮存器90,其由于其手风琴形状而纵向膨胀。 [0457] Figure 34b shows a state in which a user (e.g., a patient implanted with the stretching means) pressing the regulation reservoir 16 so as to be contained within the fluid flow through the conduit and into the servo reservoir 9018, accordion shape by virtue of its longitudinal expansion. 该膨胀相应地使拉伸装置10膨胀,使得其占据其最大容积,由此拉伸收缩的胃壁(未示出)。 The corresponding tensile expansion device 10 is expanded such that it occupies its maximum volume, thereby stretching the stomach wall contractions (not shown).

[0458]调整贮存器16优选设置有用于在压缩后保持其形状的机构。 [0458] regulation reservoir 16 is preferably provided with means for holding its shape after compression. 因而,如图16a示意性所示,这意味着当使用者释放调整贮存器时,也将拉伸装置10保持在拉伸位置。 Accordingly, as shown in Figure 16a schematically, this means that when the user releases the regulation reservoir, the stretching apparatus 10 also held in a stretched position. 通过该方式,调整贮存器本质上用作肥胖治疗系统的导通/截止开关。 In this way, the reservoir is adjusted essentially as obesity treatment system on / off switch.

[0459]现在将参照图35和36a至36c描述液压或气动操作的可替换实施例。 [0459] Referring now to FIGS. 35 and 36a to 36c to be described may be operated hydraulically or pneumatically alternative embodiments. 图35所示的框图包括控制第二闭合式系统的第一闭合式系统。 The block diagram shown in FIG. 35 comprises a second control system of the first closed-closed systems. 第一系统包括调整贮存器16和伺服贮存器90。 The first system comprises a regulation reservoir 16 and a servo reservoir 90. 伺服贮存器90通过机械互连器94机械地控制大型可调节贮存器92。 Larger adjustable reservoir 92 through the servo reservoir 90 controls the mechanical unit 94 is mechanically interconnected. 具有可膨胀/可收缩腔的拉伸装置10相应地通过从与拉伸装置10流体相连的大型可调节贮存器92供应液压流体而控制。 Stretching means having an expandable / contractible cavity 10 may be correspondingly controlled by adjusting the fluid reservoir from large stretching device 10 is connected to the hydraulic fluid supply 92.

[0460]现在将参照图36a至36c描述本实施例的示例。 [0460] Referring now to FIGS. 36a to 36c according to the present exemplary embodiment will be described. 类似于先前的实施例,调整贮存器被放置在皮下在病人皮肤下面,并通过用手指推动其外表面来操作。 Similar to the previous embodiment, the regulation reservoir is placed subcutaneous under the patient's skin, and by pushing the outer surface thereof with a finger operation. 调整贮存器16通过管路18与手风琴形伺服贮存器90流体相连。 Regulation reservoir 16 is connected via fluid line 18 and 90 accordion-shaped servo reservoir. 在图34a所示的第一闭合式系统16、18、90中,伺服贮存器90包含最少流体,大部分流体在调整贮存器16中。 In FIG 34a a first closed-system shown 16,18,90, the servo reservoir 90 contains a minimum of fluid, most of the fluid in the reservoir 16 in the adjustment.

[0461] 伺服贮存器90机械连接到大型可调节贮存器92,在该示例中也具有手风琴形状但比伺服贮存器90的直径大。 [0461] The servo reservoir 90 is mechanically connected to a larger adjustable reservoir 92, in this example also has an accordion shape but larger diameter than the servo reservoir 90. 大型可调节贮存器92与拉伸装置10流体相连。 Larger adjustable reservoir 92 in fluid 10 is connected with the stretching device. 这意味着当使用者推动调整贮存器16由此将流体从调整贮存器16移位到伺服贮存器90时,伺服贮存器90的膨胀将使较大容积的流体从大型可调节贮存器92移位到拉伸装置10。 This means that when a user pushes the regulation reservoir 16 thereby displacing fluid from the regulation reservoir 16 to the 90, the expansion of the servo reservoir 90. The servo reservoir will cause a relatively large volume of fluid removed from the reservoir 92 Large Adjustable 10-bit to the stretching apparatus. 换言之,在该回动伺服机构中,调整贮存器中的小容积被较大的力压缩,且这利用每单位面积较小的力而造成较大总面积的运动。 In other words, in this reversed servo, the regulation reservoir is compressed in a small volume of a large force, and this with a smaller force per unit area caused by the motion of a larger total area.

[0462]类似于以上参照图34a至34c所述的先前实施例,调整贮存器16优选设置有用于在压缩后保持其形状的机构。 [0462] similar to that described above with reference to FIGS. 34a 34c of the previous embodiment, the regulation reservoir 16 is preferably provided with means for holding its shape after compression. 因而,如图16a示意性所示,这意味着当使用者释放调整贮存器时,也将拉伸装置10保持在拉伸位置。 Accordingly, as shown in Figure 16a schematically, this means that when the user releases the regulation reservoir, the stretching apparatus 10 also held in a stretched position. 通过该方式,调整贮存器本质上用作肥胖治疗系统的导通/截止开关。 In this way, the reservoir is adjusted essentially as obesity treatment system on / off switch.

