公开(公告)号：US09980778B2

公开(公告)日：2018-05-29

申请号：US14518546

申请日：2014-10-20

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Robert M. Ohline ,  Katherine Whitin ,  Amir Belson ,  Christopher D. Justice

IPC: A61B1/005 ,  A61B5/06 ,  A61B19/00 ,  A61B8/00 ,  A61B1/31 ,  A61B34/20 ,  A61B90/98 ,  A61B90/00

CPC classification number: A61B90/98 ,  A61B1/005 ,  A61B1/31 ,  A61B5/064 ,  A61B5/065 ,  A61B5/068 ,  A61B8/4254 ,  A61B34/20 ,  A61B90/361 ,  A61B2034/2051 ,  A61B2090/062 ,  A61B2090/397 ,  A61B2090/3983

Abstract: One RFID equipped instrument includes an elongate body with a plurality of uniquely identified radio frequency identification chips spaced along the length of the elongate body. One system used for determining the position of an instrument includes an instrument; a plurality of radio frequency identification chips attached to the instrument; a reader connected to an antenna and adapted to communicate with each radio frequency identification chip using the antenna. One method for determining the position of an instrument using radio frequency identification chips includes providing a radio frequency identification chip reader and antenna; providing an instrument having a longitudinal axis and comprising a plurality of radio frequency identification chips placed along the longitudinal axis; moving the instrument relative to the antenna; and using information about a radio frequency identification chip detected by the antenna to determine the position of the instrument.

公开(公告)号：US20170079507A1

公开(公告)日：2017-03-23

申请号：US15364509

申请日：2016-11-30

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Caitlin Q. Donhowe ,  Amir Belson ,  Kristoffer J. Donhowe ,  Kenneth R. Krieg ,  Eric M. Storne ,  Thomas J. Yorkey ,  Jun Zhang

IPC: A61B1/005 ,  A61B34/20 ,  A61B5/06 ,  A61B1/00 ,  A61B1/008

CPC classification number: A61B1/0051 ,  A61B1/00006 ,  A61B1/00009 ,  A61B1/00147 ,  A61B1/008 ,  A61B5/065 ,  A61B34/20 ,  A61B90/03 ,  A61B2017/003 ,  A61B2034/107 ,  A61B2034/301

Abstract: Waypoints for a steerable medical device are stored as the steerable medical device is moved within a patient. The stored waypoints are an ordered sequence of locations. The ordered sequence of locations defines a safe path within the patient for moving an articulatable portion of the steerable medical device. The articulatable portion of the steerable medical device is constrained to follow the safe path as the articulatable portion moves within the patient. For example, the articulatable portion of the steerable medical device is constrained to remain within a boundary region enclosing the safe path as the articulatable portion of the steerable medical device follows the safe path.

公开(公告)号：US09421016B2

公开(公告)日：2016-08-23

申请号：US14199220

申请日：2014-03-06

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Amir Belson

IPC: A61B17/11 ,  A61B1/00 ,  A61B1/005 ,  A61B1/31 ,  A61B17/00 ,  A61B17/22

CPC classification number: A61B17/1114 ,  A61B1/00147 ,  A61B1/0055 ,  A61B1/0058 ,  A61B1/31 ,  A61B17/00234 ,  A61B17/1155 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00349 ,  A61B2017/00353 ,  A61B2017/00557 ,  A61B2017/1103 ,  A61B2017/1132 ,  A61B2017/22034 ,  A61B2017/22054 ,  A61B2034/2059

Abstract: Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned inbetween the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis.

公开(公告)号：US10959807B2

公开(公告)日：2021-03-30

申请号：US15975359

申请日：2018-05-09

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Robert M. Ohline ,  Katherine Whitin ,  Amir Belson ,  Christopher D. Justice

IPC: A61B90/98 ,  A61B1/31 ,  A61B1/005 ,  A61B8/00 ,  A61B5/06 ,  A61B34/20 ,  A61B90/00

Abstract: A system may comprise an instrument with an elongate body portion to be moved along a path, one or more datums, and a plurality of sense elements disposed at positions spaced along a length of the elongate body portion. Each sense element may sense or be sensed by one of the datums when in proximity to the datum. The system may also include a processor configured to compare signals transmitted from the datums or from the sense elements, including a first signal and a second signal, and identify, based on the comparison, a state of motion of the elongate body chosen from a state of motion in a forward direction (insertion) along a path and a state of motion in a rearward direction (withdrawal) along the path. The processor may identify the state of motion of the elongate body based on whether the first signal is lower than or higher than the second signal and whether the first and second signals are both increasing or decreasing.

