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1. 发明申请

US20070225573A1 METHODS AND DEVICES FOR PERCUTANEOUS ILLUMINATION 有权
标题翻译：方法和器件的PERCUTANEOUS ILLUMINATION
公开(公告)号：US20070225573A1
公开(公告)日：2007-09-27
申请号：US11277549
申请日：2006-03-27
申请人： Michael Stokes , Mark Ortiz , David Plescia
发明人： Michael Stokes , Mark Ortiz , David Plescia
IPC分类号： A61B1/06
CPC分类号： A61B1/07 , A61B1/3132
摘要： Methods and devices for illuminating a body cavity or an internal region of a body are disclosed. In one aspect, a percutaneous illumination device for illuminating a body cavity includes an elongate member with an illumination source, and two support members disposed on the elongate member that are adapted to be positioned on opposite sides of a tissue surface for stabilizing the device. Variations on such an illumination device, kits that include such devices, and methods of utilizing such devices are all described within the present application.
摘要翻译：公开了用于照亮体腔或身体的内部区域的方法和装置。在一个方面，用于照明体腔的经皮照射装置包括具有照明源的细长构件和设置在细长构件上的两个支撑构件，其适于定位在组织表面的相对侧上，以稳定装置。在本申请中都描述了这种照明装置，包括这种装置的套件以及利用这种装置的方法的变化。

2. 发明申请

US20060282092A1 Surgical suturing apparatus with needle position indicator 有权
标题翻译：手术缝合器具针位置指示器
公开(公告)号：US20060282092A1
公开(公告)日：2006-12-14
申请号：US11394155
申请日：2006-03-31
申请人： Michael Stokes , Frederick Shelton , Mark Ortiz , David Plescia
发明人： Michael Stokes , Frederick Shelton , Mark Ortiz , David Plescia
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 having a proximal end and a distal end, the needle being 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, and mechanism for determining the position of at least one of the distal end of the needle and the proximal end of the needle at all points along the arcuate path about which the needle moves.
摘要翻译：手术缝合装置包括缝合线壳体，具有近端和远端的针，针安装在缝合线壳体内以用于围绕弓形路径移动;与针可操作地相关联的驱动组件，用于控制针的运动，以便于将缝合线施加到组织的方式围绕弓形路径固定到其上的缝合线，以及用于在沿着弓形路径的所有点处确定针的远端和针的近端中的至少一个的位置的机构针移动。

3. 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。

4. 发明申请

US20060282094A1 Surgical suturing apparatus 有权
标题翻译：手术缝合装置
公开(公告)号：US20060282094A1
公开(公告)日：2006-12-14
申请号：US11394162
申请日：2006-03-31
申请人： Michael Stokes , Frederick Shelton , Mark Ortiz
发明人： Michael Stokes , Frederick Shelton , Mark Ortiz
IPC分类号： A61B17/04
CPC分类号： A61B17/0482 , A61B1/00087 , A61B1/00094 , A61B1/00133 , A61B1/0014 , A61B1/005 , A61B1/2736 , A61B1/313 , A61B5/026 , A61B5/0261 , A61B17/00491 , A61B17/0466 , A61B17/0469 , 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, and 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. The drive assembly includes a friction camming member that moves along the suture housing under the control of the drive mechanism, wherein actuation of the drive mechanism causes the friction camming member to selectively engage and disengage the needle causing the needle to move about the arcuate path.
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和与该针可操作地相关联的驱动组件，用于控制针头以围绕弓形路径固定到其周围的缝合线的运动，促进将缝合线应用于组织。驱动组件包括在驱动机构的控制下沿着缝合线壳体移动的摩擦凸轮构件，其中驱动机构的致动使得摩擦凸轮构件选择性地接合和脱离针，导致针在弓形路径上移动。

