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公开(公告)号：US20110144430A1
公开(公告)日：2011-06-16
申请号：US13029797
申请日：2011-02-17
CPC分类号： A61B17/068 , A61B1/0052 , A61B1/0057 , A61B17/32002 , A61B90/37 , A61B2017/003 , A61B2017/0042 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2927 , A61B2017/2947 , A61B2034/306 , A61B2090/372
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。
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公开(公告)号：US07846169B2
公开(公告)日：2010-12-07
申请号：US11394127
申请日：2006-03-31
IPC分类号： A61B17/04
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： A surgical suturing apparatus includes a suture housing, a needle 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 a vacuum chamber surrounding the suture housing. The vacuum chamber is coupled to a vacuum line of the endoscope and includes a mechanism for adjusting the maximum amount of tissue that can be drawn into the vacuum chamber.
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，可操作地与针头相关联的驱动组件，用于控制针头以围绕弓形路径固定到其上的缝合线的运动，从而促进 将缝合线应用于组织，以及围绕缝合线壳体的真空室。 真空室耦合到内窥镜的真空管线，并且包括用于调节能够吸入真空室中的组织的最大量的机构。
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93.发明授权Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application 有权具有引发剂浸渍基质或支撑物以改善粘合剂应用的手术紧固装置公开(公告)号：US07708180B2
公开(公告)日：2010-05-04
申请号：US11558208
申请日：2006-11-09
申请人： Michael A. Murray , Douglas J. Turner , John V. Hunt , Mark S. Ortiz , David N. Plescia , Frederick E. Shelton, IV , Ronald J. Kolata , Robert H. McKenna , Craig N. Faller , James W. Voegele
发明人： Michael A. Murray , Douglas J. Turner , John V. Hunt , Mark S. Ortiz , David N. Plescia , Frederick E. Shelton, IV , Ronald J. Kolata , Robert H. McKenna , Craig N. Faller , James W. Voegele
IPC分类号： A61B18/14
CPC分类号： A61B17/07207 , A61B17/00491 , A61B17/07292 , A61B17/115 , A61B17/32053 , A61B2017/0725 , A61B2017/320052
摘要： A material comprising a matrix or a buttress is impregnated with an adhesive initiator and is used with a surgical stapling device and an adhesive. The tissue and material are stapled together, and a knife in the surgical stapling device cuts the tissue and the material. The adhesive is applied across the cut and sets up or polymerizes to seals the cut when the adhesive contacts the adhesive initiator. The surgical stapling device can place the staples in a linear, arcuate, or circular array, and can anastomose luminal tissue. The methods of use can include stapling luminal tissue end to end, stapling two portions of material onto ether side of tissue, and stapling two portions of tissue onto a portion of material. Additionally, a portion of adhesive filed material can be stapled onto one side of portion of tissue and the adhesive initiator impregnated material can be stapled onto the other. Cutting the material and tissue provides a path for the adhesive across the cut, and catalyzes the adhesive from contact with the adhesive initiator.
摘要翻译： 包含基质或支撑物的材料用粘合剂引发剂浸渍并与外科缝合装置和粘合剂一起使用。 组织和材料被装订在一起，并且外科缝合装置中的刀切割组织和材料。 粘合剂穿过切口施加并设置或聚合以在粘合剂接触粘合剂引发剂时密封切口。 外科缝合装置可以将钉子放置成线形，弓形或圆形阵列，并可吻合管腔组织。 使用的方法可以包括将管腔组织端对端缝合，将两部分材料装订到组织的醚侧上，并将两部分组织装订到材料的一部分上。 此外，一部分粘合剂材料可以被装订到组织的一部分的一侧，并且粘合剂引发剂浸渍的材料可以装订到另一个上。 切割材料和组织提供穿过切口的粘合剂的路径，并且催化粘合剂与粘合剂引发剂的接触。
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94.发明授权Robotically-controlled surgical instrument with selectively articulatable end effector 有权机器人控制的手术器械，具有可选择性关节的末端执行器公开(公告)号：US09301759B2
公开(公告)日：2016-04-05
申请号：US13369594
申请日：2012-02-09
IPC分类号： A61B17/04 , A61B17/10 , A61B17/072 , A61B19/00 , A61B17/115 , A61B17/3205 , A61B19/02 , A61B17/00 , A61B17/068 , A61B17/29 , A61B17/32
CPC分类号： A61B34/30 , A61B1/0052 , A61B1/0058 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B17/320016 , A61B17/32053 , A61B34/71 , A61B50/30 , A61B50/36 , A61B90/37 , A61B2017/00057 , A61B2017/00199 , A61B2017/0023 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00367 , A61B2017/0042 , A61B2017/00473 , A61B2017/00477 , A61B2017/00685 , A61B2017/00734 , A61B2017/0688 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2937 , A61B2017/2946 , A61B2017/2947 , A61B2017/320052 , A61B2034/306 , A61B2090/0811 , A61B2090/372
摘要： Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems 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.