公开(公告)号：US09517000B2

公开(公告)日：2016-12-13

申请号：US14042876

申请日：2013-10-01

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Caitlin Q. Donhowe ,  Amir Belson ,  Kristoffer J. Donhowe ,  Kenneth R. Krieg ,  Eric M. Storne ,  Thomas J. Yorkey ,  Jun Zhang

IPC: A61B1/00 ,  A61B1/005 ,  A61B17/00

CPC classification number: A61B1/0051 ,  A61B1/00006 ,  A61B1/00009 ,  A61B1/00147 ,  A61B1/008 ,  A61B5/065 ,  A61B34/20 ,  A61B90/03 ,  A61B2017/003 ,  A61B2034/107 ,  A61B2034/301

Abstract: Waypoints for a steerable medical device are stored as the steerable medical device is moved within a patient. The stored waypoints are an ordered sequence of locations. The ordered sequence of locations defines a safe path within the patient for moving an articulatable portion of the steerable medical device. The articulatable portion of the steerable medical device is constrained to follow the safe path as the articulatable portion moves within the patient. For example, the articulatable portion of the steerable medical device is constrained to remain within a boundary region enclosing the safe path as the articulatable portion of the steerable medical device follows the safe path.

公开(公告)号：US09427282B2

公开(公告)日：2016-08-30

申请号：US13962264

申请日：2013-08-08

Applicant: Intuitive Surgical Operations Inc.

Inventor： Amir Belson ,  Robert Matthew Ohline

IPC: A61B1/00 ,  A61B18/14 ,  A61B1/005 ,  A61B1/05 ,  A61B1/31 ,  G02B23/24 ,  A61B18/18 ,  A61B18/02 ,  A61B18/22 ,  A61B17/00 ,  A61B18/00

CPC classification number: A61B1/0055 ,  A61B1/0051 ,  A61B1/0052 ,  A61B1/0053 ,  A61B1/0058 ,  A61B1/0125 ,  A61B1/018 ,  A61B1/05 ,  A61B1/31 ,  A61B18/02 ,  A61B18/1492 ,  A61B18/22 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2018/00351 ,  A61B2018/00446 ,  A61B2018/0212 ,  A61B2034/301 ,  G02B23/2469 ,  G02B23/2476 ,  G02B23/2484

Abstract: A tunable ablation delivery device is disclosed. The tunable ablation delivery device includes a housing and a detection element on the housing for detecting a physiological indication. The tunable ablation delivery device further includes an ablation element disposed within the housing. An opening in the housing is positioned relative to the ablation element to facilitate a treatment using the ablation element modality.

Abstract translation: 公开了可调谐消融装置。 可调消融递送装置包括壳体和壳体上的检测元件，用于检测生理指示。 可调消融递送装置还包括设置在壳体内的消融元件。 壳体中的开口相对于消融元件定位，以便于使用消融元件模态的治疗。

公开(公告)号：US09357901B2

公开(公告)日：2016-06-07

申请号：US14039147

申请日：2013-09-27

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Robert Eno ,  Amir Belson ,  David Blaha ,  David Mintz ,  Bruce Robert Woodley

IPC: A61B1/04 ,  A61B1/00 ,  A61B1/005 ,  A61B1/008 ,  A61B5/00

CPC classification number: A61B5/7435 ,  A61B1/00039 ,  A61B1/00045 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/008 ,  A61B5/06 ,  A61B5/743

Abstract: A system for graphically visualizing an orientation of a steerable distal portion of an elongate instrument is disclosed. The system includes an instrument having an elongate body. The elongate body includes a proximal portion and a steerable distal portion. The system also includes at least one tensioning member attached to said steerable distal portion, wherein the actuation of said at least one tensioning member results in an approximate y-bend and an approximate x-bend of said steerable distal portion, and wherein said approximate y-bend and approximate x-bend define an approximate overall bend of said steerable distal portion. The system further includes a graphical user interface and an icon representing said approximate overall bend on said graphical user interface.