5. 发明申请

US20070239177A1 Method for instrument insertion through a body orifice 有权
标题翻译：仪器通过体孔插入的方法
公开(公告)号：US20070239177A1
公开(公告)日：2007-10-11
申请号：US11394174
申请日：2006-03-31
申请人： Michael Stokes , Thomas Albrecht , Mark Ortiz , Mark Zeiner , Andrew Zwolinski , Frederick Shelton
发明人： Michael Stokes , Thomas Albrecht , Mark Ortiz , Mark Zeiner , Andrew Zwolinski , Frederick Shelton
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, insetting 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，其将内窥镜和仪器通过自然孔口内插到身体内的目标位置，同时仪器处于低度方向，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。

6. 发明申请

US20070232850A1 ENDOSCOPIC ANCILLARY ATTACHMENT DEVICES 有权
标题翻译：内窥镜附件装置
公开(公告)号：US20070232850A1
公开(公告)日：2007-10-04
申请号：US11278016
申请日：2006-03-30
申请人： Michael Stokes , Mark Ortiz , Frederick Shelton
发明人： Michael Stokes , Mark Ortiz , Frederick Shelton
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/0014 , A61B1/005
摘要： Methods and devices are provided for attaching one or more ancillary devices to an endoscope. The ancillary device can be any device that is used in conjunction with endoscopic procedures, such as, by way of non-limiting example, an accessory channel, tube, or sleeve, an indwelling tube or feeding tube, and surgical tools such as graspers, snares, etc. The ancillary device(s) can be positioned adjacent to and along side an external surface of an insertion portion of an endoscope for inserting into a body lumen, and one or more attachment devices can be used to mate the ancillary device(s) to the endoscope at one or more attachment locations. In use, the attachment device(s) will allow the ancillary device to move in coordination with the endoscope, thus allowing the endoscope and the ancillary device(s) to be introduced and guided through a tortuous pathway. In certain exemplary embodiments, the attachment device(s) can be configured to prevent radial movement, i.e., twisting, of the ancillary device relative to the endoscope, yet allow axial sliding of the ancillary device relative to the endoscope.
摘要翻译：提供了用于将一个或多个辅助装置附接到内窥镜的方法和装置。辅助装置可以是与内窥镜程序结合使用的任何装置，例如通过非限制性示例，附件通道，管或套管，留置管或进料管，以及外科手术工具，例如抓紧器，圈套等。辅助装置可以被定位成与内窥镜的插入部分的外表面相邻并且沿着侧面插入到体腔中，并且可以使用一个或多个附接装置来配合辅助装置（ s）到一个或多个附接位置处的内窥镜。在使用中，附接装置将允许辅助装置与内窥镜协调地移动，从而允许将内窥镜和辅助装置引入并引导通过曲折的路径。在某些示例性实施例中，附接装置可以构造成防止辅助装置相对于内窥镜的径向运动，即扭转，而允许辅助装置相对于内窥镜的轴向滑动。

7. 发明申请

US20070114261A1 Surgical stapler with a bendable end effector 有权
标题翻译：具有可弯曲末端执行器的手术吻合器
公开(公告)号：US20070114261A1
公开(公告)日：2007-05-24
申请号：US11287525
申请日：2005-11-23
申请人： Mark Ortiz , Michael Stokes
发明人： Mark Ortiz , Michael Stokes
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B17/064 , A61B2017/003 , A61B2017/0641 , A61B2017/07214 , A61B2017/07221
摘要： A surgical stapler having a selectively bendable end effector is provided. A staple holding jaw of the end effector is coupled to another jaw for grasping tissue to be stapled. The stapler can adapted to drive staples into tissue having a pattern conforming with the selected shape of the end effector. In particular, the end effector can be adapted to drive staples in a linear pattern when the end effector orients staples in a substantially linear configuration. The end effector can also be adapted to drive staples in a non linear pattern when the end effector orients staples in a non linear configuration. Methods of stapling tissue with a stapler having a bendable end effector are also discussed.
摘要翻译：提供具有可选择性弯曲的端部执行器的手术吻合器。端部执行器的钉子保持钳口联接到另一个钳口以用于抓取待装订的组织。订书机可以适应于将订书钉驱动到具有符合所选择的端部执行器形状的图案的组织中。特别地，末端执行器可以适于在末端执行器以大体上线性的构型定向缝合时以线性图案驱动钉。端部执行器还可以适于在端部执行器以非线性配置引导订书钉时以非线性图案驱动订书钉。还讨论了用具有可弯曲端部执行器的订书机装订组织的方法。

