公开(公告)号：US08460186B2

公开(公告)日：2013-06-11

申请号：US12636205

申请日：2009-12-11

申请人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Mark S. Zeiner ,  Theodore J. DiMagno ,  Edgar V. Menezes ,  Aron O. Zingman

发明人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Mark S. Zeiner ,  Theodore J. DiMagno ,  Edgar V. Menezes ,  Aron O. Zingman

IPC分类号： A61B1/32

CPC分类号： A61B17/3421 ,  A61B2017/2905 ,  A61B2017/2908 ,  A61B2017/3443 ,  A61B2017/3484 ,  A61B2017/3492 ,  A61B2090/037

摘要： Methods and devices are provided for providing access through tissue to a surgical site. Generally, the methods and devices allow adjustment of a surgical access port's longitudinal length. In one embodiment, a surgical access port is provided that includes a housing having a cannula distally extending therefrom. The housing can be configured to cut a proximal portion of the cannula to adjust a longitudinal length of the cannula and hence of the surgical access port. In another embodiment, a surgical access port is provided that includes a cannula formed of a plurality of modular segments removably coupled together. One or more of the segments can be configured to be removable from the cannula to change the cannula's longitudinal length.

摘要翻译： 提供了用于提供通过组织进入外科手术部位的方法和装置。 通常，所述方法和装置允许调整手术进入口的纵向长度。 在一个实施例中，提供了一种外科进入口，其包括具有从其向远侧延伸的套管的壳体。 壳体可以构造成切割套管的近端部分，以调整套管的纵向长度并因此调整外科进入口的纵向长度。 在另一个实施例中，提供了一种外科进入口，其包括由可拆卸地联接在一起的多个模块段组成的套管。 可以将一个或多个部分构造成可从套管移除以改变套管的纵向长度。

公开(公告)号：US20110144449A1

公开(公告)日：2011-06-16

申请号：US12636205

申请日：2009-12-11

申请人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Mark S. Zeiner ,  Theodore J. DiMagno ,  Edgar V. Menezes ,  Aron O. Zingman

发明人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Mark S. Zeiner ,  Theodore J. DiMagno ,  Edgar V. Menezes ,  Aron O. Zingman

IPC分类号： A61B1/32

CPC分类号： A61B17/3421 ,  A61B2017/2905 ,  A61B2017/2908 ,  A61B2017/3443 ,  A61B2017/3484 ,  A61B2017/3492 ,  A61B2090/037

摘要： Methods and devices are provided for providing access through tissue to a surgical site. Generally, the methods and devices allow adjustment of a surgical access port's longitudinal length. In one embodiment, a surgical access port is provided that includes a housing having a cannula distally extending therefrom. The housing can be configured to cut a proximal portion of the cannula to adjust a longitudinal length of the cannula and hence of the surgical access port. In another embodiment, a surgical access port is provided that includes a cannula formed of a plurality of modular segments removably coupled together. One or more of the segments can be configured to be removable from the cannula to change the cannula's longitudinal length.

摘要翻译： 提供了用于提供通过组织进入外科手术部位的方法和装置。 通常，所述方法和装置允许调整手术进入口的纵向长度。 在一个实施例中，提供了一种外科进入口，其包括具有从其向远侧延伸的套管的壳体。 壳体可以构造成切割套管的近端部分，以调整套管的纵向长度并因此调整外科进入口的纵向长度。 在另一个实施例中，提供了一种外科进入口，其包括由可拆卸地联接在一起的多个模块段组成的套管。 可以将一个或多个部分构造成可从套管移除以改变套管的纵向长度。

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：US08517932B2

公开(公告)日：2013-08-27

申请号：US12636191

申请日：2009-12-11

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

发明人： Kiyoto Benjamin 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.

摘要翻译： 提供了用于提供进入体腔的外科手术的方法和装置。 提供具有可调节纵向长度的外科进入口，例如通过被构造​​为相对于彼此移动的多个部分形成。 锚固件可以联接到外科进入口的远端，以通过接合组织的远侧侧面来帮助将外科进入端口固定在组织开口内。 可选地，锚固件可以可移除地联接到手术进入口的远端，从而允许多个锚定件中的任何一个选择性地联接到其上。

公开(公告)号：US08758405B2

公开(公告)日：2014-06-24

申请号：US11277334

申请日：2006-03-23

申请人： Mark S. Zeiner ,  Mark S. Ortiz

发明人： Mark S. Zeiner ,  Mark S. Ortiz

IPC分类号： A61B17/04

CPC分类号： A61B17/04 ,  A61B17/0483 ,  A61B17/0487 ,  A61B2017/0445 ,  A61B2017/0454 ,  A61B2017/0488 ,  A61B2017/0496

摘要： The present invention generally provides devices and methods for tensioning a length of suture. In one embodiment, a suture tensioning device is provided having a shaft and a suture grasping member. A knotting element can be removably coupled to a distal end of the shaft, and it can be adapted to receive a suture and to lock to engage the suture. The suture grasping member can be movably coupled to the shaft and configured to grasp a suture and pull it through the knotting element to allow the knotting element to lock and engage the suture.

