公开(公告)号：US20050077688A1

公开(公告)日：2005-04-14

申请号：US10943215

申请日：2004-09-17

申请人： Aaron Voegele ,  Michael Cropper ,  David Norvell

发明人： Aaron Voegele ,  Michael Cropper ,  David Norvell

IPC分类号： A61B17/34 ,  F16J3/00

CPC分类号： A61B17/3462 ,  A61B17/3474 ,  A61B2017/3464 ,  A61B2017/347

摘要： A seal assembly for use in conjunction with a trocar assembly includes a seal body adapted for movement for selectively opening and substantially completely closing the seal assembly. The seal assembly includes a longitudinal axis extending therethrough with a transverse plane substantially perpendicular thereto. The seal body includes a proximal end and a distal end, the proximal end making a first angle with respect to the transverse plane and the distal end making a second angle with respect to the transverse plane, wherein the first angle is less than the second angle.

摘要翻译： 与套管针组件一起使用的密封组件包括适于运动的密封体，用于选择性地打开和基本上完全关闭密封组件。 密封组件包括纵向轴线，其中横向平面与其基本垂直。 所述密封体包括近端和远端，所述近端相对于所述横向平面形成第一角度，所述远端相对于所述横向平面形成第二角度，其中所述第一角度小于所述第二角度 。

公开(公告)号：US20070016184A1

公开(公告)日：2007-01-18

申请号：US11181251

申请日：2005-07-14

申请人： Michael Cropper ,  Patrick Weizman ,  Paul Franer ,  David Yates ,  David Norvell ,  Thomas Huitema

发明人： Michael Cropper ,  Patrick Weizman ,  Paul Franer ,  David Yates ,  David Norvell ,  Thomas Huitema

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B1/05 ,  A61B2018/00291 ,  A61B2018/00482

摘要： One medical-treatment electrode assembly includes a medical-treatment flexible electrode supported on the outer surface of a sidewall of a flexible tube which is insertable into a patient. Another assembly includes two electrodes supported on the outer surface of a flexible tube, wherein a video camera of a flexible endoscope inserted into the tube can view patient tissue between the two electrodes. An additional assembly includes apparatus for moving patient tissue into a sidewall opening of a tube which supports a medical-treatment electrode to tighten patient tissue outside the tube against the medical-treatment electrode. A method for medical treatment includes moving patient tissue into a sidewall opening of a tube which supports a medical-treatment electrode to tighten patient tissue outside the tube into substantially full contact with the medical-treatment electrode.

摘要翻译： 一个医疗电极组件包括支撑在可插入患者体内的柔性管的侧壁的外表面上的医疗处理柔性电极。 另一组件包括支撑在柔性管的外表面上的两个电极，其中插入管中的柔性内窥镜的摄像机可以观察两个电极之间的患者组织。 附加的组件包括用于将患者组织移动到管的侧壁开口中的装置，该装置支撑医疗电极以将管外的患者组织紧靠在医疗电极上。 一种用于医疗的方法包括将患者组织移动到管的侧壁开口中，所述管的侧壁开口支撑医疗电极以将管外的患者组织收紧到与医疗电极基本上完全接触。

公开(公告)号：US20070175950A1

公开(公告)日：2007-08-02

申请号：US11343546

申请日：2006-01-31

申请人： Frederick Shelton ,  Michael Cropper ,  Joshua Broehl ,  Ryan Crisp ,  Jamison Float ,  Eugene Timperman

发明人： Frederick Shelton ,  Michael Cropper ,  Joshua Broehl ,  Ryan Crisp ,  Jamison Float ,  Eugene Timperman

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/0023 ,  A61B2017/07214 ,  A61B2017/07285 ,  A61B2017/2825

摘要： A disposable staple cartridge for a surgical cutting and fastening instrument. Various embodiments include a disposable anvil that is supported relative to the cartridge body and movable between open and closed positions. At least one tissue stop is provided on the disposable anvil for orienting the tissue to be cut and stapled relative to the staples supported within the cartridge body. Other embodiments relate to end effectors for surgical cutting and fastening instruments that can be used in connection with a plurality of staple cartridge bodies that each have a common length but which may different lengths of staple lines.

