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111. 发明授权

US5160339A Endoscopic suture clip 失效
标题翻译：内窥镜夹
公开(公告)号：US5160339A
公开(公告)日：1992-11-03
申请号：US717134
申请日：1991-06-18
申请人： Chao C. Chen , William Zwaskis , Mark Ortiz
发明人： Chao C. Chen , William Zwaskis , Mark Ortiz
IPC分类号： A61B1/00 , A61B17/00 , A61B17/04 , A61B17/12 , A61B17/122 , A61B17/128
CPC分类号： A61B17/1285 , A61B17/0487 , A61B17/122 , A61B17/0469 , A61B2017/00004 , A61B2017/0454 , A61B2017/0488 , Y10S227/902
摘要： An improved surgical clip having first and second leg members joined at their proximal ends by resilient hinge means and terminating at their distal ends in latch means. Each leg member has an outer surface and a clamping inner surface. The outer surface of each leg member is configured to be accepted by the jaws of a clip applier. The improvement in the clip design specifically relates to the design of the clamping inner surface of each leg member of the clip. The clamping inner surface of the first leg member has a convex radius of curvature extending transversely across at least a portion of the width of the first leg member, and the clamping inner surface of the second leg member has a concave radius of curvature extending transversely across at least a portion of the width of the second leg member. The radius of curvature of the clamping inner surface of the first leg member is smaller than, and complementary to, the radius of curvature of the clamping inner surface of the second leg member.

112. 发明授权

US08317695B2 Device to permit offpump beating heart coronary bypass surgery 有权
标题翻译：允许偏心跳动心脏冠状动脉旁路手术的装置
公开(公告)号：US08317695B2
公开(公告)日：2012-11-27
申请号：US12336290
申请日：2008-12-16
申请人： Paul A. Spence , Warren P. Williamson, IV , Mark Ortiz
发明人： Paul A. Spence , Warren P. Williamson, IV , Mark Ortiz
IPC分类号： A61B1/32
CPC分类号： 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
摘要： 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. A component of the system engages the heart with a heart positioning device, repositions the heart into a displaced position and maintains it in the displaced position while the heart continues to beat with substantially unabated and uninterrupted cardiac output. One form of the system can be used in minimally invasive surgery.
摘要翻译：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。该系统的一个组件与心脏定位装置的心脏接合，将心脏重新定位到位移位置，并将其保持在位移位置，同时心脏继续以基本上不间断的和不间断的心输出量搏动。该系统的一种形式可用于微创手术。

113. 发明申请

US20100256628A1 Irreversible Electroporation (IRE) for Congestive Obstructive Pulmonary Disease (COPD) 有权
标题翻译：充血性阻塞性肺疾病（COPD）的不可逆电穿孔（IRE）
公开(公告)号：US20100256628A1
公开(公告)日：2010-10-07
申请号：US12754210
申请日：2010-04-05
申请人： Robert Pearson , Mark Ortiz , Peter Callas
发明人： Robert Pearson , Mark Ortiz , Peter Callas
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B18/1477 , A61B2017/00176 , A61B2018/00214 , A61B2018/0022 , A61B2018/00541 , A61B2018/00577 , A61B2018/00613 , A61B2018/00898 , A61B2018/1425 , A61M25/10 , A61N1/0519 , A61N1/327
摘要： A method for treating Chronic Obstructive Pulmonary Disease (COPD) or chronic bronchitis to alleviate the discomforts of breathing by using non-thermal electroporation energy to ablate diseased portions of the lung including the bronchus, airways and alveoli which, in effect, opens the restrictive diseased portions thereby maximizing the overall surface area thereof causing improved airflow and uninhibited breathing.
摘要翻译：一种用于治疗慢性阻塞性肺疾病（COPD）或慢性支气管炎的方法，以通过使用非热电穿孔能量来消除包括支气管，气道和肺泡在内的肺部疾病部分来缓解呼吸困难，其实际上打开限制性疾病从而使其整个表面积最大化，从而改善气流和不受阻碍的呼吸。

114. 发明授权

US07326177B2 Tissue stabilizer having an articulating lift element 失效
公开(公告)号：US07326177B2
公开(公告)日：2008-02-05
申请号：US10137643
申请日：2002-04-30
申请人： William P. Williamson, IV , Paul A. Spence , Mark Ortiz , George A. Keller , Harry Leonard Green, II
发明人： William P. Williamson, IV , Paul A. Spence , Mark Ortiz , George A. Keller , Harry Leonard Green, II
IPC分类号： A61B1/32 , A61F2/00
CPC分类号： A61B17/02 , A61B1/32 , A61B2017/0243 , A61B2017/306
摘要： Devices and methods are disclosed for stabilizing tissue within a patient's body during a surgical operation to provide a relatively motionless surgical field, such as during a coronary artery bypass graft procedure. The devices include tissue stabilizers which engage and provide stabilization to a targeted area of tissue and further have the ability to engage and manipulate some portion of tissue within or adjacent the targeted area to improve the surgical presentation of that portion of tissue. The tissue stabilizer typically has one or more stabilizer feet which have a first foot portion configured to provide stabilization to the targeted tissue and a second foot portion moveable relative to the first foot portion for manipulating a portion of tissue to improve the surgical presentation.

