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41. 发明申请

US20070043384A1 Method and apparatus for endoscopically performing gastric reduction surgery in a single pass 有权
标题翻译：在单次通过内窥镜下进行胃减压手术的方法和装置
公开(公告)号：US20070043384A1
公开(公告)日：2007-02-22
申请号：US11206297
申请日：2005-08-18
申请人： Mark Ortiz , Michael Stokes
发明人： Mark Ortiz , Michael Stokes
IPC分类号： A61B17/10
CPC分类号： A61B17/0684 , A61B17/00234 , A61B17/0401 , A61B17/0644 , A61B2017/00296 , A61B2017/0496 , A61B2017/2905 , A61B2017/306 , A61F5/0086
摘要： A gastric reduction apparatus provides for the secure attachment of multiple fasteners into the gastric wall, the fasteners being linked with a flexible member in a manner permitting the reduction of the effective size of an individual's stomach. The apparatus includes an applicator head including a proximal end and a distal end. The applicator head of the gastric reduction apparatus includes a cavity shaped and dimensioned for receiving tissue. A fastener attachment mechanism is positioned within the cavity for access to tissue that is pulled within the cavity and the fastener attachment mechanism includes a plurality of fasteners.
摘要翻译：减胃装置提供将多个紧固件牢固地附接到胃壁中，紧固件以允许减小个体胃的有效尺寸的方式与柔性构件连接。该装置包括一个包括近端和远端的涂抹头。胃减压装置的涂抹头包括形状和尺寸适于接收组织的空腔。紧固件附接机构定位在腔体内，用于进入被抽吸在腔内的组织，并且紧固件附接机构包括多个紧固件。

42. 发明申请

US20070038237A1 ELECTROACTIVE POLYMER-BASED LUMEN TRAVERSING DEVICE 有权
标题翻译：基于聚合物的基于聚合物的光电转移装置
公开(公告)号：US20070038237A1
公开(公告)日：2007-02-15
申请号：US11161262
申请日：2005-07-28
申请人： Jeffrey Swayze , Mark Ortiz
发明人： Jeffrey Swayze , Mark Ortiz
IPC分类号： A61M29/00
CPC分类号： A61B1/0053 , A61B1/00156
摘要： Methods and devices are provided for traversing a lumen of a tubular body part, such as the large or small intestine, the colon, the bladder, the stomach, etc. In an exemplary embodiment, the methods and devices utilize electroactive polymers that are selectively actuated to move a device through a lumen.
摘要翻译：提供了用于穿过诸如大肠或小肠，结肠，膀胱，胃等的管状主体部分的内腔的方法和装置。在示例性实施例中，所述方法和装置利用选择性地致动的电活性聚合物通过管腔移动设备。

43. 发明申请

US20070032822A1 Fasteners for use with gastic restriction 有权
标题翻译：紧固件用于胶垫限制
公开(公告)号：US20070032822A1
公开(公告)日：2007-02-08
申请号：US11197529
申请日：2005-08-05
申请人： Mark Ortiz , Michael Stokes , David Plescia
发明人： Mark Ortiz , Michael Stokes , David Plescia
IPC分类号： A61B17/08
CPC分类号： A61B17/064 , A61B17/00234 , A61B17/0401 , A61B17/0644 , A61B2017/00867 , A61B2017/0412 , A61B2017/0414 , A61B2017/042 , A61B2017/0422 , A61B2017/0427 , A61B2017/0437 , A61B2017/0464 , A61B2017/0496 , A61B2017/086 , A61F5/0086
摘要： A fastener is used during endoscopic procedures in which a suture is used in creating a predefined pouch through tissue apposition within the stomach. The fastener includes a fastener body having a tissue anchor for selectively securing the fastener body to tissue. The fastener body also includes a connection aperture shaped and dimensioned for passage of a suture therethrough.
摘要翻译：在内窥镜过程中使用紧固件，其中缝合线用于通过胃内的组织配合产生预定义的袋。紧固件包括具有组织锚固件的紧固件主体，用于将紧固件主体选择性地固定到组织。紧固件主体还包括形状和尺寸用于通过缝合线的连接孔。

