公开(公告)号：US20070225556A1

公开(公告)日：2007-09-27

申请号：US11277290

申请日：2006-03-23

申请人： Mark Ortiz ,  David Plescia

发明人： Mark Ortiz ,  David Plescia

IPC分类号： A61B1/04 ,  A61B1/12 ,  A61B1/06

CPC分类号： A61B1/05 ,  A61B1/00052 ,  A61B1/00091 ,  A61B1/00103 ,  A61B1/00188 ,  A61B1/0051 ,  A61B1/051 ,  A61B1/0676 ,  A61B1/0684 ,  A61B1/12

摘要： Various methods and devices are provided for endoscopic procedures. In particular, the device can include an elongate flexible insertion element adapted for delivery within a patient. In one embodiment, the insertion element has at least one working channel disposed therein which is adapted to receive a surgical instrument, a liquid, or a gas. The insertion element can be adapted, for example, for endoscopic or laparoscopic delivery to a patient. The device further includes an optics unit disposed on a distal end of the insertion element that can be adapted to acquire images during endoscopic procedures, and an image display screen, disposed on or remote from the endoscopic device, adapted to communicate with the optics unit to display the acquired images.

摘要翻译： 为内镜手术提供了各种方法和装置。 特别地，该装置可以包括适于在患者体内递送的细长的柔性插入元件。 在一个实施例中，插入元件具有设置在其中的至少一个工作通道，其适于接收外科器械，液体或气体。 插入元件可以适用于例如内窥镜或腹腔镜递送给患者。 所述装置还包括设置在所述插入元件的远端上的光学单元，所述光学单元可适于在内窥镜程序期间获取图像，以及设置在所述内窥镜装置上或远离所述内窥镜装置的适于与所述光学单元通信的图像显示屏 显示所获取的图像。

公开(公告)号：US20070221700A1

公开(公告)日：2007-09-27

申请号：US11277323

申请日：2006-03-23

申请人： Mark Ortiz ,  Frederick Shelton ,  James Spivey

发明人： Mark Ortiz ,  Frederick Shelton ,  James Spivey

IPC分类号： A61B17/00 ,  A61B17/10

CPC分类号： A61B34/70 ,  A61B17/07207 ,  A61B17/1633 ,  A61B34/71 ,  A61B34/72 ,  A61B2017/003 ,  A61B2017/00327 ,  A61B2017/00367 ,  A61B2017/00464 ,  A61B2017/2905 ,  A61B2017/291 ,  A61B2017/2931 ,  A61B2034/306

摘要： Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.

摘要翻译： 提供了用于控制手术装置的工作端的移动的方法和装置。 在一个实施例中，提供了用于移动外科紧固装置的远端上的端部执行器的方法和装置。 运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。 在其它实施例中，提供单个电缆致动器并且可在第一位置之间移动，在第一位置中，有效地旋转端部执行器而不致动（即，闭合和点火）末端执行器，以及第二位置， 有效地致动末端执行器而不旋转端部执行器。 在其他方面，提供了用于移动形成在附件通道的远端上的柔性颈部以用于内窥镜的方法和装置。 柔性颈部的运动可用于控制延伸穿过柔性颈部的工具的定位。

公开(公告)号：US20070198034A1

公开(公告)日：2007-08-23

申请号：US11307698

申请日：2006-02-17

申请人： Mark Ortiz ,  Michael Stokes

发明人： Mark Ortiz ,  Michael Stokes

IPC分类号： A61B17/10

CPC分类号： A61B17/00234 ,  A61B17/0401 ,  A61B17/072 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/1142 ,  A61B2017/1157

摘要： Devices and methods for reducing a size of a lumen are provided. In one embodiment, a lumen reduction device is provided having an end effector with a trough formed therein for receiving tissue surrounding a lumen, and a plurality of fasteners configured to engage the tissue disposed within the trough. In use, the end effector can be actuated to deliver the fasteners to the tissue, and one or more sutures coupled to the fasteners can be used to pull the fasteners together and thereby cinch the tissue to reduce the size of a lumen.

摘要翻译： 提供了用于减小管腔尺寸的装置和方法。 在一个实施例中，提供了具有末端执行器的管腔减小装置，其中形成有槽，用于接纳围绕内腔的组织，以及多个紧固件，其构造成接合设置在槽内的组织。 在使用中，端部执行器可以被致动以将紧固件递送到组织，并且联接到紧固件的一个或多个缝合线可以用于将紧固件拉到一起，从而使组织束紧以减小管腔的尺寸。

公开(公告)号：US20070198032A1

公开(公告)日：2007-08-23

申请号：US11360033

申请日：2006-02-22

申请人： Mark Ortiz

发明人： Mark Ortiz

IPC分类号： A61B17/10

CPC分类号： A61B17/076 ,  A61B17/10 ,  A61B2017/049

摘要： Methods and devices for removing fasteners from tissue are described. One method is directed to surgically reversing a gastric restriction created using one or more fasteners. the fasteners can be disengaged from the gastric tissue and subsequently removed from the gastric tissue site. The method can utilize an endoscopically delivered fastener-extraction device to sever the fasteners by applying energy. In an exemplary device for removing fasteners, a substantially elongate body can include a fastener catch for selectively engaging tissue-attached fasteners. The device can also include a fastener-severing member and at least one fastener-removal element. The fastener-removal element can be adapted to be an energy delivery member that delivers an argon plasma to sever fasteners, while the fastener catch is adapted to shield tissue from direct energy contact.

