公开(公告)号：US06743170B1

公开(公告)日：2004-06-01

申请号：US09956418

申请日：2001-09-18

Applicant: Paul A. Spence ,  Warren Williamson, IV ,  Mark Ortiz

Inventor： Paul A. Spence ,  Warren Williamson, IV ,  Mark Ortiz

IPC: A61B132

CPC classification number: A61B17/0218 ,  A61B17/00491 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0293 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/29 ,  A61B2017/00305 ,  A61B2017/00309 ,  A61B2017/0243 ,  A61B2017/308

Abstract: A system for manipulating a heart during cardiac surgery permits coronary surgery on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the system. The system locates a suspension head near the apical region of the heart and a gross support near the base of the heart near the AV groove. A frame is positioned within the patient's thoracic region and moves with the patient, and a surgical target immobilizer can be used to assist in the movement of the heart if desired. A special suction cup is used which accommodates multiplanar movement of the heart and the myocardium while also preventing heart tissue from interrupting the suction being applied to the heart. One form of the system can be used in minimally invasive surgery.

Abstract translation: 在心脏手术期间操作心脏的系统允许在跳动心脏上进行冠状动脉手术，同时保持心输出量不变且不间断。 Circumflex冠状动脉手术可以使用系统进行。 该系统位于心脏顶端附近的悬架头部，靠近AV凹槽附近靠近心脏底部的大体支撑。 框架位于患者的胸部区域内并与患者一起移动，并且如果需要，可以使用外科手术目标固定器来辅助心脏的移动。 使用特殊的吸盘，其容纳心脏和心肌的多平面运动，同时还防止心脏组织中断被施加到心脏的吸力。 该系统的一种形式可用于微创手术。

公开(公告)号：US06338712B2

公开(公告)日：2002-01-15

申请号：US09087511

申请日：1998-05-29

Applicant: Paul A. Spence ,  Warren P. Williamson, IV ,  Mark Ortiz

Inventor： Paul A. Spence ,  Warren P. Williamson, IV ,  Mark Ortiz

IPC: A61B132

CPC classification number: A61B17/0218 ,  A61B17/00491 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0293 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/29 ,  A61B2017/00305 ,  A61B2017/00309 ,  A61B2017/0243 ,  A61B2017/308

Abstract: A system for manipulating a heart during cardiac surgery permits coronary surgery on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the system. The system locates a suspension head near the apical region of the heart and a gross support near the base of the heart near the AV groove. A frame is positioned within the patient's thoracic region and moves with the patient, and a surgical target immobilizer can be used to assist in the movement of the heart if desired. A special suction cup is used which accommodates multiplanar movement of the heart and the myocardium while also preventing heart tissue from interrupting the suction being applied to the heart. One form of the system can be used in minimally invasive surgery.

Abstract translation: 在心脏手术期间操作心脏的系统允许在跳动心脏上进行冠状动脉手术，同时保持心输出量不变且不间断。 Circumflex冠状动脉手术可以使用系统进行。 该系统位于心脏顶端附近的悬架头部，靠近AV凹槽附近靠近心脏底部的大体支撑。 框架位于患者的胸部区域内并与患者一起移动，并且如果需要，可以使用外科手术目标固定器来辅助心脏的移动。 使用特殊的吸盘，其容纳心脏和心肌的多平面运动，同时还防止心脏组织中断被施加到心脏的吸力。 该系统的一种形式可用于微创手术。

公开(公告)号：US5441494A

公开(公告)日：1995-08-15

申请号：US99675

申请日：1993-07-29

Applicant: Mark Ortiz

Inventor： Mark Ortiz

IPC: A61B17/00 ,  A61B1/00 ,  A61B19/00 ,  B25J3/00 ,  B25J13/02 ,  B25J1/00

CPC classification number: B25J13/02 ,  A61B34/70 ,  A61B34/71 ,  B25J3/00 ,  A61B17/00234 ,  A61B2017/2938

Abstract: A manipulable hand for use in laparoscopic surgery is disclosed, having a master or control hand with clamps for attaching the master hand to that of an operator, the master hand having at least one finger, the finger having at least one hinge corresponding to an interphalangeal joint in a human hand. The manipulable hand further includes a slave or controlled hand, distally disposed from the operator, the slave hand having at least one finger, the finger having at least one hinge corresponding to an interphalangeal joint of a human finger. Both the master and slave hinges are capable of movement corresponding to flexion and extension of a human finger. The master hand and the slave hand are connected by motion transmission rods or cables, and the movements of the slave hand corresponds one-for-one to the movements of the master hand. The preferred embodiment of the manipulable hand has two fingers and a thumb, the thumb of both the master and slave hands is capable of movements corresponding to palmar adduction and abduction, and the fingers of both the master and slave hands are capable of coplanar spreading away from each other and moving back toward each other, moving from a substantially aligned position to a V-shaped configuration. The rods are enclosed within a hollow shaft, and the master and slave hands are mounted with parallel connections therebetween forming wrists at the ends of the shaft.

