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公开(公告)号：US08727964B2
公开(公告)日：2014-05-20
申请号：US12562279
申请日：2009-09-18
申请人： Daniel F. Dlugos, Jr. , Thomas E. Adams , Randal T. Byrum , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Timothy P. Lessek , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Eric W. Thompson , Mark Tsonton , Lauren S. Weaner , Christopher W. Widenhouse , Scott A. Woodruff
发明人： Daniel F. Dlugos, Jr. , Thomas E. Adams , Randal T. Byrum , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Timothy P. Lessek , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Eric W. Thompson , Mark Tsonton , Lauren S. Weaner , Christopher W. Widenhouse , Scott A. Woodruff
CPC分类号： A61F5/0053 , A61F2/0036 , A61F5/003 , A61F5/0033 , A61F5/0056 , A61F5/0059
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. The elongated member has a compressible ventral surface and a substantially rigid dorsal periphery, wherein the elongated member includes a fluid bladder positioned along the ventral surface. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. Alternate embodiments are also disclosed.
摘要翻译： 用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。 细长构件具有可压缩的腹侧表面和基本刚性的背侧周边，其中细长构件包括沿腹侧面定位的流体囊。 紧固件设置在细长构件的第一端上。 紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。 张力元件设置成在细长构件内移动。 驱动元件与张力元件相关联并与其接合，用于使张力元件控制由细长构件施加的抗张力抵靠患者身体器官或管道的张力。 还公开了替代实施例。
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公开(公告)号：US20110071646A1
公开(公告)日：2011-03-24
申请号：US12562279
申请日：2009-09-18
申请人： Daniel F. Dlugos, JR. , Thomas E. Adams , Randal T. Byrum , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Timothy P. Lessek , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Eric W. Thompson , Mark Tsonton , Lauren S. Weaner , Christopher W. Widenhouse , Scott A. Woodruff
发明人： Daniel F. Dlugos, JR. , Thomas E. Adams , Randal T. Byrum , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Timothy P. Lessek , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Eric W. Thompson , Mark Tsonton , Lauren S. Weaner , Christopher W. Widenhouse , Scott A. Woodruff
CPC分类号： A61F5/0053 , A61F2/0036 , A61F5/003 , A61F5/0033 , A61F5/0056 , A61F5/0059
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. The elongated member has a compressible ventral surface and a substantially rigid dorsal periphery, wherein the elongated member includes a fluid bladder positioned along the ventral surface. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. Alternate embodiments are also disclosed.
摘要翻译： 用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。 细长构件具有可压缩的腹侧表面和基本刚性的背侧周边，其中细长构件包括沿腹侧面定位的流体囊。 紧固件设置在细长构件的第一端上。 紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。 张力元件设置成在细长构件内移动。 驱动元件与张力元件相关联并与其接合，用于使张力元件控制由细长构件施加的抗张力抵靠患者身体器官或管道的张力。 还公开了替代实施例。
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公开(公告)号：US20110071553A1
公开(公告)日：2011-03-24
申请号：US12562257
申请日：2009-09-18
申请人： Daniel F. Dlugos, JR. , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Mark S. Ortiz , Frederick E. Shelton, IV , Patrick J. Swindon , Eric W. Thompson , Lauren S. Weaner
发明人： Daniel F. Dlugos, JR. , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Mark S. Ortiz , Frederick E. Shelton, IV , Patrick J. Swindon , Eric W. Thompson , Lauren S. Weaner
CPC分类号： A61F5/0059 , A61F2/0036 , A61F5/003 , A61F5/0056
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A load monitor ensures that excessive pressure is not applied to a patient's body organ or duct.
摘要翻译： 用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。 紧固件设置在细长构件的第一端上。 紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。 张力元件设置成在细长构件内移动。 驱动元件与张力元件相关联并与其接合，用于使张力元件控制由细长构件施加的抗张力抵靠患者身体器官或管道的张力。 负载监视器确保不会对患者的身体器官或管道施加过大的压力。
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公开(公告)号：US08523885B2
公开(公告)日：2013-09-03
申请号：US12562257
申请日：2009-09-18
申请人： Daniel F. Dlugos, Jr. , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Mark S. Ortiz , Frederick E. Shelton, IV , Patrick J. Swindon , Eric W. Thompson , Lauren S. Weaner
发明人： Daniel F. Dlugos, Jr. , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Mark S. Ortiz , Frederick E. Shelton, IV , Patrick J. Swindon , Eric W. Thompson , Lauren S. Weaner
IPC分类号： A61B17/12
CPC分类号： A61F5/0059 , A61F2/0036 , A61F5/003 , A61F5/0056
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A load monitor ensures that excessive pressure is not applied to a patient's body organ or duct.
