公开(公告)号：US07980443B2

公开(公告)日：2011-07-19

申请号：US12031873

申请日：2008-02-15

申请人： Charles J. Scheib ,  Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Kevin R. Doll ,  Bret W. Smith ,  William D. Kelly ,  Ronald J. Kolata ,  Joshua R. Uth ,  Frederick E. Shelton, IV ,  William B. Weisenburgh, II ,  Jerome R. Morgan ,  Kyle P. Moore ,  Mark H. Ransick ,  Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Jeffrey S. Swayze ,  Thomas W. Huitema ,  Glen A. Armstrong ,  Shailendra K. Parihar ,  Donna L. Korvick ,  Richard W. Timm ,  Gregory B. Blair

发明人： Charles J. Scheib ,  Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Kevin R. Doll ,  Bret W. Smith ,  William D. Kelly ,  Ronald J. Kolata ,  Joshua R. Uth ,  Frederick E. Shelton, IV ,  William B. Weisenburgh, II ,  Jerome R. Morgan ,  Kyle P. Moore ,  Mark H. Ransick ,  Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Jeffrey S. Swayze ,  Thomas W. Huitema ,  Glen A. Armstrong ,  Shailendra K. Parihar ,  Donna L. Korvick ,  Richard W. Timm ,  Gregory B. Blair

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B2017/00473 ,  A61B2017/07214 ,  A61B2017/320052

摘要： In various embodiments, an anvil of a disposable loading unit including a first member having staple pockets for deforming staples, a first cover plate secured to the first member, and a second cover plate secured to at least one of the first member and the first cover plate, wherein the first and second cover plates can be configured to support the first member. In at least one embodiment, an anvil can include a first member inserted into a second member, where at least one of the first and second members can be deformed to retain one to the other. In various embodiments, a surgical stapling instrument can include a disposable loading unit comprising a staple cartridge, an anvil, and a sleeve, wherein the sleeve can be configured to be slid relative to the staple cartridge and the anvil to hold the anvil in a closed position.

摘要翻译： 在各种实施例中，一次性加载单元的砧座包括具有用于使订书钉变形的订书钉仓的第一构件，固定到第一构件的第一盖板和固定到第一构件和第一盖板中的至少一个的第二盖板 板，其中第一和第二盖板可被配置为支撑第一构件。 在至少一个实施例中，砧可以包括插入第二构件中的第一构件，其中第一构件和第二构件中的至少一个可以变形以保持彼此。 在各种实施例中，外科缝合器械可以包括一次性加载单元，其包括钉仓，砧座和套筒，其中所述套筒可以被构造成相对于钉仓和砧座滑动以将砧座保持在闭合状态 位置。

公开(公告)号：US07976553B2

公开(公告)日：2011-07-12

申请号：US11394178

申请日：2006-03-31

申请人： Frederick E. Shelton, IV ,  Michael J. Stokes ,  Mark S. Ortiz

发明人： Frederick E. Shelton, IV ,  Michael J. Stokes ,  Mark S. Ortiz

IPC分类号： A61B17/04

CPC分类号： A61B1/005 ,  A61B1/00087 ,  A61B1/00094 ,  A61B1/00133 ,  A61B1/0014 ,  A61B1/2736 ,  A61B1/313 ,  A61B5/026 ,  A61B5/0261 ,  A61B17/00491 ,  A61B17/0466 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/0493 ,  A61B17/06066 ,  A61B17/062 ,  A61B34/20 ,  A61B90/36 ,  A61B2017/00022 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/00407 ,  A61B2017/00469 ,  A61B2017/00477 ,  A61B2017/00561 ,  A61B2017/0479 ,  A61B2017/0496 ,  A61B2017/06076 ,  A61B2017/0608 ,  A61B2017/06185 ,  A61B2017/306 ,  A61B2090/037 ,  A61B2090/0811 ,  A61B2090/374 ,  A61B2090/378

摘要： A surgical suturing apparatus includes a suture housing, a needle mounted within the suture housing for movement about an arcuate path, a drive assembly operably associated with the needle for controlling movement of the needle with a suture secured thereto about the arcuate path in a manner facilitating application of the suture to tissue, a handle, an elongated flexible member having a distal end attached to the suture housing and a proximal end attached to the handle, and a mechanism for releasing and reattaching the handle to the flexible member.

摘要翻译： 手术缝合装置包括缝合线壳体，安装在缝合线壳体内用于围绕弓形路径运动的针，可操作地与针头相关联的驱动组件，用于控制针头以围绕弓形路径固定到其上的缝合线的运动，从而促进 将缝合线应用于组织，手柄，具有连接到缝合线壳体的远端的细长柔性构件和附接到手柄的近端，以及用于将手柄释放并重新附接到柔性构件的机构。

公开(公告)号：US20110106225A1

公开(公告)日：2011-05-05

申请号：US12835046

申请日：2010-07-13

申请人： Lucas B. Elmer ,  Mark D. Overmyer ,  Alessandro Pastorelli ,  Frederick E. Shelton, IV ,  Galen C. Robertson ,  Jeffrey D. Messerly ,  Stephen J. Balek ,  Mark S. Ortiz