摘要翻译： 本发明通常提供用于张紧一段缝合线的装置和方法。 在一个实施例中，提供了具有轴和缝合线抓持构件的缝合线张紧装置。 打结元件可以可移除地联接到轴的远端，并且其可以适于接收缝合线并锁定以接合缝合线。 缝线抓持构件可以可移动地联接到轴并且构造成抓住缝合线并将其拉过打结元件以允许打结元件锁定并接合缝合线。

公开(公告)号：US08337389B2

公开(公告)日：2012-12-25

申请号：US12020880

申请日：2008-01-28

申请人： Daniel F. Dlugos, Jr. ,  Mark S. Ortiz ,  Amy L. Marcotte ,  Randal T. Byrum ,  David N. Plescia ,  Jason L. Harris ,  Mark S. Zeiner

发明人： Daniel F. Dlugos, Jr. ,  Mark S. Ortiz ,  Amy L. Marcotte ,  Randal T. Byrum ,  David N. Plescia ,  Jason L. Harris ,  Mark S. Zeiner

IPC分类号： A61F13/00 ,  A61F2/00 ,  A61B5/103 ,  A61B5/117

CPC分类号： A61F5/005 ,  A61B5/037 ,  A61B5/4848 ,  A61B5/6852 ,  A61B5/686 ,  A61B5/687 ,  A61B5/6871 ,  A61F5/0059 ,  G06F19/00

摘要： Methods and devices are provided for diagnosing performance of a gastric restriction system. In general, the methods and devices can enable patients, health care providers, and others to use pressure data as a feedback mechanism to monitor efficacy of an implantable restriction device and to identify, train, and/or prescribe treatment plan options. Pressure data monitoring can be used locally and/or remotely to monitor a restriction in a patient and compare gathered pressure data with a typical pressure of the restriction. Based on the results of the comparison, possible problems related to the patient and the restriction can be identified and diagnosed with possible cause(s) and solution(s). Notice of any detected possible problems, causes, and/or solutions can be provided to a user.

摘要翻译： 提供了用于诊断胃限制系统性能的方法和装置。 一般来说，方法和设备可以使患者，医疗保健提供者和其他人能够使用压力数据作为反馈机制来监测可植入的限制装置的功效并识别，训练和/或开出治疗计划选项。 压力数据监测可以在本地和/或远程用于监测患者的限制，并将收集的压力数据与限制的典型压力进行比较。 基于比较的结果，可以鉴定和诊断与患者和限制有关的可能问题和可能的原因和解决方案。 可以向用户提供任何检测到的可能的问题，原因和/或解决方案的注意事项。

公开(公告)号：US08221439B2

公开(公告)日：2012-07-17

申请号：US12027820

申请日：2008-02-07

申请人： Daniel F. Dlugos, Jr. ,  Mark S. Ortiz ,  Amy L. Marcotte ,  David N. Plescia ,  Jason L. Harris ,  Mark S. Zeiner ,  Michael J. Stokes ,  Sean P. Conlon ,  David C. Yates

发明人： Daniel F. Dlugos, Jr. ,  Mark S. Ortiz ,  Amy L. Marcotte ,  David N. Plescia ,  Jason L. Harris ,  Mark S. Zeiner ,  Michael J. Stokes ,  Sean P. Conlon ,  David C. Yates

IPC分类号： A61B17/08

CPC分类号： A61F5/0059

摘要： Various powering devices are provided for transferring and/or generating energy from numerous sources to a communicating member implanted in a patient. The energy transferred to or generated by the communicating member can be used to provide power to an implantable restriction system configured to form a restriction in a pathway.