Abstract translation: 公开了一种用于图形地可视化细长仪器的可转向远端部分的方向的系统。 该系统包括具有细长主体的仪器。 细长体包括近端部分和可操纵远端部分。 所述系统还包括附接到所述可操纵远侧部分的至少一个张紧构件，其中所述至少一个张紧构件的致动导致所述可操纵远侧部分的近似的y形弯曲和近似x形弯曲，并且其中所述近似y 端部和近似x形弯曲限定所述可转向远端部分的近似整体弯曲。 系统还包括图形用户界面和表示所述图形用户界面上的所述近似整体弯曲的图标。

公开(公告)号：US08696694B2

公开(公告)日：2014-04-15

申请号：US13729602

申请日：2012-12-28

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Amir Belson

IPC: A61B17/11

CPC classification number: A61B17/1114 ,  A61B1/00147 ,  A61B1/0055 ,  A61B1/0058 ,  A61B1/31 ,  A61B17/00234 ,  A61B17/1155 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00349 ,  A61B2017/00353 ,  A61B2017/00557 ,  A61B2017/1103 ,  A61B2017/1132 ,  A61B2017/22034 ,  A61B2017/22054 ,  A61B2034/2059

Abstract: Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned inbetween the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis.

Abstract translation: 本文描述了用于内窥镜结肠切除术的装置和方法。 具有第一和第二组织近似装置的结肠切除装置安装在彼此分离的结肠镜上。 在展开结肠切除装置期间，结肠的病变部分位于组织近似装置之间。 组织近似装置径向膨胀，使得它们在与结肠的病变部分相邻的两个位置处接触并抓住结肠壁。 将病变部分与网膜分离，并使用腹腔镜进行横切，或者将其拉入结肠镜以供以后移除。 组织近似装置然后在结肠镜上彼此推动以近似结肠的两个自由边缘接触在一起，在那里它们使用组织近似装置作为手术吻合器彼此紧固以产生端对端吻合 。

公开(公告)号：US20140031625A1

公开(公告)日：2014-01-30

申请号：US14042876

申请日：2013-10-01

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Caitlin Q. Donhowe ,  Amir Belson ,  Kristoffer J. Donhowe ,  Kenneth R. Krieg ,  Eric M. Storne ,  Thomas J. Yorkey ,  Jun Zhang

IPC: A61B1/005

CPC classification number: A61B1/0051 ,  A61B1/00006 ,  A61B1/00009 ,  A61B1/00147 ,  A61B1/008 ,  A61B5/065 ,  A61B34/20 ,  A61B90/03 ,  A61B2017/003 ,  A61B2034/107 ,  A61B2034/301

Abstract: Waypoints for a steerable medical device are stored as the steerable medical device is moved within a patient. The stored waypoints are an ordered sequence of locations. The ordered sequence of locations defines a safe path within the patient for moving an articulatable portion of the steerable medical device. The articulatable portion of the steerable medical device is constrained to follow the safe path as the articulatable portion moves within the patient. For example, the articulatable portion of the steerable medical device is constrained to remain within a boundary region enclosing the safe path as the articulatable portion of the steerable medical device follows the safe path.

Abstract translation: 当可转向医疗设备在患者体内移动时，存储可转向医疗设备的路标点。 存储的路点是有序的位置序列。 位置的有序序列限定了患者内的安全路径，用于移动可转向医疗装置的可铰接部分。 可转向医疗装置的可铰接部分被限制为随着可铰接部分在患者体内移动而跟随安全路径。 例如，可转向医疗设备的可铰接部分被限制为保持在包围安全路径的边界区域内，因为可转向医疗设备的可关节部分遵循安全路径。

公开(公告)号：US20130116712A1

公开(公告)日：2013-05-09

申请号：US13729602

申请日：2012-12-28

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Amir Belson

IPC: A61B17/11

CPC classification number: A61B17/1114 ,  A61B1/00147 ,  A61B1/0055 ,  A61B1/0058 ,  A61B1/31 ,  A61B17/00234 ,  A61B17/1155 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00349 ,  A61B2017/00353 ,  A61B2017/00557 ,  A61B2017/1103 ,  A61B2017/1132 ,  A61B2017/22034 ,  A61B2017/22054 ,  A61B2034/2059

Abstract: Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned inbetween the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis.

Abstract translation: 本文描述了用于内窥镜结肠切除术的装置和方法。 具有第一和第二组织近似装置的结肠切除装置安装在彼此分离的结肠镜上。 在展开结肠切除装置期间，结肠的病变部分位于组织近似装置之间。 组织近似装置径向膨胀，使得它们在与结肠的病变部分相邻的两个位置处接触并抓住结肠壁。 将病变部分与网膜分离，并使用腹腔镜进行横切，或者将其拉入结肠镜以供以后移除。 组织近似装置然后在结肠镜上彼此推动以近似结肠的两个自由边缘接触在一起，在那里它们使用组织近似装置作为手术吻合器彼此紧固以产生端对端吻合 。