[0463] 方法 [0463] Method

[0464] —种通过手术治疗肥胖病人的方法,该方法包括步骤:在病人的腹壁切割开口,切除胃周围的一区域,将用于治疗的装置放置到病人胃壁的一部分,以及缝合胃壁。 [0464] - A method for treating obesity surgery patients by species, the method comprising the steps of: cutting an opening in the patient's abdominal wall, a cut area around the stomach, placing a device for treating to a part of the stomach wall of the patient, and suturing the stomach wall.

[0465]用于治疗肥胖症的装置优选经由腹腔镜腹肌路径放置在病人体中,包括步骤:将针或管状器械插入病人身体的腹部,利用所述针或管状器械向病人腹部填充气体,由此使病人的腹腔膨胀,将至少两个腹腔镜套针放置在病人身体中,将照相机通过所述腹腔镜套针之一插入病人腹部,将至少一个切除工具通过所述至少两个腹腔镜套针之一插入并切除病人的意欲放置区域,以及将用于治疗肥胖症的装置放置为与胃壁相连。 Means [0465] for treating obesity is preferably placed through the abdominal laparoscopic path in the patient, comprising the steps of: inserting a needle or tube like instrument into the abdomen of the patient's body, using the needle or tube like instrument to fill the patient's abdomen gas, thereby expanding the patient's abdominal cavity, the at least two laparoscopic trocars in the patient's body is placed, a camera through one of the laparoscopic trocars into the patient's abdomen, the at least one cutting tool through said at least two laparoscopic excised and inserted into one of the trocar intended placement area of the patient, and means for treating obesity is connected with the stomach wall is placed.

[0466]该方法可进一步包括术后调整至少一个拉伸装置的步骤,从而:拉伸胃壁的一部分并从病人身体外部调整拉伸装置从而影响病人的胃口。 [0466] The method may further comprise the step of adjusting at least one apparatus after stretching, so that: the stretching part of the stomach wall and adjusting stretching device from outside the patient's body to affect the appetite of the patient.

[0467]器械 [0467] Devices

[0468]现在将参照图5a至5i描述一种将拉伸装置10套叠在胃壁12外部的入腔方法。 [0468] Figures 5a to 5i will now be made to describe a method of stretching chamber 10 set into the stomach wall 12 of the outer stacked reference device. 起初,器械600(优选是胃镜器械)插入病人的嘴,见图5a。 Initially, the device 600 (preferably a gastroscopic instrument) inserted into the patient's mouth, shown in Figure 5a. 该器械包括注入装置610、602,用于将流体或装置注入病人的胃。 The apparatus includes an injection means 610,602, gastric fluid or means for injecting a patient. 器械600进一步包括适于控制器械的操作的控制单元606。 Instrument 600 further comprises a control unit 606 adapted to control the operation of the instrument. 为此,控制单元606包括一个或多个操控装置,在该附图所示的实施例中采用两个摇杆603和两个控制按钮604的形式。 For this purpose, the control unit 606 includes one or more control devices, in the form of two joysticks 603 and two control buttons 604 in the embodiment shown in the accompanying drawings. 显示器605被提供用于显示由观察胃内部的光学装置提供的图像,所述光学装置布置在细长构件607外端例如为照相机(未示出),见图5e至5i。 Display 605 is provided for displaying an image provided by the optical means to observe the inside of the stomach, for example, the optical device is disposed a camera (not shown) at the outer end of the elongated member 607, see FIG. 5e to 5i. 可包括沿细长构件延伸的连接电线的照相机可受到放置在细长构件上远端的光源(未示出)的帮助,以照射胃的内部。 The camera connection cable may comprise an elongate member extending along the light source may be placed on the distal end of the elongated member (not shown) help to illuminate the interior of the stomach. 光学装置也可包括沿细长构件放置并从病人身体引出的光导纤维,以从外部观察胃的内部。 The optical device may also comprise optical fibers placed along the elongated member and extending from the patient's body, viewed from the outside to the inside of the stomach.

[0469] 该器械进一步插入食管并至病人的胃中,见图37b。 [0469] The instrument is further inserted into the esophagus and stomach of the patient, see Figure 37b. 通过器械600,在胃12的壁中形成孔12b。 By instrument 600, a hole 12b in the stomach wall 12. 为此,该器械在其远端设置有一个或多个切割器615。 For this purpose, the instrument is provided with one or more cutters 615 at its distal end. 当然这些切割器可被设计为不同方式,例如围绕管状器械的中心轴线旋转的齿形辊式切割器。 These cutters can of course be designed in different ways, for example rotating about a central axis of the tubular instrument toothed roller cutter.

