公开(公告)号：US20100152609A1

公开(公告)日：2010-06-17

申请号：US12332938

申请日：2008-12-11

申请人： Andrew M. Zwolinski ,  James T. Spivey ,  Michael J. Stokes ,  Daniel H. Duke

发明人： Andrew M. Zwolinski ,  James T. Spivey ,  Michael J. Stokes ,  Daniel H. Duke

IPC分类号： A61B10/02

CPC分类号： A61B10/06 ,  A61B10/0096 ,  A61B10/0283

摘要： A surgical instrument can be used to capture and retrieve tissue, or other specimens, from within the body of a patient through a single trocar port. The surgical instrument can include a grasper, wherein the grasper can be configured to capture a specimen, and a specimen retrieval bag, wherein the specimen retrieval bag can be configured to at least partially surround, or encapsulate, the captured specimen when the specimen retrieval bag is in a deployed position. In certain embodiments, the retrieval bag can be inverted as it is moved between undeployed and deployed positions. In various embodiments, the surgical instrument can further include a snare operably engaged with the specimen retrieval bag, wherein the snare can be configured to at least partially close the bag. A vacuum can be placed in communication with the bag to reduce the size of the bag before it is removed from the surgical site.

摘要翻译： 手术器械可用于通过单个套管针端口从患者体内捕获和回收组织或其他标本。 手术器械可以包括抓取器，其中抓取器可以构造成捕获样本和样本取回袋，其中样本取回袋可被构造成至少部分地包围或封装所捕获的样本，当样本取回袋 处于部署位置。 在某些实施例中，当取出袋在未部署位置和展开位置之间移动时可以反转。 在各种实施例中，手术器械还可以包括可操作地与样本回收袋接合的圈套，其中所述圈套可被构造成至少部分地封闭所述袋。 可以将真空放置成与袋连通，以在袋从手术部位移除之前减小袋的尺寸。

公开(公告)号：US20100010511A1

公开(公告)日：2010-01-14

申请号：US12172766

申请日：2008-07-14

申请人： Jason L. Harris ,  James T. Spivey

发明人： Jason L. Harris ,  James T. Spivey

IPC分类号： A61B17/10

CPC分类号： A61B17/10 ,  A61B17/083 ,  A61B17/29 ,  A61B2017/00818

摘要： Surgical instruments and methods for closing a gastrotomy. In various embodiments, the surgical instrument may comprise an overtube that supports a clip magazine therein that houses a plurality of tissue apposition clips in an orientation wherein the upper and lower clip arms thereof are releasably supported in an open orientation. Various embodiments are configured to operably accommodate one or more tissue grasping members for grasping the tissue. Other embodiments comprise clip dispensing adapters that may be affixed to the distal end of an endoscope. The various adapters are configured to support a tissue apposition clip such that the upper and lower clip arms thereof are initially supported in an open orientation relative to each other to enable grasped tissue to be drawn therein. Various tissue apposition clips are disclosed which may be used in connection with conventional tissue anchors and/or sutures.

摘要翻译： 手术器械和闭合胃切开术的方法。 在各种实施例中，外科器械可以包括支撑其中的夹子仓的外套管，其中以定向方式容纳多个组织定位夹具，其中上部和下部夹臂可释放地支撑在开放取向。 各种实施例被构造成可操作地容纳用于抓握组织的一个或多个组织抓握构件。 其他实施例包括可以固定到内窥镜的远端的夹子分配适配器。 各种适配器被配置成支撑组织定位夹，使得其上和下夹臂最初相对于彼此以开放方向被支撑，以使得抓握的组织能够被拉入其中。 公开了可以与常规组织锚和/或缝合线结合使用的各种组织定位夹。

公开(公告)号：US20090299406A1

公开(公告)日：2009-12-03

申请号：US12130652

申请日：2008-05-30

申请人： Christopher P. Swain ,  James T. Spivey ,  Charles A. Mosse

发明人： Christopher P. Swain ,  James T. Spivey ,  Charles A. Mosse

IPC分类号： A61B17/08 ,  A61B17/10

CPC分类号： A61B17/0469 ,  A61B17/29 ,  A61B2017/00353 ,  A61B2017/00818 ,  A61B2017/06052

摘要： A surgical device is disclosed along with methods of using the same. The surgical device may comprise an outer sheath and a collar assembly. The collar assembly may be coupled to the outer sheath and may comprise a first arm coupled to the outer sheath at a first hinge; a second arm coupled to the first arm at a second hinge; and a collar coupled to the second arm. The collar assembly may be movable from an un-deployed position where the first arm and the second arm extend the collar distally from the outer sheath to a deployed position where the collar is aligned with the first channel of the outer sheath. Also, the first arm, the second arm, and the collar may be positioned substantially within a cross-sectional area of a distal end of the outer sheath when the collar assembly is in the un-deployed position.

摘要翻译： 公开了一种手术装置及其使用方法。 手术装置可以包括外护套和套环组件。 套环组件可以联接到外护套并且可以包括在第一铰链处联接到外护套的第一臂; 在第二铰链处联接到所述第一臂的第二臂; 以及联接到第二臂的套环。 套环组件可以从未展开的位置移动，其中第一臂和第二臂将套环从外护套向远侧延伸到展开位置，其中套环与外护套的第一通道对准。 此外，当套环组件处于未展开位置时，第一臂，第二臂和套环可以基本位于外护套的远端的横截面区域内。

公开(公告)号：US20090299135A1

公开(公告)日：2009-12-03

申请号：US12130224

申请日：2008-05-30

申请人： James T. Spivey

发明人： James T. Spivey

IPC分类号： A61B1/018

CPC分类号： A61B1/018 ,  A61B1/00073 ,  A61B1/0008 ,  A61B1/00087 ,  A61B1/00133 ,  A61B1/0014

摘要： A surgical device for use with an endoscope. The device includes an end cap removably affixable to a distal end of the endoscope such that at least a portion of the end cap distally extends beyond the distal end of the endoscope. The end cap defines a through bore for receiving the distal end of the endoscope, and the end cap includes an outer surface defining first and second tracks substantially perpendicular to a longitudinal axis of the through bore. The device further includes a first working channel having a distal end disposed in the first track and movable along a length of the first track between a first position and a second position. The device further includes a second working channel having a distal end disposed in the second track and movable along a length of the second track between a first position and a second position. The distal end of each the first and second working channel defines a bore having a longitudinal axis substantially perpendicular to the longitudinal axis of the through bore of the end cap.