摘要翻译： 提供了用于通过机器人系统来控制手术装置的工作端的移动的装置和系统。 在一个实施例中，系统和装置被提供用于移动外科紧固装置的远端上的末端执行器。 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。
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公开(公告)号：US09149274B2
公开(公告)日：2015-10-06
申请号：US13029797
申请日：2011-02-17
CPC分类号： A61B17/068 , A61B1/0052 , A61B1/0057 , A61B17/32002 , A61B90/37 , A61B2017/003 , A61B2017/0042 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2927 , A61B2017/2947 , A61B2034/306 , A61B2090/372
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。 弹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。
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公开(公告)号：US08911471B2
公开(公告)日：2014-12-16
申请号：US13616263
申请日：2012-09-14
CPC分类号： A61B17/068 , A61B1/0052 , A61B1/0057 , A61B17/32002 , A61B90/37 , A61B2017/003 , A61B2017/0042 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2927 , A61B2017/2947 , A61B2034/306 , A61B2090/372
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。
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97.发明申请TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING A HYDROPHILIC AGENT 有权装有疏水剂的厚度补偿器的组织包装机公开(公告)号：US20130256374A1
公开(公告)日：2013-10-03
申请号：US13532820
申请日：2012-06-26
IPC分类号： A61B17/068
CPC分类号： A61B17/0643 , A61B17/00491 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00314 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00561 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/00938 , A61B2017/00942 , A61B2017/0641 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2937 , A61B2017/320052 , A61B2090/0807
摘要： A staple cartridge assembly for use with a surgical stapler. The assembly has a cartridge body having a support portion with a plurality of staple cavities with openings. There is also a plurality of staples, wherein at least a portion of each the staple is removably stored within a the staple cavity. Each the staple is movable between an unfired position and a fired position, and is deformable between an unfired configuration and a fired configuration. The assembly also includes a compressible tissue thickness compensator configured to be captured within the staples. The compressible tissue thickness compensator at least partially covers the staple cavity openings. The compressed tissue thickness compensator is configured to assume different compressed heights within different the staples. The compressible tissue thickness compensator comprising a lyophilized foam having a hydrophillic agent embedded therein.
摘要翻译： 用于外科缝合器的钉仓组件。 该组件具有一个带有主体的盒体，该主体具有多个具有开口的缝合腔的支撑部分。 还有多个钉，其中每个钉的至少一部分可移除地存储在钉腔内。 每个订书钉可以在未燃位置和点火位置之间移动，并且可在未烧制配置和烧制配置之间变形。 组件还包括构造成捕获在钉内的可压缩组织厚度补偿器。 可压缩组织厚度补偿器至少部分地覆盖钉腔开口。 压缩的组织厚度补偿器构造成在不同的钉内具有不同的压缩高度。 可压缩组织厚度补偿器包括具有嵌入其中的亲水剂的冻干泡沫。
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98.发明授权Methods and devices for providing surgical access through tissue to a surgical site 有权用于通过组织向外科手术部位提供外科手术的方法和装置公开(公告)号：US08500633B2
公开(公告)日：2013-08-06
申请号：US12636174
申请日：2009-12-11
申请人： Mark S. Ortiz , Brandon L. Livingston , Dhananjay V. Patil , Jerome R. Morgan , Theodore R. Farrell , Frederick E. Shelton, IV
发明人： Mark S. Ortiz , Brandon L. Livingston , Dhananjay V. Patil , Jerome R. Morgan , Theodore R. Farrell , Frederick E. Shelton, IV
IPC分类号： A61B1/32
CPC分类号： A61B17/3421 , A61B17/3423 , A61B2017/003 , A61B2017/00327 , A61B2017/2905 , A61B2017/3443 , A61B2017/3484 , A61B2017/349
摘要： Methods and devices are provided for providing surgical access into a body cavity. A surgical access port is provided that has an adjustable longitudinal length, such as by being formed from multiple segments configured to move relative to one another. An anchor can be coupled to a distal end of the surgical access port to help secure the surgical access port within a tissue opening by engaging a distal side of the tissue. Optionally, the anchor can be removably coupled to the distal end of the surgical access port, thereby allowing any one of a plurality of anchors to be selectively coupled thereto.
摘要翻译： 提供了用于提供进入体腔的外科手术的方法和装置。 提供具有可调节纵向长度的外科进入口，例如通过被构造为相对于彼此移动的多个部分形成。 锚固件可以联接到外科进入口的远端，以通过接合组织的远侧侧面来帮助将外科进入端口固定在组织开口内。 可选地，锚固件可以可移除地联接到手术进入口的远端，从而允许多个锚定件中的任何一个选择性地联接到其上。
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公开(公告)号：US08236010B2
公开(公告)日：2012-08-07
申请号：US11277328
申请日：2006-03-23
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B1/0052 , A61B1/0057 , A61B17/32002 , A61B90/37 , A61B2017/003 , A61B2017/0042 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2927 , A61B2017/2947 , A61B2034/306 , A61B2090/372
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。
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公开(公告)号：US07976553B2
公开(公告)日：2011-07-12
申请号：US11394178
申请日：2006-03-31
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 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, a handle, an elongated flexible member having a distal end attached to the suture housing and a proximal end attached to the handle, and a mechanism for releasing and reattaching the handle to the flexible member.
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，可操作地与针头相关联的驱动组件，用于控制针头以围绕弓形路径固定到其上的缝合线的运动，从而促进 将缝合线应用于组织，手柄，具有连接到缝合线壳体的远端的细长柔性构件和附接到手柄的近端，以及用于将手柄释放并重新附接到柔性构件的机构。
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