摘要翻译： 用于外科切割和紧固器械的一次性钉仓。 各种实施例包括一次性砧座，该砧座相对于盒体支撑并可在打开位置和关闭位置之间移动。 在一次性砧座上提供至少一个组织止动件，用于使待切割的组织相对于支撑在盒体内的缝钉装订。 其他实施例涉及用于外科切割和紧固器械的端部执行器，其可以与多个钉仓体结合使用，每个钉仓主体具有共同的长度，但可以具有不同长度的缝合线。

公开(公告)号：US20070260273A1

公开(公告)日：2007-11-08

申请号：US11382173

申请日：2006-05-08

申请人： Michael Cropper ,  Gregory Bakos ,  Richard Schwemberger ,  Richard Smith

发明人： Michael Cropper ,  Gregory Bakos ,  Richard Schwemberger ,  Richard Smith

IPC分类号： A61B17/34 ,  A61B17/32

CPC分类号： A61B17/3417 ,  A61B1/00087 ,  A61B1/00135 ,  A61B1/273 ,  A61B1/3132 ,  A61B17/3462 ,  A61B2017/00278 ,  A61B2017/00296 ,  A61B2017/00889 ,  A61B2017/2905 ,  A61B2017/3441

摘要： Methods and devices are provided for performing translumenal (e.g., transoral and transanal) procedures. In general, the methods and devices utilize a trocar assembly or trocar end cap that can facilitate insertion of an endoscope through tissue. In one embodiment, a flexible trocar assembly is provided and includes an obturator having an inner lumen formed therethrough for receiving an endoscope therein, and a distal end that is adapted to facilitate insertion of the endoscope through tissue and that is adapted to facilitate viewing therethrough. The trocar assembly can also include a trocar sleeve that is disposable over the obturator. In use, once the trocar assembly is inserted through tissue, the trocar sleeve can function as a placeholder, allowing the endoscope and obturator to be removed. The endoscope can then be removed from within the obturator and reinserted through the trocar sleeve for use in performing various other procedures. In other embodiments, rather than using a trocar that houses the endoscope, an end cap can be removably disposed over a distal end of the endoscope. The present invention also provides methods and devices for shielding an endoscope during insertion through a body lumen, and in particular for preventing contact between the endoscope (or trocar sleeve) and the body lumen, thus preventing bacteria from being carried into a body cavity.

公开(公告)号：US20070260121A1

公开(公告)日：2007-11-08

申请号：US11382182

申请日：2006-05-08

申请人： Gregory Bakos ,  Michael Cropper ,  Richard Smith

发明人： Gregory Bakos ,  Michael Cropper ,  Richard Smith

IPC分类号： A61B1/06

CPC分类号： A61B17/3417 ,  A61B1/00142 ,  A61B90/361 ,  A61B90/40 ,  A61B2017/00278 ,  A61B2017/00296 ,  A61B2017/2905

摘要： Methods and devices are provided for performing translumenal (e.g., transoral and transanal) procedures. In general, the methods and devices utilize a trocar assembly or trocar end cap that can facilitate insertion of an endoscope through tissue. In one embodiment, a flexible trocar assembly is provided and includes an obturator having an inner lumen formed therethrough for receiving an endoscope therein, and a distal end that is adapted to facilitate insertion of the endoscope through tissue and that is adapted to facilitate viewing therethrough. The trocar assembly can also include a trocar sleeve that is disposable over the obturator. In use, once the trocar assembly is inserted through tissue, the trocar sleeve can function as a placeholder, allowing the endoscope and obturator to be removed. The endoscope can then be removed from within the obturator and reinserted through the trocar sleeve for use in performing various other procedures. In other embodiments, rather than using a trocar that houses the endoscope, an end cap can be removably disposed over a distal end of the endoscope. The present invention also provides methods and devices for shielding an endoscope during insertion through a body lumen, and in particular for preventing contact between the endoscope (or trocar sleeve) and the body lumen, thus preventing bacteria from being carried into a body cavity.