Abstract translation: 公开了一种用于腹腔镜手术的可操纵的手，具有用于将主手连接到操作者的手掌的主手或控制手，主手具有至少一根手指，手指具有至少一个对应于指间的铰链 在人的手中联合。 可操纵的手还包括从操作者向远侧设置的奴隶或受控的手，所述奴隶手具有至少一根手指，所述手指具有至少一个对应于人类手指的指角关节的铰链。 主铰链和从属铰链都能够对应于人的手指的屈曲和伸展而运动。 主手和从手通过运动传动杆或电缆连接，从动手的运动与主手的运动一一对应。 可操纵的手的优选实施例具有两个手指和拇指，主手和从动手的拇指能够​​对应于手掌内收和外展的运动，并且主手和从动手的手指能够共面展开 彼此相向并且朝向彼此移动，从基本上对准的位置移动到V形构造。 杆被封闭在空心轴内，并且主手和从动手安装成平行的连接，在其两端形成手腕。

公开(公告)号：US5346504A

公开(公告)日：1994-09-13

申请号：US979501

申请日：1992-11-19

Applicant: Mark Ortiz ,  Joseph Paraschac

Inventor： Mark Ortiz ,  Joseph Paraschac

IPC: A61B17/00 ,  A61B17/28 ,  A61B19/00 ,  A61B1/26

CPC classification number: A61B34/70 ,  A61B17/00234 ,  A61B2034/715

Abstract: The present invention is directed towards an intraluminal manipulator which extends into a lumen and is operable to position and manipulate the tissue surrounding the lumen as necessary during a medical procedure. The manipulator includes a head, a handle and an interconnecting shaft. A pair of cables extend through the shaft and interconnect the head and handle. Movement of a trigger provided by the handle moves the head, which is formed by a series of articulated links, between generally straight and arched configurations. Movement of the trigger in one direction moves the head from a straightened to an arched configuration, while movement in an opposite direction moves the head from the arched to the straightened configuration. When placed in the straight configuration, the head is insertable into and removable from the lumen. When the head is in the arched configuration, it engages the walls surrounding and defining the lumen and can thereafter be used to manipulate the tissue. A fiber optic bundle is provided to allow remote visualization of the lumen, and an expandable balloon is used to provide a better frictional engagement between the head and the tissue defining the lumen.

Abstract translation: 本发明涉及一种管腔内操纵器，其延伸到内腔中并且可操作以在医疗过程期间根据需要定位和操纵围绕管腔的组织。 操纵器包括头部，把手和互连轴。 一对电缆延伸穿过轴并连接头部和手柄。 由手柄提供的触发器的移动将由一系列铰接链节形成的头部移动到大体上直的和拱形的构型之间。 触发器在一个方向上的移动将头部从直线移动到拱形构型，而沿相反方向的移动将头部从拱形移动到矫直构型。 当放置成直线构型时，头部可插入内腔并从内腔中移除。 当头部处于拱形构型时，其与围绕并限定内腔的壁接合，并且此后可用于操纵组织。 提供光纤束以允许内窥镜的远程可视化，并且可扩张气囊用于在限定内腔的头部和组织之间提供更好的摩擦接合。

公开(公告)号：US20160345721A1

公开(公告)日：2016-12-01

申请号：US15166579

申请日：2016-05-27

Applicant: Mark Ortiz ,  Don Levy

Inventor： Mark Ortiz ,  Don Levy

IPC: A46B17/00 ,  B25G3/30 ,  B44D3/12

CPC classification number: A46B17/00 ,  B25G1/00 ,  B25G3/00 ,  B44D3/123

Abstract: A paint brush with a modified handle features a handle that is elongated in comparison to a conventional paint brush, and provides hooks for hanging the brush on the rim of a paint can. The lower end of the handle provides a threaded socket for affixing the brush on the end of a painting pole, enabling quick and easy touch-ups of any spots high above the floor or scaffold that were missed.