[0470] 在胃壁中切割孔之后,器械600的远端插入并通过孔2b,使得其终止在胃壁12a的外部。 [0470] After cutting a hole in the stomach wall, the distal end of the instrument 600 is inserted through hole 2B, so that it terminates on the outside of the stomach wall 12a. 这示于图37c以及图37d中,图37c示出胃12的侧视图,图37d为沿图37c的线Vd-Vd截取的胃的剖视图。 This is shown in FIG. 37c and FIG. 37d, FIG. 37c shows a side view of the stomach 12, FIG. 37c 37d a sectional view taken along line Vd-Vd stomach was taken.

[0471]器械600适于围绕胃壁12中的孔12b在胃的外部形成“腔”或“囊”。 [0471] Device 600 is adapted to 12-well 12b is formed in the "cavity" or "bag" around the stomach wall outside the stomach. 现在将描述提供囊的这种器械和方法。 To provide such apparatus and method will now be described bladder.

[0472]图37e至37i示出用于通过在放置有拉伸装置10的胃壁12材料中形成囊将拉伸装置10套叠在胃壁12中的腹腔镜器械或胃镜器械。 [0472] FIGS. 37e to 37i shows a stomach wall material forming bladder 12 is placed in the tensile means 10 of the stretching device invaginated in the stomach wall 10 12 endoscopic or laparoscopic instrument through the instrument. 大体上由附图标记600表示且可包括以上参照图4a至4d描述的特征的器械包括具有近端和远端的细长构件607,细长构件607具有比病人的食管小的直径且为柔性的,以允许将柔性细长构件607以其远端先入地引导通过病人的喉咙、食管并进入胃12到胃壁12a。 Represented generally by reference numeral 600 and may include features described above with reference to FIG 4a to 4d described instrument comprises an elongated member having a proximal end and a distal end 607, elongate member 607 has a smaller diameter than the esophagus of a patient and flexible to allow the elongated flexible member 607 at its distal end into the first guided through the patient's throat, esophagus and into the stomach 12 to the stomach wall 12a.

[0473]胃刺穿装置或切割器615被设置在细长构件607上处于其远端处,以刺穿胃壁12a,从而在胃壁12a中形成孔,以允许将细长构件607引导通过孔。 [0473] stomach penetration device or cutter 615 is disposed on the elongated member 607 at its distal end for penetrating the stomach wall 12a, thereby forming a hole in the stomach wall 12a, to allow the elongated member 607 through the guide hole. 胃刺穿装置615可适于能操作以在胃基底壁12a被刺穿之后收缩所述胃刺穿装置5,而不进一步损坏主体内的组织。 Stomach penetration device 615 may be adapted to be operable to shrink after the stomach fundus wall 12a is pierced the stomach penetration device 5, without further damaging tissue within the body. 器械进一步包括专用保持装置609,其被设置在细长构件607上在刺穿装置615的近侧。 Further comprising a dedicated instrument holding means 609, which is disposed on the elongated member 607 in the piercing device 615 proximally.

[0474]细长构件进一步包括可膨胀构件611,其适于在细长构件刺穿胃壁12a之后膨胀,由此帮助形成适于保持容积填充装置610的腔或囊。 [0474] the elongate member further comprises an expandable member 611, after expansion 12a adapted to pierce the stomach wall at its elongate member, thereby helping to form a volume filling device adapted to hold the cavity or pouch 610. 可膨胀构件611可包括可充胀圆形气球,其被设置在柔性细长构件607的远端部分周界周围。 The expandable member 611 may comprise an inflatable circular balloon which is disposed about the periphery of the distal end portion 607 of the flexible elongate member.

[0475]现在将详细描述当套叠容积填充装置时的方法步骤。 [0475] The method will now be described in detail as nested steps of volume filling device. 在器械600被插入胃12之后,胃刺穿装置615被放置为与胃壁12接触,见图37e。 After the instrument 600 is inserted into the stomach 12, the stomach penetration device 615 is placed in contact with the stomach wall 12, see Figure 37e. 胃刺穿装置或切割器615因而被引入以在胃壁中形成孔12b,之后至少可膨胀构件611被引导通过胃壁12中的孔12b。 Stomach penetration device or cutter 615 is introduced to thereby form a hole 12b in the stomach wall, then at least the expandable member 611 is guided through the aperture 12 in the stomach wall 12b. 专用保持装置609在该步骤进入保持状态,其中其沿径向膨胀,以形成针对胃壁12的大致圆形的邻接表面,见图37f。 Special holding means 609 enters the step of maintaining the state wherein it expands radially so as to form a substantially circular abutment surface against the stomach wall 12, see FIG. 37f. 采用该方式,胃刺穿装置615和可膨胀构件611经过胃壁中的孔12所进行的插入限于图37f所示的位置。 In this manner, the stomach penetration device 615 and the expandable member 611 through the stomach wall in a hole 12 for insertion limited to the position shown in FIG. 37f.