发明人： Lucas B. Elmer ,  Mark D. Overmyer ,  Alessandro Pastorelli ,  Frederick E. Shelton, IV ,  Galen C. Robertson ,  Jeffrey D. Messerly ,  Stephen J. Balek ,  Mark S. Ortiz

IPC分类号： A61B18/04

CPC分类号： A61F5/0013 ,  A61M27/002 ,  A61M2210/1057

摘要： The present invention generally provides for correcting an imbalance between caloric intake and caloric expenditure in patients, as well as for treating co-morbidities often associated therewith, which is non-invasive or minimally invasive and which may be reversible. More specifically, the present invention provides systems which cause metabolic improvement in a patient by controlling the amount of bile available for food breakdown or by controlling the effective absorption time and area by delivering bile to selected locations in the intestinal tract. These methods and devices fall under three general categories: bile diversion systems, bile manipulation systems, and surgical methods.

摘要翻译： 本发明通常提供用于校正患者的热量摄取和热量消耗之间的不平衡，以及用于治疗常常与之相关的并发症，其是非侵入性的或微创的并且可以是可逆的。 更具体地，本发明提供了通过控制可用于食物分解的胆汁的量或通过将胆汁递送到肠道中的选定位置来控制有效吸收时间和面积来引起患者代谢改善的系统。 这些方法和设备属于三个一般类别：胆汁引流系统，胆汁操作系统和手术方法。

公开(公告)号：US07913891B2

公开(公告)日：2011-03-29

申请号：US12031624

申请日：2008-02-14

申请人： Kevin R. Doll ,  Joshua R. Uth ,  Charles J. Scheib ,  Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Gregory B. Blair ,  Frederick E. Shelton, IV

发明人： Kevin R. Doll ,  Joshua R. Uth ,  Charles J. Scheib ,  Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Gregory B. Blair ,  Frederick E. Shelton, IV

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B2017/0023 ,  A61B2017/00473 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2090/0811

摘要： A disposable loading unit for operable attachment to a surgical stapling apparatus. The disposable loading unit may have a spent cartridge indication system for providing an indication of whether the loading unit has been previously fired. Other embodiments are disclosed that employ a blade monitoring system for providing feedback to the user concerning the amount of strain being experienced by the blade during cutting and stapling.

摘要翻译： 一种用于可操作地附接到外科缝合装置的一次性装载单元。 一次性装载单元可以具有废料盒指示系统，用于提供装载单元是否已经被先前触发的指示。 公开了其他实施例，其采用叶片监控系统，用于向用户提供关于在切割和装订期间由叶片经历的应变量的反馈。

公开(公告)号：US07862582B2

公开(公告)日：2011-01-04

申请号：US11381183

申请日：2006-05-02

申请人： Mark S. Ortiz ,  Thomas E. Albrecht ,  Frederick E. Shelton, IV

发明人： Mark S. Ortiz ,  Thomas E. Albrecht ,  Frederick E. Shelton, IV

IPC分类号： A61B17/08 ,  A61B17/58 ,  A61B17/60 ,  A61D1/00 ,  B65H75/48

CPC分类号： A61B17/06061 ,  A61B17/0483 ,  A61B17/06119 ,  A61B17/06123 ,  A61B2017/0496 ,  A61B2017/06028

摘要： Various exemplary methods and devices are provided for tensioning suture. The methods and devices are particularly useful in surgical suturing applications in which it is desirable to maintain tension on suture being delivered, yet to allow the tension to be released as desired without retracting the suture. Thus, when tension is released, a length of suture extended from the device can remain extended without any tension being applied thereto. Tension is only applied to any additional length of suture that is extended from the device. The tension applied to the suture is proportional to the length of the suture extended from the device until the tension is released and reset.

摘要翻译： 提供用于张紧缝合线的各种示例性方法和装置。 所述方法和装置在手术缝合应用中特别有用，其中希望保持缝合线被递送时的张力，而允许根据需要释放张力而不缩回缝合线。 因此，当释放张力时，从装置延伸的缝合线的长度可以保持延长，而不施加任何张力。 张力仅适用于从设备延伸的任何额外长度的缝合线。 施加到缝合线上的张力与从装置延伸的缝合线的长度成比例，直到张力被释放和复位。

公开(公告)号：US20100228094A1

公开(公告)日：2010-09-09

申请号：US12399656

申请日：2009-03-06

申请人： Mark S. Ortiz ,  David T. Martin ,  Matthew C. Miller ,  Mark J. Reese ,  Wells D. Haberstich ,  Carl Shurtleff ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Jerome R. Morgan ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Gregory Johnson ,  Kevin L. Houser

发明人： Mark S. Ortiz ,  David T. Martin ,  Matthew C. Miller ,  Mark J. Reese ,  Wells D. Haberstich ,  Carl Shurtleff ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Jerome R. Morgan ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Gregory Johnson ,  Kevin L. Houser

IPC分类号： A61B1/32

CPC分类号： A61B17/0293 ,  A61B17/0218 ,  A61B17/3423 ,  A61B17/3462 ,  A61B17/3474 ,  A61B2017/0225 ,  A61B2017/3419 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3466 ,  A61M13/003

摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.

