公开(公告)号：US08591532B2

公开(公告)日：2013-11-26

申请号：US12029806

申请日：2008-02-12

申请人： Mark S. Ortiz ,  Daniel F. Dlugos, Jr. ,  David N. Plescia ,  David C. Yates ,  Jason L. Harris ,  Mark S. Zeiner

发明人： Mark S. Ortiz ,  Daniel F. Dlugos, Jr. ,  David N. Plescia ,  David C. Yates ,  Jason L. Harris ,  Mark S. Zeiner

IPC分类号： A61B17/08

CPC分类号： A61F5/005 ,  F04B43/09 ,  F04B43/12

摘要： Devices and methods for forming a restriction in a patient are disclosed. In one exemplary embodiment, a restriction system is provided including an implantable restriction device, an implantable port in fluid communication with the implantable restriction device, and an implantable pump in fluid communication with the restriction device. In general, the implantable restriction device is adjustable and configured to form a restriction in a patient, and the implantable port is configured to receive fluid from a fluid source external to the patient. The implantable pump has a plurality of actuators configured to change shape upon the application of energy thereto such that sequential activation of the plurality of actuators is effective to create pumping action to move fluid through the pump.

摘要翻译： 公开了在患者体内形成限制的装置和方法。 在一个示例性实施例中，提供了限制系统，其包括可植入式限制装置，与可植入限制装置流体连通的可植入端口以及与限制装置流体连通的可植入泵。 通常，可植入式限制装置是可调节的并且构造成在患者体内形成限制，并且可植入端口构造成从患者外部的流体源接收流体。 可植入泵具有多个致动器，其构造成在施加能量时改变形状，使得多个致动器的顺序启动有效地产生泵送动作以使流体移动通过泵。

公开(公告)号：US08357156B2

公开(公告)日：2013-01-22

申请号：US12113739

申请日：2008-05-01

申请人： Mark S. Ortiz ,  Thomas E. Albrecht ,  Mark S. Zeiner ,  James R. Giordano ,  Matthew D. Holcomb ,  Michael J. Stokes

发明人： Mark S. Ortiz ,  Thomas E. Albrecht ,  Mark S. Zeiner ,  James R. Giordano ,  Matthew D. Holcomb ,  Michael J. Stokes

IPC分类号： A61B18/18

CPC分类号： A61F5/0083 ,  A61B1/00165 ,  A61B18/1492 ,  A61B2017/306 ,  A61B2018/00214 ,  A61B2018/00291 ,  A61B2018/00494 ,  A61B2018/00898

摘要： An inflatable medical instrument for tissue damage in gastric reduction surgery includes a main chamber composed of a biocompatible material capable of being selectively inflated. The medical instrument also includes a longitudinally extending tab member secured to an outer surface of the main chamber, a series of suction holes are formed along the tab member and an electrode is mounted on the tab member. The present invention also provides a method for forming a tissue junction used in defining a gastric pouch including damaging opposed tissue layers, apposing the tissue layers and fastening the tissue layers to allow the tissue layers to heal together.

摘要翻译： 用于胃减压手术中的组织损伤的充气医疗器械包括由能够选择性地膨胀的生物相容性材料构成的主室。 医疗器械还包括固定到主室的外表面的纵向延伸的突片构件，沿着突片构件形成一系列吸孔，并且电极安装在突片构件上。 本发明还提供了一种用于形成用于限定胃袋的组织连接的方法，包括有害的相对的组织层，放置组织层并紧固组织层以允许组织层一起愈合。

公开(公告)号：US08236011B2

公开(公告)日：2012-08-07

申请号：US12573907

申请日：2009-10-06

申请人： Jason L. Harris ,  Matthew D. Holcomb ,  Mark S. Zeiner ,  Michael J. Stokes

发明人： Jason L. Harris ,  Matthew D. Holcomb ,  Mark S. Zeiner ,  Michael J. Stokes

IPC分类号： A61B17/10 ,  A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/3498 ,  A61B90/92 ,  A61B90/94 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0464 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/2916 ,  A61B2017/2917 ,  A61B2017/292 ,  A61B2017/2923 ,  A61B2017/2926

摘要： A method for deploying fasteners including the steps of providing a device having a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle and an elongated pusher movable through the hollow housing from the distal to the proximal end for deploying the fastener from the distal end. The method includes increasing the stiffness of the pusher at a distal end thereof and advancing the pusher through the elongated housing to deploy the fasteners.