[0476]可膨胀构件611然后膨胀。 [0476] The expandable member 611 is then expanded. 在该情况下,可膨胀构件包括气球或类似物,空气或其他流体注入其中。 In this case, the expandable member comprises a balloon or the like, air or other fluid injected therein.

[0477]细长构件607的包括可膨胀构件611的部分然后沿近端方向收缩,如图37g中的箭头所示,由此将胃壁612拉到由专用保持装置609形成的篮框或杯状结构中。 [0477] The elongated member 607 comprises a portion of the expandable member 611 is then contracted in the proximal direction, as shown by arrow in FIG. 37g, whereby the stomach wall 612 pulled by a special basket or cup-shaped retaining means 609 formed in structure.

[0478]缝合或订合装置608被进一步设置为与细长构件607相连的装置或分立的器械。 [0478] suturing or stapling device 608 is further provided with means to elongate member 607 connected or separate instrument. 缝合或订合构件包括缝合或订合端613,其适于利用胃至胃的缝合线或订合线14关闭腔或囊。 Suturing or stapling member comprises a suturing or stapling end 613 which is adapted with stomach to stomach sutures or staplers 14 closes the cavity or pouch.

[0479]在图37h所示的进一步的步骤中,可充胀拉伸装置10以其充胀状态被放置在杯状结构中。 [0479] In a further step shown in FIG. 37h, an inflatable stretching device 10 in its inflated state is placed in a cup-shaped structure. 拉伸装置10然后被充胀到其充胀或膨胀状态,见图37i。 Stretching means 10 is then inflated to its inflated or expanded state, shown in Figure 37i. 该拉伸装置10的充胀可通过将流体或凝胶注入充胀的拉伸装置中实现。 The inflatable stretching device 10 may draw fluid or gel means of injection achieved by inflation. 其也可通过注入允许固化的材料由此形成固态装置10实现。 Thereby forming a solid which can be cured by allowing the apparatus 10 to achieve injection material. 因此,示于图37h和37i中的拉伸装置10可例示出气球状装置,其随后被流体或凝胶或可替换地被简单地注入由胃壁12形成的杯状结构的材料填充。 Thus, it is shown in Fig. 37h and 37i of the stretching apparatus 10 may be exemplified air balloon-like device, which is subsequently fluid or gel or alternatively be simply injecting material cup structure 12 formed by filling the stomach wall.

[0480]用于填充拉伸装置10的流体可为适于填充拉伸装置10的任何合适的流体,例如盐溶液。 [0480] 10 for a fluid filling the stretching device may be any suitable fluid 10 is adapted to fill the stretching device, such as a salt solution. 在另一实施例中,当该流体为适于转换为固体状态的流体时,该流体可为液型聚氨酯。 In another embodiment, the fluid when the fluid is adapted to convert the solid state, the fluid may be a liquid polyurethane.

[0481]为了最小化或全部消除泄漏,流体为等渗的,S卩,其具有与人类身体流体相同的渗透压度。 [0481] In order to minimize or entirely eliminate leakage, the fluid is isotonic, S Jie, the human body fluid having the same osmotic pressure degree. 防止扩散的另一方式是提供包括大分子(例如碘分子)的流体。 Another way of preventing diffusion is to provide a fluid comprising a macromolecule (e.g., iodine molecules).

[0482]胃至胃的缝合线或订合线14优选设置有固定部分,其呈现例如网状结构的结构,适于与胃壁12接触以促进人类组织的生长,从而确保附接到胃壁的拉伸装置的长期放置。 [0482] stomach to stomach sutures or staplers 14 is preferably provided with a fixing portion, which exhibit structure such as a mesh structure, adapted to contact with the stomach wall 12 to promote growth of human tissue, thereby ensuring that pull attached to the stomach wall long-term placement of the stretching device.

[0483]由此,处于充胀或膨胀状态的可充胀装置10通过病人的在胃壁12外部的胃壁部分套叠。 [0483] Thus, the inflatable device is inflated or expanded state invaginated by 10 outside the stomach wall portion 12 of the stomach wall of the patient.

[0484]在一个或多个上述步骤期间,胃可优选通过胃镜器械被气体充胀。 [0484] During one or more of the above-described steps, the stomach may be preferably a gas through the gastroscope instrument is inflated.

[0485]以上参照图37a至37i描述的拉伸装置10被描述为可充胀拉伸装置。 Stretching means [0485] 37a to 37i described above with reference to FIG. 10 has been described as an inflatable stretching device. 可以意识到,其也可为具有弹性的弹性拉伸装置,从而允许压缩以被插入胃镜器械,其在离开器械之后膨胀为膨胀状态。 It can be appreciated, it may also be stretched elastic elastic means, allowing the endoscopic instrument to be inserted compressed, which after leaving the device is expanded to the expanded state.