44. 发明申请

US20070027356A1 ELECTROACTIVE POLYMER ACTUATED GASTRIC BAND 有权
标题翻译：电动聚合物致动胶带
公开(公告)号：US20070027356A1
公开(公告)日：2007-02-01
申请号：US11161268
申请日：2005-07-28
申请人： Mark Ortiz
发明人： Mark Ortiz
IPC分类号： A61F2/00
CPC分类号： A61F5/0066 , A61F5/0053
摘要： Methods and devices are provided for remotely adjusting a size of a gastric band disposed around a patient's stomach. In one exemplary embodiment, a gastric band is provided having a first end and a second end that mate to one another to encircle a stomach. A latch mechanism can be formed on the band, and at least one actuator can be coupled to the latch mechanism and it can be adapted to expand and contract the latch mechanism when energy is applied thereto to adjust a diameter of the band. In one exemplary embodiment, the actuator(s) is an electroactive polymer actuator.
摘要翻译：提供了用于远程调整设置在患者胃周围的胃带的大小的方法和装置。在一个示例性实施例中，提供胃带，其具有彼此配合以包围胃的第一端和第二端。可以在带上形成闩锁机构，并且至少一个致动器可以联接到闩锁机构，并且当能量施加到闩锁机构以调节带的直径时，闩锁机构可以适于扩展和收缩闩锁机构。在一个示例性实施例中，致动器是电活性聚合物致动器。

45. 发明申请

US20070021758A1 Anastomotic ring applier for use in colorectal applications 审中-公开
标题翻译：用于结肠直肠应用的吻合环施放器
公开(公告)号：US20070021758A1
公开(公告)日：2007-01-25
申请号：US11187658
申请日：2005-07-22
申请人： Mark Ortiz
发明人： Mark Ortiz
IPC分类号： A61B17/08
CPC分类号： A61B17/1114 , A61B17/08 , A61B17/115 , A61B2017/00367 , A61B2017/00867 , A61B2017/0408 , A61B2017/2943
摘要： A surgical tool or applier operable to deploy an anastomotic ring comprises a handle connected to an elongate shaft. The elongate shaft comprises an anastomotic ring deployment mechanism on a distal portion of the shaft. The ring deployment mechanism is moveable from an unactuated position to an actuated position. The elongate shaft comprises a rigid, curved member, thereby rendering the tool applicable for colorectal applications. In one embodiment, the tool comprises an actuating mechanism that is operable to transfer an actuating force to the ring deployment mechanism via a flexible connecting member.
摘要翻译：可操作以展开吻合环的手术工具或施放器包括连接到细长轴的手柄。细长轴包括在轴的远端部分上的吻合环展开机构。环形展开机构可从未致动位置移动到致动位置。细长轴包括刚性的弯曲构件，从而使得该工具适用于结肠直肠应用。在一个实施例中，该工具包括致动机构，其可操作以经由柔性连接构件将致动力传递到环展开机构。

46. 发明申请

US20060253138A1 Articulating anastomotic ring applier 有权
标题翻译：铰接吻合环施加器
公开(公告)号：US20060253138A1
公开(公告)日：2006-11-09
申请号：US11121345
申请日：2005-05-03
申请人： Mark Ortiz
发明人： Mark Ortiz
IPC分类号： A61B17/08
CPC分类号： A61B17/08 , A61B17/11 , A61B17/1114 , A61B17/115 , A61B2017/00309 , A61B2017/00367 , A61B2017/00867 , A61B2017/0408 , A61B2017/1157 , A61B2017/2905
摘要： A surgical instrument for applying an anastomotic ring device comprises a handle connected to an anastomotic ring deployment mechanism by a shaft. The shaft has at least one articulation joint that is capable of articulating in at least one direction to allow the surgeon to alter the angle of approach in order to compensate for disadvantageous placement of a trocar port through which the instrument is inserted. An articulation joint may comprise a ribbed member. One or more cables may be used to effect articulation of the articulation joint.
摘要翻译：用于施加吻合口装置的手术器械包括通过轴连接到吻合环展开机构的手柄。轴具有至少一个铰接接头，其能够在至少一个方向上铰接，以允许外科医生改变接近角度，以便补偿器械插入穿过套管针端口的不利位置。铰接接头可以包括肋状构件。可以使用一个或多个电缆来实现铰接接头的铰接。