摘要翻译： 描述了从组织中去除紧固件的方法和装置。 一种方法是针对手术逆转使用一个或多个紧固件产生的胃限制。 紧固件可以从胃组织脱离并随后从胃组织部位移除。 该方法可以利用内窥镜递送的紧固件提取装置通过施加能量来切断紧固件。 在用于移除紧固件的示例性装置中，基本上细长的主体可以包括用于选择性地接合组织附接的紧固件的紧固件卡扣。 该装置还可以包括紧固件切断构件和至少一个紧固件去除元件。 紧固件去除元件可以适于作为输送氩等离子体来切断紧固件的能量输送构件，而紧固件卡扣适于屏蔽组织免受直接能量接触。

公开(公告)号：US20070179476A1

公开(公告)日：2007-08-02

申请号：US11343547

申请日：2006-01-31

申请人： Frederick Shelton ,  Jeffrey Swayze ,  Mark Ortiz ,  Leslie Fugikawa

发明人： Frederick Shelton ,  Jeffrey Swayze ,  Mark Ortiz ,  Leslie Fugikawa

IPC分类号： A61B17/00

CPC分类号： A61B17/00234 ,  A61B17/07207 ,  A61B17/2812 ,  A61B2017/0069 ,  A61B2017/291 ,  A61B2017/2919

摘要： A surgical instrument particular suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to said the effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of said elongated shaft assembly to enable the surgeon to move the handle portion to a more ergonomically comfortable position while carrying out the endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed.

摘要翻译： 公开了特别适用于内窥镜使用的手术器械。 各种实施例包括尺寸适于插入穿过套管针的端部执行器。 细长轴组件联接到末端执行器和控制手柄。 细长轴组件具有与所述效应器相邻的远侧部分，用于插入套管针。 细长轴组件还具有远离远侧部分的近端部分，使得当端部执行器和远端部分插入其中时，近端部分从套针针突出。 控制手柄可铰接地连接到所述细长轴组件的近端部分，以使得外科医生能够在执行内窥镜手术时将手柄部分移动到更符合人体工程学的舒适位置。 公开了各种关节连接实施例和锁定装置。

公开(公告)号：US20070123917A1

公开(公告)日：2007-05-31

申请号：US11164574

申请日：2005-11-29

申请人： Mark Ortiz ,  Robert Simms ,  Tom Ditter ,  David Plescia ,  Soane Eke

发明人： Mark Ortiz ,  Robert Simms ,  Tom Ditter ,  David Plescia ,  Soane Eke

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B17/1114 ,  A61B2017/00862 ,  A61B2017/00867 ,  A61B2017/1139

摘要： Embodiments of the present invention generally provide an anastomosis device that can be used to couple two or more layers of tissue in apposition. In an exemplary embodiment, the device can be formed from one or more woven wires that can be configured to have a generally tubular shape in a first, expanded position for insertion to an anastomosis site and a generally annular, ring-shape in a second, resting position for securing tissue in apposition at the anastomosis site. The device can be adapted either to cause necrosis of the tissue layers around an outer periphery of the device or to promote growth of tissue about an inner periphery of the device.

摘要翻译： 本发明的实施例通常提供一种吻合装置，其能够用于将两层或更多层组织连接在一起。 在示例性实施例中，该装置可以由一根或多根编织线形成，所述编织线可以被配置为具有用于插入到吻合部位的第一扩展位置中的大致管状形状，并且在第二扩展位置中具有大致环形的环形， 用于将组织固定在吻合部位的安置位置。 该装置可适于使装置的外周周围的组织层坏死或者促进组织围绕装置内周的生长。

公开(公告)号：US20070078302A1

公开(公告)日：2007-04-05

申请号：US11197516

申请日：2005-08-05

申请人： Mark Ortiz ,  Michael Stokes

发明人： Mark Ortiz ,  Michael Stokes

IPC分类号： A61B1/04 ,  A61B1/00 ,  A61M29/00

CPC分类号： A61B17/3421 ,  A61B17/3423 ,  A61B17/3498 ,  A61B2017/00986 ,  A61B2017/3425 ,  A61B2017/3484 ,  A61B2017/3488 ,  A61M39/0247

摘要： An anchorable cannula adapted for positioning within an opening formed in tissue includes a cannula body having a proximal portion and distal portion. The proximal portion and the distal portion are linked by a circumferential ring positioned therebetween. The proximal portion includes a series of foldable arms extending upwardly from the circumferential ring and ending at a circumferential seal ring formed at a free end of the proximal portion. The distal portion includes a series of foldable arms extending downwardly from the circumferential ring and ending at a circumferential seal ring formed at a free end of the distal portion.

