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    MULTI-LUMEN ACCESS PORT
    1.
    发明授权
    MULTI-LUMEN ACCESS PORT 有权

    公开(公告)号：EP3235442B1

    公开(公告)日：2018-09-26

    申请号：EP17174769.4

    申请日：2009-06-19

    申请人： Covidien LP

    发明人： Wingardner III, Thomas ,  Stellon, Gene A. ,  De Santis, Robert J.

    IPC分类号： A61B17/00 ,  A61B17/34

    CPC分类号： A61B17/0218 ,  A61B17/3421 ,  A61B17/3423 ,  A61B2017/3447 ,  Y10T29/49826

    摘要： An access device (100) includes a body (50), a first tube (10), a second tube (20), and a mechanism (56). The first and second tubes extend through the body. The mechanism operably couples the first and second tubes such that at least one tube is pivotable about an axis (P) with respect to the other tube. The body may form a substantially fluid-tight seal at the incision. In another embodiment, the access device further includes a third tube (30) extending through the body and the mechanism operably couples the tubes together such that at least two tubes are pivotable about the axis with respect to the remaining tube.

    ENDOSCOPIC SURGICAL DEVICE AND OVERTUBE
    4.
    发明授权
    ENDOSCOPIC SURGICAL DEVICE AND OVERTUBE 有权

    公开(公告)号：EP3123946B1

    公开(公告)日：2018-07-25

    申请号：EP15769941.4

    申请日：2015-03-26

    申请人： Fujifilm Corporation

    发明人： DEJIMA, Takumi

    IPC分类号： A61B17/34 ,  A61B1/00

    CPC分类号： A61B17/3421 ,  A61B1/00018 ,  A61B1/00045 ,  A61B1/00098 ,  A61B1/00112 ,  A61B1/00135 ,  A61B1/00154 ,  A61B1/05 ,  A61B1/0661 ,  A61B17/2909 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3466 ,  A61B2017/347

    摘要： Provided are an endoscopic surgical device and an overtube that allows the state of a distal end of a treatment tool to be easily checked while reducing the diameter of the overtube and can improve surgical efficiency, in a configuration in which an endoscope is made to be movable forward and backward in an interlocking manner with forward and backward movement of the treatment tool. An endoscope insertion part 102 of an endoscope and a treatment tool insertion part 202 of a treatment tool are insertable through an overtube 300 inserted into a body wall, and a slider is provided for moving the endoscope insertion part 102 and the treatment tool insertion part 202 forward and backward in an interlocking manner. A guide part 384 that guides the endoscope insertion part 102 in a direction away from a distal end of the treatment tool insertion part 202 is provided in the vicinity of an endoscope delivery port 312 that delivers the endoscope insertion part 102 in a distal end cap 360 at the distal end of the overtube 300, and the endoscope insertion part 102 is delivered in an oblique direction from the endoscope delivery port 312.

    LAPAROSCOPIC PORT ASSEMBLY
    7.
    发明公开
    LAPAROSCOPIC PORT ASSEMBLY 审中-公开
    腹腔镜口组件

    公开(公告)号：EP3245941A1

    公开(公告)日：2017-11-22

    申请号：EP17179538.8

    申请日：2008-03-27

    申请人： Covidien LP

    发明人： PISKUN, Gregory ,  BATTLES, Christopher ,  RENDE, Frank ,  ABRAMS, Michael ,  SHIKHMAN, Oleg

    IPC分类号： A61B1/32 ,  A61B17/34

    CPC分类号： A61B17/3423 ,  A61B1/3132 ,  A61B1/32 ,  A61B17/3421 ,  A61B17/3439 ,  A61B2017/3427 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3466 ,  A61B2017/349