115. 发明申请

US20070225556A1 DISPOSABLE ENDOSCOPE DEVICES 审中-公开
标题翻译：可切除的内窥镜装置
公开(公告)号：US20070225556A1
公开(公告)日：2007-09-27
申请号：US11277290
申请日：2006-03-23
申请人： Mark Ortiz , David Plescia
发明人： Mark Ortiz , David Plescia
IPC分类号： A61B1/04 , A61B1/12 , A61B1/06
CPC分类号： A61B1/05 , A61B1/00052 , A61B1/00091 , A61B1/00103 , A61B1/00188 , A61B1/0051 , A61B1/051 , A61B1/0676 , A61B1/0684 , A61B1/12
摘要： Various methods and devices are provided for endoscopic procedures. In particular, the device can include an elongate flexible insertion element adapted for delivery within a patient. In one embodiment, the insertion element has at least one working channel disposed therein which is adapted to receive a surgical instrument, a liquid, or a gas. The insertion element can be adapted, for example, for endoscopic or laparoscopic delivery to a patient. The device further includes an optics unit disposed on a distal end of the insertion element that can be adapted to acquire images during endoscopic procedures, and an image display screen, disposed on or remote from the endoscopic device, adapted to communicate with the optics unit to display the acquired images.
摘要翻译：为内镜手术提供了各种方法和装置。特别地，该装置可以包括适于在患者体内递送的细长的柔性插入元件。在一个实施例中，插入元件具有设置在其中的至少一个工作通道，其适于接收外科器械，液体或气体。插入元件可以适用于例如内窥镜或腹腔镜递送给患者。所述装置还包括设置在所述插入元件的远端上的光学单元，所述光学单元可适于在内窥镜程序期间获取图像，以及设置在所述内窥镜装置上或远离所述内窥镜装置的适于与所述光学单元通信的图像显示屏显示所获取的图像。

116. 发明申请

US20070221700A1 METHODS AND DEVICES FOR CONTROLLING ARTICULATION 有权
标题翻译：控制方法和装置
公开(公告)号：US20070221700A1
公开(公告)日：2007-09-27
申请号：US11277323
申请日：2006-03-23
申请人： Mark Ortiz , Frederick Shelton , James Spivey
发明人： Mark Ortiz , Frederick Shelton , James Spivey
IPC分类号： A61B17/00 , A61B17/10
CPC分类号： A61B34/70 , A61B17/07207 , A61B17/1633 , A61B34/71 , A61B34/72 , A61B2017/003 , A61B2017/00327 , A61B2017/00367 , A61B2017/00464 , A61B2017/2905 , A61B2017/291 , A61B2017/2931 , A61B2034/306
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.
摘要翻译：提供了用于控制手术装置的工作端的移动的方法和装置。在一个实施例中，提供了用于移动外科紧固装置的远端上的端部执行器的方法和装置。运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。在其它实施例中，提供单个电缆致动器并且可在第一位置之间移动，在第一位置中，有效地旋转端部执行器而不致动（即，闭合和点火）末端执行器，以及第二位置，有效地致动末端执行器而不旋转端部执行器。在其他方面，提供了用于移动形成在附件通道的远端上的柔性颈部以用于内窥镜的方法和装置。柔性颈部的运动可用于控制延伸穿过柔性颈部的工具的定位。

117. 发明申请

US20070198034A1 LUMEN REDUCTION METHODS AND DEVICES 有权
标题翻译：减少光源的方法和装置
公开(公告)号：US20070198034A1
公开(公告)日：2007-08-23
申请号：US11307698
申请日：2006-02-17
申请人： Mark Ortiz , Michael Stokes
发明人： Mark Ortiz , Michael Stokes
IPC分类号： A61B17/10
CPC分类号： A61B17/00234 , A61B17/0401 , A61B17/072 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B2017/1142 , A61B2017/1157
摘要： Devices and methods for reducing a size of a lumen are provided. In one embodiment, a lumen reduction device is provided having an end effector with a trough formed therein for receiving tissue surrounding a lumen, and a plurality of fasteners configured to engage the tissue disposed within the trough. In use, the end effector can be actuated to deliver the fasteners to the tissue, and one or more sutures coupled to the fasteners can be used to pull the fasteners together and thereby cinch the tissue to reduce the size of a lumen.
摘要翻译：提供了用于减小管腔尺寸的装置和方法。在一个实施例中，提供了具有末端执行器的管腔减小装置，其中形成有槽，用于接纳围绕内腔的组织，以及多个紧固件，其构造成接合设置在槽内的组织。在使用中，端部执行器可以被致动以将紧固件递送到组织，并且联接到紧固件的一个或多个缝合线可以用于将紧固件拉到一起，从而使组织束紧以减小管腔的尺寸。