Abstract translation: 具有改进的手柄的油漆刷具有与常规油漆刷相比伸长的把手，并且提供用于将刷子悬挂在油漆罐的边缘上的钩子。 手柄的下端提供一个螺纹插座，用于将刷子固定在涂漆杆的末端，可以快速方便地对任何错过的地板或脚手架上方的任何高度进行接触。

公开(公告)号：US09339328B2

公开(公告)日：2016-05-17

申请号：US13390313

申请日：2010-08-20

Applicant: Mark Ortiz ,  Robert Pearson ,  Wesley Chung Joe

Inventor： Mark Ortiz ,  Robert Pearson ,  Wesley Chung Joe

IPC: A61B18/14 ,  A61B18/00

CPC classification number: A61B18/1477 ,  A61B18/148 ,  A61B2018/00083 ,  A61B2018/00196 ,  A61B2018/00613 ,  A61B2018/00767 ,  A61B2018/00875 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1467 ,  A61B2018/1475

Abstract: An energy delivery device for treating a patient includes a probe body and a plurality of elongate electrode elements that extend radially away from the probe body when deployed into tissue of the patient. The electrode elements are adapted to receive electrical treatment energy such as irreversible electroporation (IRE) pulses from an energy source. In one embodiment, each electrode element has a longitudinally varying electrical resistance at the electrode-tissue interface along the electrode so as to provide a uniform electric field along the length of the electrode. The uniform electric field allows a more uniform ablation of tissue within a treatment zone.

Abstract translation: 用于治疗患者的能量递送装置包括探针体和多个细长电极元件，其在展开到患者的组织中时径向地远离探针主体延伸。 电极元件适于接收电处理能量，例如来自能源的不可逆电穿孔（IRE）脉冲。 在一个实施例中，每个电极元件在沿电极的电极 - 组织界面处具有纵向变化的电阻，以便沿着电极的长度提供均匀的电场。 均匀电场允许在治疗区域内更均匀地消融组织。

公开(公告)号：US07476196B2

公开(公告)日：2009-01-13

申请号：US10863409

申请日：2004-06-08

Applicant: Paul A. Spence ,  Warren P. Williamson, IV ,  Mark Ortiz

Inventor： Paul A. Spence ,  Warren P. Williamson, IV ,  Mark Ortiz

IPC: A61B19/00

CPC classification number: A61B17/0218 ,  A61B17/00491 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0293 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/29 ,  A61B2017/00305 ,  A61B2017/00309 ,  A61B2017/0243 ,  A61B2017/308

Abstract: A suction cup adapted to engage a surface of a beating heart with sufficient force to move the beating heart to an unnatural position upon moving the suction cup, while the suction cup maintains engagement with the surface of the heart and the heart continues to beat. Various suction cups are described each including at least a first chamber having a flexible rim and configured to engage the surface of the beating heart and a second chamber smaller than the first chamber and fluidly connected therewith. A suspension device configured to engage a beating heart and maintain engagement via suction while moving the suspension device to move the beating heart to an unnatural position and maintain the beating heart in the unnatural position to perform a surgical procedure, while the heart continues to beat, includes a suction cup and a support arm connected thereto. The suction cup has a first chamber configured to engage the surface of the beating heart, and a second chamber smaller than the first chamber and fluidly connected therewith. The second chamber is adapted to fluidly connect the first chamber with a source of suction. The support arm is movable with the suction cup to effect movement of the beating heart after engagement of the suction cup to a surface of the beating heart. A method of manipulating a beating heart to orient the beating heart in a desired position for performing a surgical procedure includes providing a suction cup having a first chamber configured to engage the surface of the beating heart, and a second chamber smaller than the first chamber and fluidly connected with the first chamber, the second chamber being further fluidly connected to a source of suction; contacting a surface of the beating heart with the first chamber; applying suction between the first chamber and the surface of the beating heart, thereby engaging the suction member with the surface of the beating heart; and moving the suction member while maintaining engagement with the surface of the beating heart, thereby moving the beating heart.

公开(公告)号：US07407077B2

公开(公告)日：2008-08-05

申请号：US11162988

申请日：2005-09-30

Applicant: Mark Ortiz ,  Frederick Shelton, IV ,  Joseph Hueil ,  Jeffrey Swayze

Inventor： Mark Ortiz ,  Frederick Shelton, IV ,  Joseph Hueil ,  Jeffrey Swayze

IPC: A61B17/068

CPC classification number: A61B17/07207 ,  A61B17/29 ,  A61B2017/00017 ,  A61B2017/00398 ,  A61B2017/00871 ,  A61B2017/07278 ,  A61B2017/2927 ,  A61B2017/2946

Abstract: Methods and devices are provided for actuating and/or articulating a surgical stapler. In one embodiment, a surgical stapler is provided having a stapling mechanism or end effector that is movably coupled to a distal end of an elongate shaft. An electrically expandable and contractible actuator, such as an electroactive polymer actuator, can be used to pivotally or angularly adjust a position of the stapling mechanism relative to the elongate shaft by delivering energy to the electroactive polymer actuator. In another embodiment, an electroactive polymer actuator can be used to actuate the staple applying assembly, thereby driving one or more staples, and preferably at least two linear rows of staples, into tissue. The actuator can alternatively or additionally drive a blade distally to cut tissue being stapled.