    摘要： A surgical port component comprising: a body including; a cylindrical portion formed by a plurality of sections or flaps, said cylindrical portion including at least one proximally extending projection at a proximal end thereof; and a ring-shaped base member extending transversely across said cylindrical portion at the proximal end thereof, said ring-shaped base member including at least one slot configured and disposed to receive, at said proximal end of said cylindrical portion, said at least one proximally extending projection at said proximal end of said cylindrical portion, said sections or flaps being swingably coupled, at said proximal end of said cylindrical portion, to said ring-shaped base member when said at least one proximally extending projection of said cylindrical portion is received in said at least one slot of said ring-shaped base member, said at least one proximally extending projection extending proximally through said at least one slot of said ring-shaped base member such that said at least one proximally extending projection extends proximally from said ring-shaped base member when said at least one proximally extending projection of said cylindrical portion is received in said at least one slot of said ring-shaped base member, said sections or flaps being made of at least a substantially rigid material, said ring-shaped base member including a plurality of upwardly or proximally extending arcuate flange sections receivable into a distal or lower end of a cylindrical body of a flexible-cannula port member.

    摘要翻译： 一种手术口组件，包括：主体，该主体包括： 由多个部分或翼片形成的圆柱形部分，所述圆柱形部分在其近端包括至少一个向近侧延伸的突起; 以及环形基部构件，所述环形基部构件在其近端处横向延伸跨过所述圆柱形部分，所述环形基部构件包括至少一个槽，所述至少一个槽构造并布置成在所述圆柱形部分的所述近端处接收所述至少一个近侧 当所述圆柱形部分的所述至少一个向近侧延伸的突起容纳在所述圆柱形部分的所述近端时，所述部分或折片在所述圆柱形部分的所述近端处可摆动地联接到所述环形基部构件上， 所述环形基部构件的所述至少一个槽，所述至少一个向近侧延伸的突出部向近侧延伸穿过所述环形基部构件的所述至少一个槽，使得所述至少一个向近侧延伸的突出部从所述环形基部构件向近侧延伸， 当所述圆柱形部分的所述至少一个向近侧延伸的突出部容纳在所述至少一个基部构件中时， 所述环形底座部件的一个槽，所述部分或翼片由至少基本上刚性的材料制成，所述环形底座部件包括多个向上或向近端延伸的弓形凸缘部分，所述弓形凸缘部分可接收到所述环形底座部件的远端或下端 柔性套管端口构件的圆柱形本体。

    METHOD FOR MANUFACTURING A STEERABLE INSTRUMENT AND SUCH STEERABLE INSTRUMENT
    9.
    发明公开
    METHOD FOR MANUFACTURING A STEERABLE INSTRUMENT AND SUCH STEERABLE INSTRUMENT 审中-公开
    制造可操纵仪器的方法和这种可操纵仪器

    公开(公告)号：EP3226743A1

    公开(公告)日：2017-10-11

    申请号：EP14815909.8

    申请日：2014-12-05

    申请人： Fortimedix Surgical B.V.

    发明人： PLEIJERS, Simon Jozef Arnold

    IPC分类号： A61B1/00 ,  A61B1/005 ,  A61M25/00 ,  A61M25/01

    CPC分类号： A61M25/0138 ,  A61B1/0011 ,  A61B1/0055 ,  A61B1/0057 ,  A61B17/29 ,  A61B17/320016 ,  A61B17/3421 ,  A61B2017/00309 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00327 ,  A61B2017/291 ,  A61B2017/3447 ,  A61B2090/037 ,  A61M25/0013 ,  A61M25/0147 ,  A61M2025/015

    摘要： Disclosed is a method for manufacturing a steerable instrument for endoscopic and/or invasive type applications, the instrument including an elongated tubular body having a proximal end part, a distal end part and an intermediate part between proximal and distal end parts, the proximal end part having at least one actuation proximal zone. The distal end part has at least one flexible distal zone, and the elongated tubular body is configured such that a movement of an actuation proximal zone is transferred to a corresponding flexible distal zone for a corresponding movement thereof. The elongated tubular body includes an inner, outer, and intermediate cylindrical elements having longitudinal elements between the inner and outer cylindrical elements. Inner, outer and intermediate cylindrical elements are coupled so movement of an actuation proximal zone is transferred by the longitudinal elements of one of the intermediate cylindrical elements to a corresponding flexible distal zone.