摘要翻译： 一种用于部署紧固件的方法，包括以下步骤：提供具有手柄和至少一个致动器的装置。 手柄连接到具有远端和近端的细长的中空壳体。 该装置具有第一盒，该盒包含至少一个可释放地连接到手柄的紧固件，以及可从远端到近端可穿过中空壳体的细长推动器，用于从远端展开紧固件。 该方法包括增加推动器在其远端处的刚度，并且推动推动器穿过细长壳体以展开紧固件。

公开(公告)号：US20120193399A1

公开(公告)日：2012-08-02

申请号：US13164954

申请日：2011-06-21

申请人： Matthew D. Holcomb ,  Jason L. Harris ,  Michael J. Stokes ,  Jeffrey C. Cerier ,  Jonathan B. O'Keefe ,  Keith D. Boudreau ,  Mark S. Zeiner

发明人： Matthew D. Holcomb ,  Jason L. Harris ,  Michael J. Stokes ,  Jeffrey C. Cerier ,  Jonathan B. O'Keefe ,  Keith D. Boudreau ,  Mark S. Zeiner

IPC分类号： A61B17/068

CPC分类号： A61B17/0644 ,  A61B17/0682 ,  A61B2017/00818

摘要： A surgical fastener applier having a handle and a fastener housing extending from the handle. The housing contains at least one anvil movable within the staple housing having a proximal position and a distal position. When the anvil is in the distal position a distal end of the anvil extends distal to the distal end of the staple housing. The housing contains a plurality of surgical fasteners each of which in the shape of a loop, wherein at least one fasteners is placed around the anvil when the anvil is in distal position. And a distal end of the anvil extends distal to the distal end of the staple housing. The applier further includes a first means for moving the anvil distally during a deployment of the at least one fastener, and a second means for moving the anvil distally during the deployment of the at least one fastener, wherein the second means is independent of the first means.

摘要翻译： 具有手柄和从手柄延伸的紧固件外壳的手术紧固件施加器。 壳体包含至少一个可在钉仓内移动的砧座，其具有近端位置和远端位置。 当砧座处于远端位置时，砧座的远端在钉仓的远端延伸远端。 外壳包含多个外科紧固件，每个手术紧固件为环形，其中当砧座处于远端位置时，至少一个紧固件放置在砧座周围。 并且砧座的远端延伸到钉仓的远端的远端。 施放器还包括用于在展开至少一个紧固件期间向远侧移动砧座的第一装置，以及用于在展开至少一个紧固件期间向远侧移动砧座的第二装置，其中第二装置独立于第一 手段。

公开(公告)号：US20120165794A1

公开(公告)日：2012-06-28

申请号：US12976761

申请日：2010-12-22

申请人： Mark S. Ortiz ,  Christopher J. Hess ,  Jason L. Harris ,  James W. Voegele ,  Mark S. Zeiner ,  Mark D. Overmyer ,  Joseph B. Kraimer ,  Jeff Shimizu ,  Rocco Crivelli ,  Yanik Tardy ,  Thierry Utard ,  Juergen Burger ,  Toralf Bork ,  Martin Pfleiderer ,  Olivier Chossat

发明人： Mark S. Ortiz ,  Christopher J. Hess ,  Jason L. Harris ,  James W. Voegele ,  Mark S. Zeiner ,  Mark D. Overmyer ,  Joseph B. Kraimer ,  Jeff Shimizu ,  Rocco Crivelli ,  Yanik Tardy ,  Thierry Utard ,  Juergen Burger ,  Toralf Bork ,  Martin Pfleiderer ,  Olivier Chossat

IPC分类号： A61M31/00

CPC分类号： A61B1/041 ,  A61B1/00147 ,  A61F5/0013 ,  A61M31/002

摘要： Devices and related methods are provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as “catchers,” are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs.

公开(公告)号：US08187176B2

公开(公告)日：2012-05-29

申请号：US12113823

申请日：2008-05-01

申请人： Michael J. Stokes ,  Jason L. Harris ,  Mark S. Zeiner ,  Lawrence Crainich ,  Daniel E Alesi

发明人： Michael J. Stokes ,  Jason L. Harris ,  Mark S. Zeiner ,  Lawrence Crainich ,  Daniel E Alesi

IPC分类号： A61B1/12

CPC分类号： A61B1/273 ,  A61B17/0401 ,  A61B17/0467 ,  A61B17/0487 ,  A61B17/06166 ,  A61B17/12013 ,  A61B17/122 ,  A61B17/1227 ,  A61B17/3478 ,  A61B2017/00278 ,  A61B2017/00818 ,  A61B2017/00889 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0496 ,  A61B2017/22068 ,  A61B2017/22069 ,  A61B2017/306 ,  A61M13/003

摘要： A method for laparoscopically preventing insufflation of the small bowel during gastric procedures includes applying an obstruction member at the pyloric sphincter to block the passage of gas from the gastric cavity into the small bowel and insufflating the gastric cavity.