47. 发明申请

US20060217748A1 Method for Hybrid Gastro-Jejunostomy 有权
标题翻译：混合胃肠吻合术的方法
公开(公告)号：US20060217748A1
公开(公告)日：2006-09-28
申请号：US11277289
申请日：2006-03-23
申请人： Mark Ortiz
发明人： Mark Ortiz
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B17/1114 , A61B2017/1103 , A61B2017/1139
摘要： Disclosed herein are methods for joining one piece to tissue to another piece of tissue. In one embodiment, the method can include inserting an applier device having an actuation portion into a first body lumen through a natural body orifice, forming a first opening in a first piece of tissue within the first lumen and a second opening in a second piece of tissue defining a portion of a second lumen adjacent to the first piece of tissue, and inserting the applier device through the first and second openings such that the actuation portion is between the first and second piece of tissue. The method can further include deploying a fastener into the first and second pieces of tissue through the actuation portion of the applier device, thereby joining the first and second pieces of tissue to form an anastomosis between the first and second lumens.
摘要翻译：这里公开的是将一片与组织连接到另一片组织的方法。在一个实施例中，该方法可以包括将具有致动部分的施加器装置插入通过天然体孔的第一体腔内，在第一腔内的第一组织中形成第一开口，在第二管组织限定与第一组织相邻的第二腔的一部分，以及通过第一和第二开口插入施加器装置，使得致动部分在第一和第二组织之间。该方法还可以包括通过施加器装置的致动部分将紧固件部署到第一和第二片组织中，由此连接第一和第二片组织以形成第一和第二腔之间的吻合。

48. 发明申请

US20050180468A1 Apparatus for combining multiple lasers and method of use 审中-公开
标题翻译：用于组合多个激光器的装置和使用方法
公开(公告)号：US20050180468A1
公开(公告)日：2005-08-18
申请号：US11105899
申请日：2005-04-13
申请人： Wentao Hu , Qiang Fu , Mark Ortiz
发明人： Wentao Hu , Qiang Fu , Mark Ortiz
IPC分类号： B23K26/06 , B23K26/40 , G01N21/64 , G02B26/02 , H01S3/10
CPC分类号： G01N21/6402 , B23K26/0604 , B23K26/0622 , B23K26/40 , B23K2103/16 , B23K2103/30 , B23K2103/42 , B23K2103/50 , G01N21/255 , G01N21/645 , G01N2021/6419 , G01N2021/6421 , G02B26/02
摘要： A multi-headed laser apparatus combining a two or more lasers in a single housing with a single output beam. In addition to the housing, other components can be shared among the lasers such as the power supply, intracavity shutter, and excitation lamp. Additionally, the combination of two or more lasers with different characteristics makes possible a wide range of applications in the areas of materials processing and analysis, among others. A further multi-laser device is disclosed in which the wavelength of one or more of the lasers can be varied.
摘要翻译：将单个外壳中的两个或更多个激光器与单个输出光束组合的多头激光装置。除了外壳之外，其他部件可以在诸如电源，腔内快门和激发灯之类的激光器之间共享。另外，具有不同特性的两个或更多个激光器的组合使得在材料加工和分析等领域中广泛的应用成为可能。公开了另一种多激光装置，其中一个或多个激光器的波长可以变化。