摘要翻译： 提供了用于执行经腹（例如经腹和经肛门）手术的方法和装置。 通常，所述方法和装置利用可有助于内窥镜通过组织插入的套针针组件或套管针端盖。 在一个实施例中，提供了柔性套管针组件，并且包括封闭器，其具有穿过其形成的内腔，用于在其中容纳内窥镜，以及远端，其适于便于内窥镜穿过组织的插入并且适于便于通过其观察。 套管针组件还可以包括在封闭器上一次性的套针套管。 在使用中，一旦套管针组件通过组织插入，套管针套筒可以用作占位符，允许内窥镜和闭孔器被移除。 然后可以从闭塞器内取出内窥镜，并通过套针套筒重新插入内窥镜，以用于执行各种其他程序。 在其他实施例中，不是使用容纳内窥镜的套管针，而是可以将端盖可拆卸地设置在内窥镜的远端上。 本发明还提供了在插入通过体腔时屏蔽内窥镜的方法和装置，特别是用于防止内窥镜（或套针套管）与体腔之间的接触，从而防止细菌被携带到体腔内。

公开(公告)号：US20070135770A1

公开(公告)日：2007-06-14

申请号：US11301891

申请日：2005-12-13

申请人： John Hunt ,  Michael Cropper ,  Richard Smith ,  Richard Schwemberger ,  John Measamer

发明人： John Hunt ,  Michael Cropper ,  Richard Smith ,  Richard Schwemberger ,  John Measamer

IPC分类号： A61M5/32

CPC分类号： A61B1/267 ,  A61B1/00154 ,  A61B1/273 ,  A61B17/3462 ,  A61B2017/347 ,  A61M16/0493

摘要： An endoscopic device stabilizer for stabilizing an endoscopic device when inserted in a mouth of a patient. The stabilizer includes a body adapted for receipt within the mouth of a patient. The body has an opening sized and shaped for receiving the endoscopic device when the device is inserted in the mouth of the patient. The stabilizer also includes a clamp attached to the body selectively moveable between a locked position in which the clamp resists movement of the endoscopic device relative to the body and an unlocked position in which the clamp permits movement of the endoscopic device relative to the body.

摘要翻译： 一种内窥镜装置稳定器，用于当插入到患者的口中时稳定内窥镜装置。 稳定器包括适于在患者的口中接收的主体。 身体具有开口尺寸和形状，用于当装置插入患者口中时接纳内窥镜装置。 稳定器还包括附接到身体的夹具，其选择性地可在夹具抵抗内窥镜装置相对于身体的移动的锁定位置和夹具允许内窥镜装置相对于身体移动的解锁位置之间移动。

公开(公告)号：US20060173402A1

公开(公告)日：2006-08-03

申请号：US11047934

申请日：2005-02-01

申请人： Michael Cropper ,  Patrick Weizman

发明人： Michael Cropper ,  Patrick Weizman

IPC分类号： A61N1/30

CPC分类号： A61B18/1477 ,  A61B1/2736 ,  A61B18/1442 ,  A61B18/1492 ,  A61B2018/00482 ,  A61B2018/1425

摘要： A first medical instrument includes a medical catheter, a rotatable member, an injection needle, and at least one medical-treatment electrode supported by the rotatable member. The medical catheter has a distal end. The rotatable member is connected to the medical catheter and is rotatable with respect to the medical catheter. The injection needle is movable to extend from, and to retract within, the distal end of the medical catheter. A second endoscope adjunct includes a medical catheter, a rotatable member, and at least one medical-treatment electrode supported by the rotatable member. The medical catheter has a distal end and has a lumen adapted to receive the injection needle. The rotatable member is connected to the medical catheter is rotatable with respect to the medical catheter.

摘要翻译： 第一医疗器械包括医疗导管，可旋转构件，注射针和由可旋转构件支撑的至少一个医疗电极。 医疗导管具有远端。 可旋转构件连接到医疗导管并且可相对于医疗导管旋转。 注射针可移动以在医疗导管的远端延伸并在其内收缩。 第二内窥镜附件包括医疗导管，可旋转构件和由可旋转构件支撑的至少一个医疗电极。 医疗导管具有远端并且具有适于接收注射针的内腔。 可旋转构件连接到医疗导管可相对于医疗导管旋转。