[0486]在一个实施例中,拉伸装置10包括可膨胀为膨胀状态的可充胀拉伸装置10。 [0486] In one embodiment, the apparatus 10 includes an expandable to an expanded state, the inflatable stretching device 10 stretched. 在该情况下,可充胀拉伸装置10设置有流体的入口18b,并适于连接到胃镜器械。 In this case, the inflatable stretching device 10 is provided with a fluid inlet 18b, and adapted to be connected to the endoscopic instrument. 现在将参照图38a至38d详细描述该实施例。 Referring now to FIGS. 38a to 38d to the embodiments described in detail.

[0487]处于非膨胀状态的可充胀拉伸装置示于图38a中。 [0487] inflatable stretching device in a non-expanded state is shown in Figure 38a in. 大致气球状的充胀的拉伸装置10具有入口18b。 Inflatable stretching device 10 has a generally balloon-shaped inlet 18b. 在该状态下,可充胀拉伸装置10具有最多几毫米的直径,从而允许其利用胃镜管状器械600通过病人的食管插入胃,或者利用图38b所示的管状器械600通过腹腔镜方法中的腹腔镜套针。 In this state, the inflatable stretching device 10 has a diameter of up to a few millimeters, allowing it to use a tubular endoscopic instrument 600 inserted through the patient's esophagus stomach, or with the tubular device 600 shown in FIG. 38b laparoscopically method laparoscopic trocar. 该器械包括外套筒600a和可相对于外套筒纵向移位的内套筒600b。 The instrument includes an outer sleeve 600a and the inner sleeve 600b may be displaced longitudinally relative to the outer sleeve. 内套筒在其远端设置有切割器,其采用切割边缘615的形式。 At its distal end the inner sleeve is provided with a cutter, which takes the form of a cutting edge 615. 该切割边缘可用于在胃壁中切割孔,如以下详细所述。 The cutting edge may be used, as described in detail cutting a hole in the stomach wall.

[0488]当器械从其内部或外部到达胃壁(见图38c)时,内套筒从其外套筒的位置向前并与与胃壁12a接触。 [0488] When the instrument reaches the stomach (see FIG. 38c) from the inside or outside of the inner sleeve from its forward position of the outer sleeve and in contact with the stomach wall 12a. 内套筒的切割边缘615因而在胃壁中切割孔,以允许随后容积填充装置1插入通过该孔,见图38d。 The cutting edge 615 of the inner sleeve and thus cutting a hole in the stomach wall, to allow subsequent volume filling device 1 is inserted through the hole, see Figure 38d. 为了将拉伸装置推动通过该孔,活塞602可被设置在器械中。 In order to push the stretching device through the hole, the piston 602 may be provided in the instrument. 因此,该器械进一步包括活塞602,其适于将充胀的拉伸装置10从示于图38b中的内套筒中的位置推出到示于图38d中的内套筒外部的位置。 Thus, the instrument further comprises a piston 602, which is adapted to the inflatable stretching device 10 out of the inner sleeve shown in FIG. 38b, in a position to the outside of the inner sleeve shown in the position of FIG. 38d.

[0489]为了保护充胀的拉伸装置10免受内套筒的切割边缘615影响,另外的保护套筒(未示出)可被设置在拉伸装置周围。 [0489] To protect the inflatable stretching device 10 from the inner sleeve 615 affect the cutting edge, an additional protective sleeve (not shown) may be provided around the stretching device.