    摘要翻译： 一种用于制造用于内窥镜和/或侵入式应用的可转向器械（10）的方法，所述器械包括具有近端部分（11），远端部分（13）和中间部分（13）的细长管状主体（18） 所述近端部分具有至少一个致动近端区域（14,15）。 远端部分具有至少一个柔性远端区域（16,17），并且细长管状主体构造成使得致动近端区域的运动被传递到对应的柔性远端区域用于其相应的运动。 细长管状体包括内圆柱形元件（101），外圆柱形元件（104）和至少一个具有纵向元件（4）并设置在内圆柱形元件和外圆柱形元件之间的中间圆柱形元件（102,103）。 内部，外部和中间圆柱形元件被联接，使得致动近侧区域的运动通过中间圆柱形元件之一的纵向元件传递到相应的柔性远侧区域。 中间圆柱形元件的相邻纵向元件例如通过断裂或弯曲元件（7）可释放地或柔性地附接。

    ENDOSCOPIC SURGICAL DEVICE
    10.
    发明公开
    ENDOSCOPIC SURGICAL DEVICE 有权
    ENDOSKOPISCHE CHIRURGISCHE VORRICHTUNG

    公开(公告)号：EP3202343A4

    公开(公告)日：2017-09-27

    申请号：EP15845858

    申请日：2015-09-29

    申请人： FUJIFILM CORP

    发明人： DEJIMA TAKUMI

    IPC分类号： A61B1/00 ,  A61B1/313 ,  A61B17/34

    CPC分类号： A61B1/00135 ,  A61B1/00006 ,  A61B1/00128 ,  A61B1/00133 ,  A61B1/00154 ,  A61B1/00188 ,  A61B1/018 ,  A61B1/3132 ,  A61B17/3415 ,  A61B17/3421 ,  A61B90/361 ,  A61B2017/3441 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3466 ,  A61B2090/0811

    摘要： Provided is a surgical apparatus for an endoscope with which an operator can change, as desired, the size of an image of a site to be observed that appears in an endoscopic image obtained by an endoscope or the size of the range of the site to be observed. An outer tube that guides an endoscope 100 and a treatment tool 200 into a body cavity includes a slider 400 that is an interlocking member that moves the endoscope 100 and the treatment tool 200 forward and backward in an interlocking manner. The slider 400 has a non-sensing region where the forward and backward movement of either the endoscope 100 or the treatment tool 200 does not interlock with the movement of the other and a sensing region where the forward and backward movement of either the endoscope 100 or the treatment tool 200 interlocks with the movement of the other. An image processing unit 152 (zooming means) of a processor device 108 changes a zoom magnification factor of an endoscopic image from an endoscope 100 through electronic zooming on the basis of the operation of a foot switch 156. In the non-sensing region of the slider 400, the activation and deactivation of the zooming operation by the foot switch 156 are switched according to a relative position of a distal end of the endoscope 100 with respect to a distal end of the treatment tool 200.

    摘要翻译： 本发明提供一种内窥镜用外科手术装置，操作者能够根据需要改变在由内窥镜获得的内窥镜图像中出现的观察对象部位的图像的大小，或者该部位的范围的大小 观察到的。 将内窥镜100和处理器具200引导到体腔内的外管包括作为使内窥镜100和处理器具200以联动方式前后移动的联动构件的滑动器400。 滑块400具有非感测区域，其中内窥镜100或治疗工具200的向前和向后移动不与另一个的移动互锁，以及内窥镜100的向前和向后移动的感测区域或 治疗工具200与另一个的运动互锁。 处理器设备108的图像处理单元152（缩放装置）基于脚踏开关156的操作通过电子变焦从内窥镜100改变内窥镜图像的变焦放大率。在非感测区域 滑块400，根据内窥镜100的远端相对于治疗工具200的远端的相对位置来切换脚踏开关156的变焦操作的激活和去激活。