公开(公告)号：US20050070946A1

公开(公告)日：2005-03-31

申请号：US10943214

申请日：2004-09-17

申请人： Paul Franer ,  Michael Cropper ,  Brian Thompson

发明人： Paul Franer ,  Michael Cropper ,  Brian Thompson

IPC分类号： A61B17/34

CPC分类号： A61B17/3498

摘要： A seal assembly adapted for use in conjunction with a trocar assembly includes a seal body permitting the selective insertion and removal of instruments. The seal body includes a plurality of overlapping seal segments, each seal segment including a peripheral edge with a central seal member extending therefrom. The central seal member includes a free edge remote from the peripheral edge. A reinforcement pad is located on at least one of the seal segments between the peripheral edge and the free edge of the central seal member.

摘要翻译： 适于与套管针组件一起使用的密封组件包括允许选择性插入和移除器械的密封体。 密封体包括多个重叠的密封段，每个密封段包括具有从其延伸的中心密封构件的周边边缘。 中央密封构件包括远离周边边缘的自由边缘。 加强垫位于中央密封构件的周缘和自由边缘之间的至少一个密封段上。

公开(公告)号：US20080051735A1

公开(公告)日：2008-02-28

申请号：US11775477

申请日：2007-07-10

申请人： John Measamer ,  Michael Cropper

发明人： John Measamer ,  Michael Cropper

IPC分类号： A61B17/34

CPC分类号： A61B17/3417 ,  A61B1/00087 ,  A61B1/00135 ,  A61B1/273 ,  A61B1/3132 ,  A61B17/3462 ,  A61B2017/00278 ,  A61B2017/00296 ,  A61B2017/00889 ,  A61B2017/2905 ,  A61B2017/3441

摘要： Devices are provided herein for translumenal access to a treatment site within a body cavity. In general, the devices include an elongate sleeve configured to provide access to a treatment site wherein various portions of the sleeve are associated with an anti-microbial agent. Additionally, the anti-microbial agent(s) can be disposed within a housing and/or inner lumen of the sleeve such that surgical instruments passing therethrough can be sterilized en route to and/or being withdrawn from the treatment site. Additionally, various methods are also provided herein for maintaining the sterility of a treatment site.

摘要翻译： 本文提供了用于经腔内进入体腔内的治疗部位的装置。 通常，这些装置包括细长套筒，该套筒构造成提供对治疗部位的通路，其中套筒的各个部分与抗微生物剂相关联。 此外，抗微生物剂可以设置在套管的壳体和/或内腔内，使得通过其的手术器械可以在途经和/或从治疗部位取出的同时进行消毒。 此外，本文还提供了用于维持治疗部位的无菌性的各种方法。

公开(公告)号：US20070260117A1

公开(公告)日：2007-11-08

申请号：US11382196

申请日：2006-05-08

申请人： Andrew Zwolinski ,  Michael Cropper

发明人： Andrew Zwolinski ,  Michael Cropper

IPC分类号： A61B1/00

CPC分类号： A61B1/00142 ,  A61B1/00071 ,  A61B1/0008 ,  A61B1/00135 ,  A61B1/00151 ,  A61B1/313

摘要： Methods and devices are provided for performing translumenal (e.g., transoral and transanal) procedures. In general, the methods and devices utilize a trocar assembly or trocar end cap that can facilitate insertion of an endoscope through tissue. In one embodiment, a flexible trocar assembly is provided and includes an obturator having an inner lumen formed therethrough for receiving an endoscope therein, and a distal end that is adapted to facilitate insertion of the endoscope through tissue and that is adapted to facilitate viewing therethrough. The trocar assembly can also include a trocar sleeve that is disposable over the obturator. In use, once the trocar assembly is inserted through tissue, the trocar sleeve can function as a placeholder, allowing the endoscope and obturator to be removed. The endoscope can then be removed from within the obturator and reinserted through the trocar sleeve for use in performing various other procedures. In other embodiments, rather than using a trocar that houses the endoscope, an end cap can be removably disposed over a distal end of the endoscope. The present invention also provides methods and devices for shielding an endoscope during insertion through a body lumen, and in particular for preventing contact between the endoscope (or trocar sleeve) and the body lumen, thus preventing bacteria from being carried into a body cavity.