[0490]图39a至39j示出在将拉伸装置10接合到病人的胃壁12的方法中所用的器械。 [0490] FIGS. 39a to 39j is shown in the process of the stomach wall stretching device 10 is bonded to the patient device 12 used. 该器械适于被插入通过窄管形物体,例如,使用在入腔过程中的胃镜,或者使用在腹腔镜过程中的腹腔镜套针。 The instrument is adapted to be inserted through a narrow tube shaped object, for example, into the cavity during use in endoscopy, laparoscopy trocar or laparoscopic procedure. 该器械包括器械650,其适于通过包括多个环形构件的结构而为柔性的,然而,同样可以设想到,所述细长构件650适于通过由柔性或可调节材料制成的所述细长构件650而为柔性的。 The instrument comprising an instrument 650, which is adapted by a structure comprising a plurality of annular members and flexible, however, equally conceivable that said elongated member 650 is adapted to thin a flexible or adjustable by material long and flexible member 650. 细长构件650被从其外部或内部插入主体并被放置为与病人的胃壁12接近。 The elongated member 650 is inserted into the body from the outside or inside of the stomach wall and placed close to the patient 12. 细长构件650具有专用保持装置651,其适于通过机械抓取构件或真空来保持胃。 The elongated member 650 has a special holding device 651, which is adapted to hold the stomach by mechanical or vacuum gripping means. 专用保持装置651包括第一关节652和第二关节653,其使专用保持装置651可相对于细长构件650操作,并由此将保持装置651的包括机械抓取构件或真空元件的部分与病人的胃壁12接触。 Special holding means 651 comprises a first joint 652 and second joint 653, so that special holding means 651 with respect to the elongated member 650 may be operating, and thereby the holding member gripping portion of the patient or a mechanical vacuum device 651 comprises elements 12 contacts the stomach wall. 图39b示出被放置为与人类病人的胃壁12接触时的专用保持装置651,在此之后专用保持装置651连接到胃壁12,以保持胃壁12。 FIG 39b shows is placed in contact with the stomach wall 12 of a human patient special holding means 651, after which the special holding means 651 is connected to the stomach wall 12 to maintain the stomach wall 12. 图39c示出当执行将推杆654从细长构件650推进的步骤时的器械。 FIG 39c shows the instrument when the step is performed when the push rod 654 from the elongated member 650 in advance. 推杆654推动胃壁12以形成其腔或囊。 Pushing the push rod 654 to the stomach wall 12 form a cavity or pouch. 图39d示出该器械相对于图39a至39c转动90度。 FIG 39d illustrates the instrument with respect to FIGS. 39a to 39c is rotated 90 degrees. 该视图示出专用保持构件651a、651b,当推杆654推动以形成腔或囊时,专用保持构件651a、651b可操作地附接到细长构件650的两侧并与胃壁12接触,从而保持胃壁12。 This view shows the special holding members 651a, 651b, when pushing the push rod 654 to form a cavity or pouch, special holding members 651a, 651b operably attached to both sides of the elongated member 650 and in contact with the stomach wall 12, thereby keep the stomach wall 12. 当推杆654将胃壁12推到希望的位置时,专用保持装置651a、651b朝向推杆654移动,由此关闭腔或囊。 When the push rod 654 pushes the stomach wall 12 to a desired position, special holding means 651a, 651b move toward the push rod 654, thereby closing the cavity or pouch.

[0491 ]在腔或囊被形成之后,其需要被密封。 [0491] After the cavity or pouch is formed, which needs to be sealed. 图39f示出缝合或订合装置655从细长构件650的前移。 FIG. 39f shows the advancement suturing or stapling apparatus 655 from elongated member 650. 缝合或订合装置655被定位为与胃壁相连,在此之后缝合或订合装置开始进行胃壁12的缝合和订合,从而形成胃至胃的缝合线或订合线14的密封。 Suturing or stapling device 655 is connected with the stomach wall is positioned, after suturing or stapling and suturing apparatus starts stapling the stomach wall 12, thereby forming a stomach to stomach sutures or staplers 14 is sealed. 该器械沿病人的胃壁12移动,由此腔或囊利用该装置形成和密封,如图39g和39h所示。 The device 12 is moved along the stomach wall of the patient, whereby the cavity or pouch forming and sealing with the device, 39g and 39h shown in FIG. 当腔或囊或希望的尺寸已被形成和密封时,插入构件656从细长构件650前移。 When a cavity or pouch or desired size has been formed and sealed, the insertion member is advanced from the elongated member 656,650. 插入构件656适于插入可充胀的拉伸装置10,如本申请前文所述。 Insert member 656 is adapted to insert an inflatable stretching device 10, as previously described herein herein. 在插入构件656已被定位在腔或囊中之后,利用加压流体或气体或者将所述可充胀装置10推入腔或囊中的机械前移构件,拉伸装置10被插入通过插入构件656并至腔或囊中。 After insertion member 656 has been positioned in the cavity or bag, or by a pressurized fluid or gas may be the charging means 10 is pushed into the inflation lumen or a mechanical advancement member in the bag, the stretching device 10 is inserted through the insertion member 656 and into the cavity or bladder. 因而,插入构件用流体或气体充胀可充胀拉伸装置,并利用胃至胃的缝合线或订合线14密封囊的最后部分。 Thus, the insertion member with a fluid or a gas inflated inflatable stretching device, and with stomach to stomach sutures or staplers last part of the bonding wire 14 sealed capsule. 所述实施例阐释了插入可充胀拉伸装置的过程,然而同样可以设想到,拉伸装置10通过由弹性材料制成的拉伸装置10而为可膨胀的。 The examples illustrate the process of inserting an inflatable stretching device, however, is equally conceivable that the stretching device 10 by the stretching means 10 made of an elastic material and is expandable.

