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公开(公告)号：US08179074B2
公开(公告)日：2012-05-15
申请号：US12581464
申请日：2009-10-19
IPC分类号： B25J5/00
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US20100042141A1
公开(公告)日：2010-02-18
申请号：US12581464
申请日：2009-10-19
IPC分类号： A61B17/94
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US07605559B2
公开(公告)日：2009-10-20
申请号：US12331110
申请日：2008-12-09
IPC分类号： B25J15/02
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US20080300461A1
公开(公告)日：2008-12-04
申请号：US11755926
申请日：2007-05-31
IPC分类号： A61B1/008
CPC分类号： A61B1/0052
摘要： An endoscopic surgical instrument for performing a procedure inside a patient. The instrument includes a handle assembly including a grip for holding the instrument and controls for controlling movement of the instrument. An elongate shaft having a grip end is mounted on the handle assembly. The shaft has a working end opposite the grip end. The shaft has a proximal portion adjacent the grip end and a distal portion adjacent the working end. The proximal portion has a centerline and is selectively rotatable with respect to the handle assembly. The distal portion has a centerline and is selectively articulatable relative to the proximal portion of the shaft. The instrument includes an end effector mounted on the working end of the elongate shaft. The end effector is selectively rotatable about the distal portion of the shaft.
摘要翻译： 一种用于在患者体内进行手术的内镜手术器械。 仪器包括手柄组件，其包括用于保持仪器的手柄和用于控制仪器运动的控制。 具有握持端的细长轴安装在手柄组件上。 轴具有与抓地端相对的工作端。 轴具有邻近抓握端的近端部分和与工作端相邻的远端部分。 近端部分具有中心线并且可相对于把手组件选择性地旋转。 远侧部分具有中心线并且可相对于轴的近端部分选择性地关节运动。 仪器包括安装在细长轴的工作端上的端部执行器。 端部执行器可围绕轴的远端部分选择性地旋转。
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公开(公告)号：US07223239B2
公开(公告)日：2007-05-29
申请号：US11032288
申请日：2005-01-10
申请人： Dale R. Schulze , Christopher J Hess , Michael F. Clem , Gary W. Knight , Kevin A. Harper , Rudolph H Nobis
发明人： Dale R. Schulze , Christopher J Hess , Michael F. Clem , Gary W. Knight , Kevin A. Harper , Rudolph H Nobis
CPC分类号： A61N7/02 , A61B2018/00011
摘要： A medical device for use on a bodily organ includes a concave support element that is removably attachable to the surface of the bodily organ, thereby defining an enclosed space adjacent to the bodily organ. The enclosed space is fluidly connected to a fluid management system for circulating a fluid inside of the enclosed space. The medical device also has an energy transfer element mounted to the concave support element and electrically connected to a control unit. In some embodiments, the energy transfer element transmits intense ultrasound energy in a frequency range of 1–30 megahertz, and the fluid acoustically couples the energy transfer element to the bodily organ, and the fluid also cools the energy transfer element.
摘要翻译： 用于身体器官的医疗装置包括可移除地附接到身体器官表面的凹形支撑元件，从而限定与身体器官相邻的封闭空间。 封闭空间流体地连接到流体管理系统，用于使封闭空间内的流体循环。 医疗装置还具有安装到凹形支撑元件并电连接到控制单元的能量传递元件。 在一些实施例中，能量传递元件在1-30兆赫的频率范围内传输强烈的超声能量，并且流体将能量传递元件声学耦合到身体器官，并且流体还冷却能量传递元件。
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公开(公告)号：US07063699B2
公开(公告)日：2006-06-20
申请号：US09966846
申请日：2001-09-28
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B90/70 , A61B2018/1412 , A61B2018/1455
摘要： A surgical instrument useful in harvesting blood vessels such as veins and arteries and for manipulating and grasping tissue. The instrument has a pair of jaws and a closing tube to open and close the jaws.