8. 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。

9. 发明申请

US20060281970A1 Attachment apparatus for coupling with an endoscope 有权
标题翻译：用于与内窥镜连接的附接装置
公开(公告)号：US20060281970A1
公开(公告)日：2006-12-14
申请号：US11394150
申请日：2006-03-31
申请人： Michael Stokes , Thomas Albrecht , Mark Ortiz , Mark Zeiner , Andrew Zwolinski , Frederick Shelton
发明人： Michael Stokes , Thomas Albrecht , Mark Ortiz , Mark Zeiner , Andrew Zwolinski , Frederick Shelton
IPC分类号： A61B1/00
CPC分类号： A61B17/00234 , A61B1/00087 , A61B1/00094 , A61B1/00133 , A61B1/0014 , A61B1/005 , 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 , A61B2017/045 , A61B2017/0464 , A61B2017/0479 , A61B2017/0496 , A61B2017/06076 , A61B2017/0608 , A61B2017/06185 , A61B2017/0619 , A61B2017/306 , A61B2090/037 , A61B2090/0811 , A61B2090/374 , A61B2090/378
摘要： An endoscopic apparatus shaped and dimensioned for passage through an orifice in the body includes a scope attachment member coupled to an endoscopic instrument, and a connection member attaching the scope attachment member to the endoscopic instrument. The connection member has an insertion orientation sized for passage through the orifice and a deployed orientation too large to pass though the orifice. When the connection member is in its insertion orientation the endoscopic instrument is positioned closely adjacent an exterior of an endoscope for low profile insertion of the endoscopic instrument through an orifice, and when the connection is in its deployed orientation the endoscopic instrument is spaced from the endoscope to improve visibility.
摘要翻译：成形和尺寸设计用于穿过主体中的孔的内窥镜装置包括联接到内窥镜器械的镜架附接构件和将镜架附接构件附接到内窥镜器械的连接构件。连接构件具有尺寸适于通过孔口的插入取向和展开的取向太大而不能通过孔口。当连接构件处于其插入方向时，内窥镜器械紧邻内窥镜的外部定位，用于通过孔口对内窥镜器械进行低轮廓插入，并且当连接处于其展开方向时，内窥镜器械与内窥镜间隔开提高知名度。

10. 发明申请

US20070239176A1 Endoscopic instrument with secondary vacuum source 有权
标题翻译：内窥镜仪器具有二次真空源
公开(公告)号：US20070239176A1
公开(公告)日：2007-10-11
申请号：US11394173
申请日：2006-03-31
申请人： Michael Stokes , Frederick Shelton , Mark Ortiz
发明人： Michael Stokes , Frederick Shelton , Mark Ortiz
IPC分类号： A61B17/04
CPC分类号： A61B17/00234 , A61B17/00491 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B2017/00292 , A61B2017/00561 , A61B2017/045 , A61B2017/0464 , A61B2017/0619 , A61B2017/306
摘要： An endoscopic instrument to be used with an endoscope. The instrument includes an elongated tube having a distal end and a proximal end, an end effector attached to the distal end of the elongated tube, and a handle attached to the proximal end. The handle includes a mechanism for attaching the instrument to a first vacuum source. The handle further includes a second vacuum source integral with the handle for amplifying the first vacuum source, whereby the first and second vacuum sources combine to operate the end effector.
摘要翻译：内窥镜用于内窥镜的内窥镜。仪器包括具有远端和近端的细长管，附接到细长管的远端的端部执行器和附接到近端的手柄。手柄包括用于将仪器附接到第一真空源的机构。手柄还包括与手柄一体的第二真空源，用于放大第一真空源，由此第一和第二真空源组合以操作末端执行器。

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