摘要翻译： 用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。 紧固件设置在细长构件的第一端上。 紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。 张力元件设置成在细长构件内移动。 驱动元件与张力元件相关联并与其接合，用于使张力元件控制由细长构件施加的抗张力抵靠患者身体器官或管道的张力。 负载监视器确保不会对患者的身体器官或管道施加过大的压力。
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公开(公告)号：US07892220B2
公开(公告)日：2011-02-22
申请号：US11538559
申请日：2006-10-04
申请人： Craig N. Faller , Bennie Thompson , Wells D. Haberstich , Anil K. Nalagatla , Douglas J. Turner , Donna L. Korvick , Frederick E. Shelton, IV
发明人： Craig N. Faller , Bennie Thompson , Wells D. Haberstich , Anil K. Nalagatla , Douglas J. Turner , Donna L. Korvick , Frederick E. Shelton, IV
CPC分类号： A61B17/00491 , A61B17/12022 , A61B17/12099 , A61B17/12186 , A61B17/12195 , A61B2017/00818 , A61F5/0076 , A61M25/0084
摘要： An apparatus for achieving weight loss in a patient is disclosed. The apparatus has a barrier material and an applicator for dispensing the barrier material about the intestine. An injector is used to place the barrier material to block nutrient transfer from the intestine into the blood stream. The barrier material is a polymerizable adhesive that can be injected interstitially between layers of the intestine, or injected into vascular structures to partially block the flow of blood to the nutrient absorbing layers.
摘要翻译： 公开了一种用于实现患者体重减轻的装置。 该装置具有隔离材料和用于分配围绕肠的阻挡材料的施加器。 使用注射器来放置阻挡材料以阻止从肠道进入血液的营养物质转运。 阻隔材料是可以间歇地注射到肠层之间的可聚合粘合剂，或注入血管结构以部分阻断血液流向营养吸收层。
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公开(公告)号：US07699191B2
公开(公告)日：2010-04-20
申请号：US11558138
申请日：2006-11-09
申请人： John W. Sheets, Jr. , Donna L. Korvick , Georgette A. Belair , Mark S. Ortiz , Wells D. Haberstich , Ronald J. Kolata , Frederick E. Shelton, IV , James W. Voegele , Margaret M. D'Aversa , Michael T. Mather
发明人： John W. Sheets, Jr. , Donna L. Korvick , Georgette A. Belair , Mark S. Ortiz , Wells D. Haberstich , Ronald J. Kolata , Frederick E. Shelton, IV , James W. Voegele , Margaret M. D'Aversa , Michael T. Mather
CPC分类号： A61B17/00491 , A61B50/30 , A61B2090/037
摘要： A multiple use adhesive dispenser facilitates precise, extended dispensing for a surgical procedure by sequentially positioning an ampoule containing a flowable material, such as a polymerizable monomer compound such as a cyanoacrylate adhesive. In one version particularly suited to an open surgical procedure, the ampoules are affixed to a tape substrate that is unreeled from an internal storage reel and transported proximate to an ampoule gripping mechanism with an underlying tape substrate peeled away and internally stored as each ampoule is positioned for dispensing. Actuating an ampoule advancement handle positions the next ampoule and squeezing a movable handle toward a fixed handle effects dispensing. Another version has an elongate shaft that internally augers each ampoule in succession into a pair of spaced jaws that are pinched together by actuating rods to dispense adhesive.
摘要翻译： 多用途粘合剂分配器通过顺序地定位包含可流动材料（例如可聚合单体化合物例如氰基丙烯酸酯粘合剂）的安瓿，便于精确的，延伸的外科手术分配。 在特别适用于开放式外科手术的一个版本中，安瓿被固定到带状基底上，该带基底从内部储存卷轴未被拉出并被运送到附近的安瓿夹持机构，下面的带基底被剥离并且在每个安瓿被定位时内部存储 用于分配。 执行安瓿升降手柄放置下一个安瓿，并向固定手柄挤压可动手柄，实现分配。 另一个版本具有细长的轴，其内部将每个安瓿连续地螺旋连接成一对间隔开的夹爪，所述夹爪通过致动杆被夹在一起以分配粘合剂。
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7.发明授权Surgical access devices and methods providing seal movement in predefined paths 有权手术进入装置和方法，以预定路径提供密封运动公开(公告)号：US08251900B2
公开(公告)日：2012-08-28
申请号：US12399547
申请日：2009-03-06
申请人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466
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。
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8.发明申请SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED PATHS 有权外科手术设备和方法提供密封运动在预定的PATHS公开(公告)号：US20100228092A1
公开(公告)日：2010-09-09
申请号：US12399547
申请日：2009-03-06
申请人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466
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。
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9.发明申请SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED MOVEMENT REGIONS 有权预防运动区域的密封运动的外科手术装置和方法公开(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。
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10.发明授权Surgical access devices and methods providing seal movement in predefined movement regions 有权手术进入装置和在预定的运动区域中提供密封运动的方法公开(公告)号：US08961406B2
公开(公告)日：2015-02-24
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
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。
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