49. 发明授权

US06884251B2 Apparatus and method for performing an anastomosis 失效
标题翻译：用于进行吻合的装置和方法
公开(公告)号：US06884251B2
公开(公告)日：2005-04-26
申请号：US10384250
申请日：2003-03-06
申请人： Paul A. Spence , Warren P. Williamson, IV , George Christakis , Mark Ortiz , Craig B. Berky , Douglas P. Allen , Matthew J. Huddleston , Delbert Ted Leimbach , Cecil R. Robinson , E. Dale VanHoose , Thomas J. Ward , Marty J. Warnecke
发明人： Paul A. Spence , Warren P. Williamson, IV , George Christakis , Mark Ortiz , Craig B. Berky , Douglas P. Allen , Matthew J. Huddleston , Delbert Ted Leimbach , Cecil R. Robinson , E. Dale VanHoose , Thomas J. Ward , Marty J. Warnecke
IPC分类号： A61B17/11 , A61B17/115 , A61B17/08
CPC分类号： A61B17/11 , A61B17/1152 , A61B2017/1135 , A61B2017/1139
摘要： An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner. Methods and tools for carrying out the anastomosis according to the invention are also disclosed. Methods for forming the fastener and the tines having the proper characteristics are disclosed. An absorbable ring-shaped stent is also disclosed.
摘要翻译：使用安装在至少一个容器的外部的柔性安装结构进行吻合。紧固件延伸穿过容器并朝向切口弯曲，以将控制与切口相邻的容器边缘的方式将柔性安装结构附接到容器。安装结构被定向在每个容器上，因此当两个容器被接合在一起时，在一个安装结构上的紧固件与另一个安装结构上的紧固件在容器之间的接触位置处相互交错。这产生两个互补的正弦形容器边缘，其中一个边缘的峰值被容纳在另一个边缘的谷部中。峰 - 谷取向形成无泄漏的正弦形接头。紧固件间隔开，以便适当的压力施加到组织以促进愈合而不泄漏。此外，紧固件的尺寸和形状适于适当地接合组织并以期望的方式弯曲。还公开了用于进行根据本发明的吻合的方法和工具。公开了用于形成紧固件和具有适当特性的尖齿的方法。还公开了可吸收的环形支架。

50. 发明申请

US20050070926A1 Applier for fastener for single lumen access anastomosis 有权
标题翻译：适用于单腔进入吻合的紧固件
公开(公告)号：US20050070926A1
公开(公告)日：2005-03-31
申请号：US10675077
申请日：2003-09-30
申请人： Mark Ortiz
发明人： Mark Ortiz
IPC分类号： A61B17/00 , A61B17/04 , A61B17/11 , A61B19/00 , A61B17/10
CPC分类号： A61B17/1114 , A61B17/00234 , A61B90/39 , A61B2017/0408 , A61B2017/1139
摘要： Creating an anastomosis, or the surgical formation of a passage between two normally distinct vessels or lumens, is enhanced by an applier that introduces a ring device without the need for a separate anvil to form a hollow rivet shaped attachment. Moreover, the ring device may be advantageously formed in a cylindrical shape from molded polymer material or stamped from sheet metal with proximal and distal rings connected by proximal and distal arms that respectively form hinged, ring shaped so appose tissue walls. A center ring or portion sits in the attachment site. The applier causes actuating by moving the rings relative to one another. A latching mechanism locks the rings in the actuating state.
摘要翻译：在两个通常不同的血管或腔之间形成吻合或手术形成通道的施加器通过引入环形装置而不需要单独的砧来形成中空的铆钉形附件来增强。此外，环形装置可以有利地由模制的聚合物材料形成为圆柱形形状或从金属板冲压，其中近端和远端环通过近端和远端臂连接，分别形成铰接的环形的如此组织的壁。中心环或部分位于附件位置。施加器通过相对于彼此移动环而引起致动。锁定机构将环锁定在致动状态。

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