[0492]图40a至40f示出使用在将拉伸装置10接合到病人的胃壁12的方法中的器械。 [0492] Figures 40a to 40f illustrates the use of the instrument in the process of stretching the stomach wall 10 is bonded to the device 12 in a patient. 该器械适于被插入通过窄管形物体,例如,使用在入腔过程中的胃镜,或者使用在腹腔镜过程中的腹腔镜套针。 The instrument is adapted to be inserted through a narrow tube shaped object, for example, into the cavity during use in endoscopy, laparoscopy trocar or laparoscopic procedure. 该器械包括细长构件660,其适于通过包括多个环形构件的结构而为柔性的,然而,同样可以设想到,所述细长构件660适于通过由柔性或可调节材料制成的所述细长构件660而为柔性的。 The instrument includes an elongated member 660, which is adapted by a structure comprising a plurality of annular members and flexible, however, equally conceivable that said elongated member 660 is adapted or adjustable by the flexible material said elongate member 660 and flexible. 细长构件660被从其外部或内部插入主体并被放置为与病人的胃壁12接近。 The elongated member 660 is inserted into the body from the outside or inside of the stomach wall and placed close to the patient 12. 细长构件660具有多个专用保持装置661,其适于通过机械抓取构件或真空来保持胃。 An elongated member 660 having a plurality of special holding devices 661 adapted to hold the stomach by mechanical or vacuum gripping means. 专用保持装置661利用锁定环662被锁定在细长构件660旁边的位置。 Special holding means 661 by the lock ring 662 is locked in a position alongside the elongated member 660. 专用保持装置由柔性材料制成并预弯曲以在所述锁定环662被移除时膨胀为漏斗形装置。 Special holding device is made of a flexible material and is pre-bent to expand into a funnel-shaped device when said locking ring 662 is removed. 处于漏斗形膨胀状态的专用保持装置示于图40b中。 Special funnel-shaped in the expanded state of the holding apparatus 40b, shown in FIG. 图40b进一步示出专用保持装置661,其被放置为与人类病人的胃壁12接触,在此之后专用保持装置661连接到胃壁12,以保持胃壁12。 Figure 40b shows a further special holding means 661, which is placed in contact with the stomach wall 12 of a human patient, after which the special holding means 661 is connected to the stomach wall 12 to maintain the stomach wall 12. 图40c示出当执行推杆665从细长构件660前移的步骤时的器械。 Figure 40c shows the instrument when the push rod 665 when performing the step of advancing the elongated member 660. 推杆665推动胃壁12以形成其腔或囊。 Pushing the push rod 665 to the stomach wall 12 form a cavity or pouch. 当推杆664已将胃壁12推到希望的位置时,专用保持装置661朝向推杆664移动,由此关闭腔或啬 When pusher 664 has pushed the stomach wall 12 to a desired position, special holding means 661 moves toward the push rod 664, thereby closing the cavity or stingy

ο ο

[0493]在腔或囊已被形成之后,其需要被密封。 [0493] After the cavity or pouch has been formed, which needs to be sealed. 图40d示出缝合或订合装置665从细长构件660的前移。 FIG. 40d illustrates a suturing or stapling apparatus 665 is advanced from the elongated member 660. 缝合或订合装置665被定位为与胃壁12相连,在此之后缝合或订合装置665开始进行胃壁12的缝合或订合,从而形成胃至胃的缝合线或订合线14的密封。 Suturing or stapling apparatus 665 is positioned with the stomach wall 12 is connected, after which the suturing or stapling device 665 starts suturing or stapling the stomach wall 12, thereby forming a stomach to stomach sutures or staplers 14 of the sealing wires. 之后,插入构件668从细长构件660前移,专用保持装置661收缩。 Thereafter, the insert member 668 is advanced from the elongated member 660, holding means 661 dedicated shrinkage. 插入构件666适于插入可充胀的拉伸装置1,如本申请前文所述。 Insert member 666 is adapted to insert an inflatable stretching device 1, as previously described herein herein. 在插入构件666已被定位在腔或囊中之后,利用加压流体或气体或者将所述可充胀装置10推入腔或囊中的机械前移构件,拉伸装置10被插入通过插入构件666并至腔或囊中。 After insertion member 666 has been positioned in the cavity or bag, or by a pressurized fluid or gas may be the charging means 10 is pushed into the inflation lumen or a mechanical advancement member in the bag, the stretching device 10 is inserted through the insertion member 666 and into the cavity or bladder. 因而,插入构件656用流体或气体充胀可充胀拉伸装置,并利用胃至胃的缝合线或订合线14密封囊的最后部分。 Thus, the insertion member 656 with a fluid or a gas inflated inflatable stretching device, and with stomach to stomach sutures or staplers final portion 14 of the balloon sealing wires. 所述实施例阐释了插入可充胀拉伸装置10的过程,然而同样可以设想到,拉伸装置10通过由弹性材料制成的拉伸装置10而为可膨胀的。 The examples illustrate the process of inserting an inflatable stretching device 10 is, however, equally conceivable that the stretching device 10 by the stretching means 10 made of an elastic material and is expandable. 图40f示出拉伸装置10套叠在胃壁12中时在利用胃至胃的缝合线或订合线14密封的腔或囊中的拉伸装置10。 FIG. 40f shows the stretching apparatus 10 with stomach to stomach sutures or staplers seal wires 14 or the balloon lumen 10 at the invaginated stomach wall 12 in a stretching device.