摘要翻译： 适于定位在形成于组织中的开口内的可固定套管包括具有近端部分和远端部分的套管本体。 近端部分和远侧部分通过位于它们之间的周向环连接。 近端部分包括从圆周环向上延伸并且在形成在近端部分的自由端处的周向密封环处终止的一系列可折叠臂。 远侧部分包括从圆周环向下延伸并且终止于形成在远侧部分的自由端的周向密封环的一系列可折叠臂。

公开(公告)号：US20070038224A1

公开(公告)日：2007-02-15

申请号：US11161263

申请日：2005-07-28

申请人： Mark Ortiz

发明人： Mark Ortiz

IPC分类号： A61F11/00

CPC分类号： A61B17/3421 ,  A61B2017/003 ,  A61B2017/00398 ,  A61B2017/00871 ,  A61B2017/2905 ,  A61B2017/2927

摘要： Methods and devices are disclosed for providing access through tissue to a surgical site, such as anatomical cavities ranging in size from the abdomen to small blood vessels, such as veins and arteries, epidural, pleural and subarachnoid spaces, heart ventricles, as well as spinal and synovial cavities. In one exemplary embodiment, an access port is provided having one or more electrically expandable and contractible actuators that are adapted to change an orientation of the access port.

摘要翻译： 公开了用于提供通过组织到外科手术部位的方法和装置，例如尺寸从腹部到小血管（例如静脉和动脉，硬膜外，胸膜和蛛网膜下腔，心脏心脏以及脊髓）的解剖腔 和滑膜腔。 在一个示例性实施例中，提供具有一个或多个电可扩张和可收缩致动器的进入端口，其适于改变接入端口的取向。

公开(公告)号：US20070032702A1

公开(公告)日：2007-02-08

申请号：US11197530

申请日：2005-08-05

申请人： Mark Ortiz

发明人： Mark Ortiz

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/2812 ,  A61B2017/00827 ,  A61B2017/2905 ,  A61B2017/306

摘要： An articulating endoscopic instrument is adapted for properly orienting the stomach for cutting and stapling in an efficient manner. The instrument includes a body member having a first end and a second end, a plurality of suction holes along the body member in fluid communication with a suction inlet at the first end of the body member for the creation of suction along the body member and an articulating joint positioned along the body member. A method for gastric reduction surgery is achieved by inserting an articulating endoscopic instrument within the stomach and articulating the articulating endoscopic instrument to generally assume the shape of the relaxed stomach, applying suction through the articulating endoscopic instrument to draw the stomach tissue into contact with the articulating endoscopic instrument, articulating the articulating endoscopic instrument to a desired orientation and completing the gastric reduction surgery.

摘要翻译： 铰接式内窥镜仪器适于以有效的方式适当地定位胃来切割和缝合。 仪器包括具有第一端和第二端的本体构件，沿主体构件的多个抽吸孔，与本体构件的第一端处的吸入口流体连通，用于沿身体构件产生吸力， 沿主体部件定位的关节接头。 通过将铰接性内窥镜器械插入胃内并且将关节内窥镜器械铰接到通常呈放松的胃的形状，通过关节内窥镜器械吸引以使胃组织与关节连接 内窥镜器械，将关节内窥镜器械铰接到期望的取向并完成胃缩小手术。

公开(公告)号：US20070021759A1

公开(公告)日：2007-01-25

申请号：US11187674

申请日：2005-07-22

申请人： David Griffith ,  Mark Ortiz

发明人： David Griffith ,  Mark Ortiz

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B1/00165 ,  A61B17/2909 ,  A61B2017/00575 ,  A61B2017/2905 ,  A61B2017/2924

摘要： A surgical instrument for deploying an anastomotic ring device has a ring deployment mechanism, which is configured to receive and deploy an anastomotic ring. The instrument further comprises a flexible elongate shaft having one or more actuation cables extending therethrough. The shaft also has an imaging element, which is coupled to a camera with a lens located in the tip of the instrument. The instrument may be inserted through the esophagus of a patient to deploy an anastomotic ring device.

摘要翻译： 用于部署吻合口环装置的外科器械具有环形部署机构，其被配置为接收和部署吻合环。 仪器还包括具有延伸穿过其中的一个或多个致动电缆的柔性细长轴。 轴还具有成像元件，该成像元件与位于仪器尖端的透镜耦合到相机。 仪器可以插入患者的食道以部署吻合口环装置。