摘要翻译： 提供各种供电设备用于将许多来源的能量传递和/或产生到植入患者体内的连通构件。 传递到通信构件或由通信构件产生的能量可以用于为配置成在路径中形成限制的可植入限制系统提供电力。

公开(公告)号：US20120165792A1

公开(公告)日：2012-06-28

申请号：US12976648

申请日：2010-12-22

申请人： Mark S. Ortiz ,  Christopher J. Hess ,  Jason L. Harris ,  James T. Spivey ,  Michael J. Stokes ,  Thomas E. Albrecht ,  Mark S. Zeiner ,  Joseph Bernard Kraimer ,  James Anthony Topich ,  Daniel James Prenger

发明人： Mark S. Ortiz ,  Christopher J. Hess ,  Jason L. Harris ,  James T. Spivey ,  Michael J. Stokes ,  Thomas E. Albrecht ,  Mark S. Zeiner ,  Joseph Bernard Kraimer ,  James Anthony Topich ,  Daniel James Prenger

IPC分类号： A61M37/00

CPC分类号： A61M31/002 ,  A61B1/00147 ,  A61B1/041 ,  A61B5/07 ,  A61B5/4839

摘要： Devices and related methods arc 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.

摘要翻译： 提供了设备和相关方法，用于将治疗剂控制递送到身体内的目标位置。 更具体地，提供了用于控制经口给药的药丸通过身体的速率的方法和装置，以及用于控制体内在特定位置处的丸剂内的治疗剂的递送。 提供了在本文中通常被称为“捕获器”的各种类型的装置，其可以在通过身体时主动地捕捉药丸。 捕手可以将药丸保持在身体内的特定位置，直到发生预定事件，例如部分或完全。 给药丸内的治疗剂。 然后，捕手可以在命令和/或发生预定事件时释放药片以允许药丸从身体中流出。 在其他实施例中，提供了可以主动地接合捕获器并保持与捕获器接合的各种类型的药丸，直到发生预定事件。

公开(公告)号：US08133217B2

公开(公告)日：2012-03-13

申请号：US12113779

申请日：2008-05-01

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

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

IPC分类号： A61B18/18

CPC分类号： A61F5/0083 ,  A61B18/1492 ,  A61B2017/306 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00291 ,  A61B2018/00482 ,  A61B2018/00494 ,  A61B2090/3908 ,  A61B2090/395 ,  A61B2218/002 ,  A61B2218/007

摘要： A marking apparatus includes a selectively inflatable balloon. The balloon includes an external lumen adapted for connection to a vacuum source. The external lumen includes ports for creating a vacuum at the ports sufficient to draw walls of the gastric cavity into contact with the external lumen. The balloon is further provided with RF energy delivery devices. In accordance with an alternate embodiment, a marking apparatus includes an elongated, hollow body, the hollow body including a proximal end and a distal end. The hollow body includes at least one suction trough in which a plurality of holes is disposed to draw suction on tissue. The at least one suction trough extends along a substantial portion of the hollow body as it extends from its distal end to its proximal end.

摘要翻译： 标记装置包括可选择性地充气的气球。 气囊包括适于连接到真空源的外部内腔。 外腔包括用于在足以将胃壁的壁与外腔接触的端口处产生真空的端口。 气球还设有射频能量输送装置。 根据替代实施例，标记装置包括细长的中空本体，中空本体包括近端和远端。 所述中空体包括至少一个吸入槽，在所述至少一个吸入槽中设置有多个孔以在组织上抽吸。 当所述至少一个吸入槽从其远端延伸到其近端时，所述至少一个吸入槽沿着所述中空体的主要部分延伸。

公开(公告)号：US08118820B2

公开(公告)日：2012-02-21

申请号：US11394174

申请日：2006-03-31

申请人： Michael J. Stokes ,  Thomas E. Albrecht ,  Mark S. Ortiz ,  Mark S. Zeiner ,  Andrew M. Zwolinski ,  Frederick E. Shelton, IV

发明人： Michael J. Stokes ,  Thomas E. Albrecht ,  Mark S. Ortiz ,  Mark S. Zeiner ,  Andrew M. Zwolinski ,  Frederick E. Shelton, IV

IPC分类号： A61B17/04

CPC分类号： A61B17/0469

摘要： A method for inserting an instrument through a natural orifice. The instrument has a low profile orientation and a deployed orientation which is larger than the size of the natural orifice through which it is to be inserted. The method is achieved by coupling the instrument to an endoscope and placing the instrument in its low profile orientation, inserting the endoscope and the instrument through a natural orifice to a target position within a body while the instrument is in its low profile orientation, actuating the instrument to it is deployed orientation, and returning the instrument to its low profile orientation and withdrawing the instrument from the body through the natural orifice.

摘要翻译： 一种通过天然孔口插入仪器的方法。 仪器具有低轮廓取向和展开方向，其大于被插入的自然孔的尺寸。 该方法通过将仪器连接到内窥镜并将仪器置于其低轮廓取向来实现，其中，当仪器处于其低剖面取向时，将内窥镜和仪器通过自然孔口插入到身体内的目标位置，致动 仪器部署方向，并将仪器返回到其低调方向，并将仪器从身体通过自然孔抽出。