[0494]图41a示出使用在将根据本申请的任意实施例的拉伸装置接合到胃壁12的方法中的器械。 [0494] FIG. 41a shows the stretching device in accordance with any embodiment of the present application to a method of joining the stomach wall 12 in the instrument. 该器械包括细长构件670,其适于通过包括多个环形构件的结构而为柔性的,然而同样可以设想到,所述细长构件670适于通过由柔性或可调节材料制成的所述细长构件670而为柔性的。 The instrument includes an elongated member 670, which is adapted by a structure comprising a plurality of annular members and is flexible, however, also conceivable that said elongated member 670 is adapted by a flexible or adjustable material the elongated member 670 is flexible. 细长构件670被从其内部插入主体并被放置为与病人的胃壁12接近。 The elongated member 670 is closer to the patient's stomach wall from within the insert body 12 and placed. 胃刺穿构件672被放置在细长构件670的远端,收缩地固定到保护套筒673,该保护套筒适于保护身体的组织在已执行切割操作之后免受尖锐刺穿构件672或切割器672的影响。 Gastric piercing member 672 is disposed at the distal end of the elongated member 670, fixed to shrink the protection sleeve 673, the protective sleeve is adapted to protect the body tissue from the sharp piercing or cutting member 672 after the cutting operation has been performed Effect of 672.

[0495]图41b示出在切割操作已被执行且胃刺穿构件或切割器672已被收缩到保护套筒673中之后的包括细长构件670的器械。 [0495] FIG 41b shows the instrument comprising the elongated member 670 after the cutting operation has been performed and the stomach piercing member or cutter 672 has been retracted into the protective sleeve 673. 导线671被推动通过细长构件670、通过胃壁12中形成的孔并通出腹部,放置在病人皮肤的内部,皮肤从外部被刺穿以使导线671能够离开腹部。 Wire 671 is pushed through the elongated member 670, through the hole formed through the abdominal and stomach wall 12, placed inside the patient's skin, the skin is pierced from the exterior to the wire 671 to exit the abdomen. 导线671因而可用于引导附接到拉伸装置10的管路18或引线,从而从其内部放置在胃中。 Wires 671 can thus be used to guide the stretching device attached to the line 18 or lead 10, so as to be placed in the stomach from the inside. 带有管路18或电引线的拉伸装置10为根据本申请的任意实施例的拉伸装置10。 Line 18 with a stretching device 10 or the electrical leads of the stretching device 10 according to any embodiment of the present disclosure. 管路18或电引线的引导使管路18或电引线能够附接到从腹部的外部放置在病人皮下的控制单元42 ο The guide line 18 or line 18 causes the electrical leads or electrical leads can be attached to the skin of the patient is placed in the control unit from the outside of the abdomen 42 ο

[0496]图42示出描述在插入用于拉伸胃壁的一部分的装置的入腔方法中所需的步骤的流程图,该方法包括步骤:将器械插入病人的食管203(步骤Ia),利用器械将装置通过食管203插入病人的胃(步骤2a),将装置10放置为与胃壁12接触(步骤3a),将装置固定到胃壁12,使得该装置能够拉伸胃壁12的一部分。 [0496] FIG. 42 shows the steps required for the described method into the cavity portion of the apparatus for stretching the stomach wall inserted in the flow chart, the method comprising the steps of: instrument into the patient's esophagus 203 (step Ia), the use of the instrument 203 is inserted into a patient by means esophagogastric (step. 2A), the device 10 is placed in contact with the stomach wall 12 (step. 3A), the device is fixed to the stomach wall 12, so that the device can stretch a portion of the stomach wall 12. 所述方法可进一步包括在完成放置装置之后非侵入性地调整装置的步骤。 The method may further comprise the step of non-invasively regulating the device after completion of the placement device.

[0497]图43示出描述在插入用于拉伸胃壁的一部分的装置的腹方法中所需的步骤的流程图,该方法包括步骤:在所述病人的腹壁中切割孔(步骤Ib),切除胃周围的一区域(步骤2b),将所述装置放置为与胃接触(步骤3b),以及通过胃壁的套叠将装置直接或间接地固定到胃壁,使得该装置能够拉伸所述胃壁的一部分(步骤4b)。 [0497] FIG. 43 shows a flowchart describing the steps required for the device into the abdominal method for stretching the stomach wall portion, the method comprising the steps of: cutting a hole in the abdominal wall of the patient (step Ib), a region (step 2b) surrounding the resection of the stomach, placing the device in contact with the stomach (step 3B), and stack means secured to the stomach wall through the stomach wall sleeve directly or indirectly, enable the device to stretch the stomach wall part (step 4b). 所述方法可进一步包括步骤:利用缝合线或订合线14关闭腹部中的孔,以及在完成放置装置之后非侵入性地调整该装置。 The method may further comprise the step of: using sutures or staplers 14 closes a hole in the abdomen, and an adjustment means after completion of the non-invasively placing the apparatus.

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