摘要翻译： 提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。 密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵， 保持吹风。

公开(公告)号：US20090206132A1

公开(公告)日：2009-08-20

申请号：US12032024

申请日：2008-02-15

申请人： Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Frederick E. Shelton, IV

发明人： Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Frederick E. Shelton, IV

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B50/30 ,  A61B90/98 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/2927

摘要： A surgical apparatus particularly suited for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. A handle assembly includes a movable handle. The movable handle is movable through an actuation stroke. An elongate body extends distally from the handle assembly and defines a longitudinal axis. The elongate body has a distal end adapted to releasably engage both articulating and non-articulating disposable loading unit types. An actuation shaft is supported at least in part within the handle assembly and is mounted for longitudinal movement in response to manipulation of the actuation handle. An energy activated firing lockout system prevents operation of the surgical apparatus under a plurality of conditions.

摘要翻译： 提供了一种特别适合于将多个紧固件顺次施加到身体组织并同时切割组织的手术装置。 手柄组件包括可移动手柄。 可移动手柄可通过致动行程移动。 细长主体从手柄组件向远侧延伸并且限定纵向轴线。 细长主体具有适于可释放地接合铰接和非铰接的一次性装载单元类型的远端。 致动轴至少部分地支撑在手柄组件内，并且响应于致动手柄的操纵而安装成用于纵向移动。 能量激活的点火锁定系统防止在多种情况下手术器械的操作。

公开(公告)号：US20090206128A1

公开(公告)日：2009-08-20

申请号：US12030974

申请日：2008-02-14

申请人： Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Frederick E. Shelton, IV ,  Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Gregory B. Blair

发明人： Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Frederick E. Shelton, IV ,  Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Gregory B. Blair

IPC分类号： A61B17/04

CPC分类号： A61B17/07207 ,  A61B90/70 ,  A61B2017/2901 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/291 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2927

摘要： A surgical stapling apparatus configured for use with disposable loading units. In various embodiments, the surgical stapling apparatus includes a retraction system that interfaces with an actuation shaft that is movably supported within a handle housing. The actuation shaft is configured to move axially within the handle housing from a fully retracted position to a fully fired position in response to manipulation of a movable handle operably mounted to the handle housing. The retraction system serves to automatically retract the actuation shaft to the fully retracted position when the actuation shaft has moved to the fully fired position.

摘要翻译： 构造成与一次性装载单元一起使用的外科缝合装置。 在各种实施例中，外科缝合装置包括与可移动地支撑在手柄壳体内的致动轴接合的缩回系统。 致动轴构造成响应于可操作地安装到手柄壳体上的可动手柄的操纵，将手柄壳体内的轴向从完全缩回位置移动到完全发射位置。 当致动轴已经移动到完全发射位置时，收缩系统用于将致动轴自动地缩回到完全缩回位置。

公开(公告)号：US20080105700A1

公开(公告)日：2008-05-08

申请号：US11557619

申请日：2006-11-08

申请人： James Walden Voegele ,  Mark S. Ortiz ,  Christopher W. Widenhouse ,  Frederick E. Shelton

发明人： James Walden Voegele ,  Mark S. Ortiz ,  Christopher W. Widenhouse ,  Frederick E. Shelton

IPC分类号： B67B7/00

CPC分类号： A61B17/00491 ,  A61B2017/00495 ,  A61M5/19

摘要： A system for dispensing an adhesive comprises a first dispenser, a second dispenser, and a conduit. The first dispenser contains an adhesive. The second dispenser comprises a fluid. The first dispenser and second dispenser are each in fluid communication with the conduit. The conduit has an opening. One or both of the first dispenser or the second dispenser is operable to dispense adhesive or fluid through the opening of the conduit. The system may be used to apply adhesive to the tissue of a patient in a precise and controlled manner.

摘要翻译： 用于分配粘合剂的系统包括第一分配器，第二分配器和导管。 第一分配器含有粘合剂。 第二分配器包括流体。 第一分配器和第二分配器各自与导管流体连通。 导管有一个开口。 第一分配器或第二分配器中的一个或两个可操作以通过导管的开口分配粘合剂或流体。 该系统可以用于以精确和可控的方式将粘合剂施加到患者的组织。

公开(公告)号：US20120165796A1

公开(公告)日：2012-06-28

申请号：US12976726

申请日：2010-12-22

申请人： Mark S. Ortiz ,  Christopher J. Hess ,  Jason L. Harris ,  James W. Voegele ,  William B. Weisenburgh, II ,  Mark S. Zeiner ,  Mark D. Overmyer

发明人： Mark S. Ortiz ,  Christopher J. Hess ,  Jason L. Harris ,  James W. Voegele ,  William B. Weisenburgh, II ,  Mark S. Zeiner ,  Mark D. Overmyer

IPC分类号： A61M31/00

CPC分类号： A61M31/002 ,  A61B1/041

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.