摘要翻译： 一种用于内窥镜的手术装置。 该装置包括可拆卸地固定到内窥镜的远端的端盖，使得端盖的至少一部分向远侧延伸超过内窥镜的远端。 端盖限定用于接纳内窥镜的远端的通孔，并且端盖包括限定基本上垂直于通孔的纵向轴线的第一和第二轨道的外表面。 该装置还包括第一工作通道，其具有设置在第一轨道中的远端，并且可沿第一轨道的长度在第一位置和第二位置之间移动。 该装置还包括第二工作通道，其具有设置在第二轨道中的远端，并可在第一位置和第二位置之间沿着第二轨道的长度移动。 每个第一和第二工作通道的远端限定了具有基本上垂直于端盖的通孔的纵向轴线的纵向轴线的孔。

公开(公告)号：US20090275964A1

公开(公告)日：2009-11-05

申请号：US12113773

申请日：2008-05-01

申请人： Mark S. Zeiner ,  Jason L. Harris ,  Michael J. Stokes ,  Daniel E. Alesi ,  Mark S. Ortiz ,  Thomas E. Albrecht ,  James T. Spivey ,  Lawrence Crainich

发明人： Mark S. Zeiner ,  Jason L. Harris ,  Michael J. Stokes ,  Daniel E. Alesi ,  Mark S. Ortiz ,  Thomas E. Albrecht ,  James T. Spivey ,  Lawrence Crainich

IPC分类号： A61B17/12 ,  A61B17/34

CPC分类号： A61B17/00234 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/0649 ,  A61B2017/081 ,  A61B2017/2926 ,  A61F5/0086

摘要： A rolling instrument for rolling the outside surface of the stomach for reducing stomach volume in bariatric surgery includes an elongated tubular body that is sufficiently flexible to allow for access to the outside surface. The tubular body includes a proximal end and a distal end. The proximal end is shaped and dimensioned for use by the medical practitioner performing the medical procedure and includes a handle for manipulation of the rolling instrument. The distal end of the tubular body includes a mechanism allowing for gripping of the stomach in a manner permitting rolling thereof. A coiled retainer shaped and dimensioned is provided for application to the rolled portion of the stomach in a manner holding the rolled portion of the stomach in its rolled configuration. The coiled retainer includes a helically coiled body having a first end and a second end, the first end is pointed such that it may puncture tissue as the coiled body is rotated during its application to the stomach.

摘要翻译： 用于在减肥手术中滚动用于减少胃体积的胃的外表面的滚动仪器包括具有足够柔性以允许进入外表面的细长管状体。 管状体包括近端和远端。 近端的形状和尺寸被医生执行医疗程序所使用，并且包括用于操纵滚动仪器的手柄。 管状体的远端包括允许以允许其滚动的方式夹持胃的机构。 提供成形和尺寸的盘形保持器，以使其处于卷成形状的胃的卷绕部分的方式施加到胃的卷绕部分。 卷绕的保持器包括具有第一端和第二端的螺旋状卷绕体，第一端是尖的，使得当线圈体在其施加到胃部期间旋转时可能刺穿组织。

公开(公告)号：US20080183035A1

公开(公告)日：2008-07-31

申请号：US11627542

申请日：2007-01-26

申请人： Omar J. Vakharia ,  David Stefanchik ,  James T. Spivey

发明人： Omar J. Vakharia ,  David Stefanchik ,  James T. Spivey

IPC分类号： A61B17/94

CPC分类号： A61B17/00234 ,  A61B1/00135 ,  A61B1/018 ,  A61B17/3421 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/2923 ,  A61B2017/3445

摘要： Devices and methods useful for manipulating tools at a surgical site are disclosed. In one exemplary embodiment, an accessory device is provided and can include an insertion member and a control wire. The insertion member can have a lumen for receiving a tool therethrough, such as an endoscope. The control wire can be coupled to the insertion member and have a distal portion extending distally from the insertion member and be adapted to receive and to manipulate a tool extending through the insertion member. The control wire can have a wide variety of configurations, and in certain exemplary embodiments the control wire can be slidably received in one or more control wire lumens formed through the insertion member. In use, the control wire can be manipulated, for example by axially sliding the control wire in one or more control wire lumens to control a tool.

摘要翻译： 公开了用于在手术部位操作工具的装置和方法。 在一个示例性实施例中，提供附件装置并且可以包括插入构件和控制线。 插入构件可以具有用于容纳穿过其中的工具的内腔，诸如内窥镜。 控制线可以联接到插入构件并且具有从插入构件向远侧延伸的远侧部分，并且适于接收和操纵延伸穿过插入构件的工具。 控制线可以具有各种各样的配置，并且在某些示例性实施例中，控制线可以可滑动地容纳在通过插入构件形成的一个或多个控制线腔中。 在使用中，控制线可以被操纵，例如通过在一个或多个控制线腔内轴向滑动控制线来控制工具。