118. 发明申请

US20070198032A1 Methods and devices for fastener removal 审中-公开
标题翻译：紧固件拆卸方法和装置
公开(公告)号：US20070198032A1
公开(公告)日：2007-08-23
申请号：US11360033
申请日：2006-02-22
申请人： Mark Ortiz
发明人： Mark Ortiz
IPC分类号： A61B17/10
CPC分类号： A61B17/076 , A61B17/10 , A61B2017/049
摘要： Methods and devices for removing fasteners from tissue are described. One method is directed to surgically reversing a gastric restriction created using one or more fasteners. the fasteners can be disengaged from the gastric tissue and subsequently removed from the gastric tissue site. The method can utilize an endoscopically delivered fastener-extraction device to sever the fasteners by applying energy. In an exemplary device for removing fasteners, a substantially elongate body can include a fastener catch for selectively engaging tissue-attached fasteners. The device can also include a fastener-severing member and at least one fastener-removal element. The fastener-removal element can be adapted to be an energy delivery member that delivers an argon plasma to sever fasteners, while the fastener catch is adapted to shield tissue from direct energy contact.
摘要翻译：描述了从组织中去除紧固件的方法和装置。一种方法是针对手术逆转使用一个或多个紧固件产生的胃限制。紧固件可以从胃组织脱离并随后从胃组织部位移除。该方法可以利用内窥镜递送的紧固件提取装置通过施加能量来切断紧固件。在用于移除紧固件的示例性装置中，基本上细长的主体可以包括用于选择性地接合组织附接的紧固件的紧固件卡扣。该装置还可以包括紧固件切断构件和至少一个紧固件去除元件。紧固件去除元件可以适于作为输送氩等离子体来切断紧固件的能量输送构件，而紧固件卡扣适于屏蔽组织免受直接能量接触。

119. 发明申请

US20070123917A1 ANASTOMOTIC DEVICE PROMOTING TISSUE NECROSIS 审中-公开
标题翻译：解剖装置促进组织坏死
公开(公告)号：US20070123917A1
公开(公告)日：2007-05-31
申请号：US11164574
申请日：2005-11-29
申请人： Mark Ortiz , Robert Simms , Tom Ditter , David Plescia , Soane Eke
发明人： Mark Ortiz , Robert Simms , Tom Ditter , David Plescia , Soane Eke
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B17/1114 , A61B2017/00862 , A61B2017/00867 , A61B2017/1139
摘要： Embodiments of the present invention generally provide an anastomosis device that can be used to couple two or more layers of tissue in apposition. In an exemplary embodiment, the device can be formed from one or more woven wires that can be configured to have a generally tubular shape in a first, expanded position for insertion to an anastomosis site and a generally annular, ring-shape in a second, resting position for securing tissue in apposition at the anastomosis site. The device can be adapted either to cause necrosis of the tissue layers around an outer periphery of the device or to promote growth of tissue about an inner periphery of the device.
摘要翻译：本发明的实施例通常提供一种吻合装置，其能够用于将两层或更多层组织连接在一起。在示例性实施例中，该装置可以由一根或多根编织线形成，所述编织线可以被配置为具有用于插入到吻合部位的第一扩展位置中的大致管状形状，并且在第二扩展位置中具有大致环形的环形，用于将组织固定在吻合部位的安置位置。该装置可适于使装置的外周周围的组织层坏死或者促进组织围绕装置内周的生长。

120. 发明申请

US20070078302A1 Method and apparatus for sealing a gastric opening 有权
标题翻译：用于密封胃口的方法和装置
公开(公告)号：US20070078302A1
公开(公告)日：2007-04-05
申请号：US11197516
申请日：2005-08-05
申请人： Mark Ortiz , Michael Stokes
发明人： Mark Ortiz , Michael Stokes
IPC分类号： A61B1/04 , A61B1/00 , A61M29/00
CPC分类号： A61B17/3421 , A61B17/3423 , A61B17/3498 , A61B2017/00986 , A61B2017/3425 , A61B2017/3484 , A61B2017/3488 , A61M39/0247
摘要： An anchorable cannula adapted for positioning within an opening formed in tissue includes a cannula body having a proximal portion and distal portion. The proximal portion and the distal portion are linked by a circumferential ring positioned therebetween. The proximal portion includes a series of foldable arms extending upwardly from the circumferential ring and ending at a circumferential seal ring formed at a free end of the proximal portion. The distal portion includes a series of foldable arms extending downwardly from the circumferential ring and ending at a circumferential seal ring formed at a free end of the distal portion.
摘要翻译：适于定位在形成于组织中的开口内的可固定套管包括具有近端部分和远端部分的套管本体。近端部分和远侧部分通过位于它们之间的周向环连接。近端部分包括从圆周环向上延伸并且在形成在近端部分的自由端处的周向密封环处终止的一系列可折叠臂。远侧部分包括从圆周环向下延伸并且终止于形成在远侧部分的自由端的周向密封环的一系列可折叠臂。

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