摘要翻译： 一种在胃手术过程中用于腹腔镜下防止小肠吹入的方法包括在幽门括约肌上施加阻塞构件以阻止气体从胃腔通入小肠并吹入胃腔。

公开(公告)号：US08092479B2

公开(公告)日：2012-01-10

申请号：US12163009

申请日：2008-06-27

申请人： Thomas E. Albrecht ,  Mark S. Zeiner

发明人： Thomas E. Albrecht ,  Mark S. Zeiner

IPC分类号： A61M29/00

CPC分类号： A61F5/0036 ,  A61F5/0089

摘要： A method for placing an implant within a hollow body organ by providing a member with distal and proximal ends. The member has at least one tensioning tether with a first end attached to at least one of the distal and proximal end and a second ends attached to the member between the distal and proximal ends. The step includes moving the member towards the deployed shape by applying tension to the tether.

摘要翻译： 一种通过提供具有远端和近端的构件将植入物置于空心体器官内的方法。 所述构件具有至少一个张紧系绳，其第一端连接到所述远端和近端中的至少一个，以及附接到所述远端和近端之间的构件的第二端。 该步骤包括通过向系绳施加张力来将构件移动到展开形状。

公开(公告)号：US20110144444A1

公开(公告)日：2011-06-16

申请号：US12636191

申请日：2009-12-11

申请人： Kiyoto B. Sakai, JR. ,  Shailendra K. Parihar ,  Mark S. Zeiner ,  Edgar V. Menezes ,  Aron O. Zingman

发明人： Kiyoto B. Sakai, JR. ,  Shailendra K. Parihar ,  Mark S. Zeiner ,  Edgar V. Menezes ,  Aron O. Zingman

IPC分类号： A61B1/32

CPC分类号： A61B1/32 ,  A61B17/3421 ,  A61B17/3423 ,  A61B2017/2905 ,  A61B2017/2908 ,  A61B2017/3443 ,  A61B2017/3484 ,  A61B2017/349

摘要： Methods and devices are provided for providing surgical access into a body cavity. A surgical access port is provided that has an adjustable longitudinal length, such as by being formed from multiple segments configured to move relative to one another. An anchor can be coupled to a distal end of the surgical access port to help secure the surgical access port within a tissue opening by engaging a distal side of the tissue. Optionally, the anchor can be removably coupled to the distal end of the surgical access port, thereby allowing any one of a plurality of anchors to be selectively coupled thereto.

公开(公告)号：US07951159B2

公开(公告)日：2011-05-31

申请号：US11696231

申请日：2007-04-04

申请人： Michael J. Stokes ,  Mark S. Zeiner

发明人： Michael J. Stokes ,  Mark S. Zeiner

IPC分类号： A61B17/08

CPC分类号： A61B17/1227 ,  A61B17/1285 ,  A61B2017/306

摘要： A method for creating a plication within a hollow organ. The method uses an elongated member having an end effector attached to its distal end. The end effector has a substantially hollow housing, a fixed jaw extending distally from the housing, and a retractable jaw located within the housing. The method involves the step of inserting the end effector within an organ of a patient such that it is in contact with tissue. The method also involves applying vacuum through the elongated member so as to dispose tissue on the fixed jaw and at least partially within the housing. The method also involves creating a plication by sliding the retractable jaw so that it juxtaposes the fixed jaw.

摘要翻译： 一种在中空器官内形成脓肿的方法。 该方法使用具有附接到其远端的末端执行器的细长构件。 末端执行器具有基本上中空的壳体，从壳体向远侧延伸的固定夹爪以及位于壳体内的可伸缩爪。 该方法包括将末端执行器插入患者的器官以使其与组织接触的步骤。 该方法还涉及通过细长构件施加真空，以便将组织布置在固定夹爪上并且至少部分地在壳体内。 该方法还涉及通过滑动可伸缩钳口使其并置固定夹爪来产生折痕。

公开(公告)号：US20110105850A1

公开(公告)日：2011-05-05

申请号：US12612911

申请日：2009-11-05

申请人： James W. Voegele ,  David B. Griffith ,  Mark S. Zeiner

发明人： James W. Voegele ,  David B. Griffith ,  Mark S. Zeiner

IPC分类号： A61B1/32 ,  A61B17/42 ,  A61B17/3209

CPC分类号： A61B1/303 ,  A61B17/3423 ,  A61B2017/345 ,  A61B2017/3466 ,  A61B2017/348

摘要： A surgical method, system, kit, and various devices are provided for use in, among other things, vaginal entry during a natural orifice translumenal endoscopic surgical procedure. A system and/or method provide for the rapid creation of a conduit and/or multiple ports in a natural orifice, such as a patient's vagina, while accommodating anatomical variation to reduce the need to excise additional tissue from the patient.

摘要翻译： 提供外科手术方法，系统，试剂盒和各种装置，用于除了别的以外，还可用于天然口腔内窥镜手术中的阴道进入。 一种系统和/或方法提供了在诸如患者的阴道之类的自然孔中快速产生导管和/或多个端口，同时容纳解剖变异以减少从患者切除额外组织的需要。