Abstract translation: 提供了用于致动和/或铰接外科缝合器的方法和装置。 在一个实施例中，提供外科缝合器，其具有可移动地联接到细长轴的远端的缝合机构或端部执行器。 电可膨胀和可收缩的致动器，例如电活性聚合物致动器，可以用于通过将能量传递到电活性聚合物致动器来相对于细长轴来枢转或角度地调节缝合机构的位置。 在另一个实施方案中，电活性聚合物致动器可以用于致动钉施加组件，从而将一个或多个钉，并且优选至少两个直线排的钉驱动到组织中。 致动器可以替代地或附加地驱动刀片向远侧切割被装订的组织。

公开(公告)号：US07404509B2

公开(公告)日：2008-07-29

申请号：US11162986

申请日：2005-09-30

Applicant: Mark Ortiz ,  Frederick Shelton, IV ,  Jeffrey Swayze

Inventor： Mark Ortiz ,  Frederick Shelton, IV ,  Jeffrey Swayze

IPC: A61B17/068

CPC classification number: A61B17/07207 ,  A61B17/29 ,  A61B2017/00017 ,  A61B2017/00398 ,  A61B2017/00871 ,  A61B2017/2927 ,  A61B2017/2946

Abstract: Methods and devices are provided for actuating and/or articulating a surgical stapler. In one embodiment, a surgical stapler is provided having a stapling mechanism or end effector that is movably coupled to a distal end of an elongate shaft. An electrically expandable and contractible actuator, such as an electroactive polymer actuator, can be used to pivotally or angularly adjust a position of the stapling mechanism relative to the elongate shaft by delivering energy to the electroactive polymer actuator. In another embodiment, an electroactive polymer actuator can be used to actuate the staple applying assembly, thereby driving one or more staples, and preferably at least two linear rows of staples, into tissue. The actuator can alternatively or additionally drive a blade distally to cut tissue being stapled.

Abstract translation: 提供了用于致动和/或铰接外科缝合器的方法和装置。 在一个实施例中，提供外科缝合器，其具有可移动地联接到细长轴的远端的缝合机构或端部执行器。 电可膨胀和可收缩的致动器，例如电活性聚合物致动器，可以用于通过将能量传递到电活性聚合物致动器来相对于细长轴来枢转或角度地调节缝合机构的位置。 在另一个实施方案中，电活性聚合物致动器可以用于致动钉施加组件，从而将一个或多个钉，并且优选至少两个直线排的钉驱动到组织中。 致动器可以替代地或附加地驱动刀片向远侧切割被装订的组织。

公开(公告)号：US07377895B2

公开(公告)日：2008-05-27

申请号：US10698798

申请日：2003-10-31

Applicant: Paul A. Spence ,  Warren P. Williamson, IV ,  Mark Ortiz

Inventor： Paul A. Spence ,  Warren P. Williamson, IV ,  Mark Ortiz

IPC: A61F2/00

CPC classification number: A61B17/0218 ,  A61B17/00491 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0293 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/29 ,  A61B2017/00305 ,  A61B2017/00309 ,  A61B2017/0243 ,  A61B2017/308

Abstract: A system for use in conducting coronary surgery permits coronary surgery on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the system. The system includes a first device for engaging and repositioning the beating heart to a displaced position, and is capable of maintaining the heart in the displaced position to perform a surgical procedures. The system includes a second device adapted to engage a portion of the heart to immobilize that portion for conducting a surgical procedure in the immobilized location, while the remainder of the heart continues to beat. Both first and second devices may be adapted to be fixed to a relatively stationary object, such as a frame, which may be a sternal retractor.

Abstract translation: 用于进行冠状动脉手术的系统允许在跳动的心脏上进行冠状动脉手术，同时保持心输出量不变且不间断。 Circumflex冠状动脉手术可以使用系统进行。 该系统包括用于将跳动心脏接合并重新定位到移位位置的第一装置，并且能够将心脏保持在移位位置以执行外科手术。 该系统包括适于接合一部分心脏以将该部分固定在固定位置进行外科手术的第二装置，同时心脏的其余部分继续击打。 第一和第二装置可以适于固定到相对静止的物体，例如框架，其可以是胸骨牵开器。