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27.发明授权Organ retraction tape positioner and method for retracting and positioning an internal organ 失效器官退缩带定位器和收缩和定位内脏的方法公开(公告)号：US06592514B2
公开(公告)日：2003-07-15
申请号：US09855997
申请日：2001-05-15
IPC分类号： A61B132
CPC分类号： A61B17/0206 , A61B17/02 , A61B2017/0237
摘要： A surgical retraction and positioning device comprises a stable platform and a flexible tape attached thereto for easier retraction and manipulation of a heart during cardiac surgery. The stable platform has an elongate body having a curved handle extending into an organ contacting base. The base is formed at the distal end of the handle and is at least partially concave to conform to the contours of the outer surface of the heart. A portion of a flexible element, such as umbilical tape, is secured to the base, leaving at least one free end to enable the surgeon to wrap, or secure, the heart against the organ contacting base.
摘要翻译： 外科收缩和定位装置包括稳定的平台和附接到其上的柔性带，用于在心脏手术期间更容易地回缩和操纵心脏。 稳定的平台具有伸长到器官接触基部的具有弯曲手柄的细长主体。 基部形成在手柄的远端处并且至少部分地凹入以符合心脏外表面的轮廓。 柔性元件（例如脐带）的一部分固定到基部，留下至少一个自由端，以使外科医生能够将心脏包裹或固定在器官接触基底上。
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公开(公告)号：US06013027A
公开(公告)日：2000-01-11
申请号：US115894
申请日：1998-07-15
申请人： Jamal H. Khan , Randall K. Wolf , William D. Fox , Gary W. Knight , David L. Hamann , Craig B. Berky
发明人： Jamal H. Khan , Randall K. Wolf , William D. Fox , Gary W. Knight , David L. Hamann , Craig B. Berky
CPC分类号： F16M11/40 , A61B17/02 , A61B17/0218 , A61B90/50 , A61B90/57 , F16M11/14 , F16M11/2078 , A61B17/0293 , A61B2017/00243 , A61B2017/0243 , A61B2017/2905 , A61B2017/306 , F16M2200/065
摘要： A method is described for stabilizing moving tissue within the body. The method comprises creating a first opening for primary surgical access into the body, and a second opening spaced apart from the first opening in the body. An elongated stem having a proximal end and a distal end is inserted into the second opening. A foot having an upper and a lower surface is inserted into the first opening. The lower surface of the foot is engaged with the moving tissue within the body. The distal end of the stem is releaseably attached to the foot. The proximal end of the stem may be held so as to stabilize the moving tissue within the body.
摘要翻译： 描述了一种稳定体内运动组织的方法。 该方法包括创建用于主体手术进入体内的第一开口和与主体中的第一开口间隔开的第二开口。 具有近端和远端的细长杆被插入到第二开口中。 具有上表面和下表面的脚被插入到第一开口中。 脚的下表面与身体内的移动组织接合。 杆的远端可释放地附接到脚。 杆的近端可以被保持以便使身体内的移动组织稳定。
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29.发明授权Tissue stabilization device for use during surgery having remotely actuated feet 失效在具有远程致动脚的手术期间使用的组织稳定装置
公开(公告)号：US5865730A
公开(公告)日：1999-02-02
申请号：US946417
申请日：1997-10-07
CPC分类号： A61B17/0218 , A61B2017/00243 , A61B2017/0243 , A61B2017/306
摘要： In accordance with the present invention there is provided a device for stabilizing and/or manipulating moving tissue, such as a beating heart, so as to facilitate surgical procedures on such tissues. The device includes a tube having a proximal end, a distal end and a lumen extending therebetween. The tube is operatively connected to a suction source so as to draw air through the tube from the distal end to the proximal end. The device further includes at least one foot operatively connected to the distal end of the tube. The foot extends laterally from the tube. In a preferred embodiment the device includes a pair of feet which are spaced apart laterally from each other. Each foot has a proximal surface, and a distal surface for making contact with the tissue. Each foot is attached to the tube by a ball and socket connector. The ball and socket connector is operatively connected to an actuator which can release and re-engage the ball from the socket. The actuator is proximal to the ball and socket, and preferably is adjacent the distal end of the tube.
摘要翻译： 根据本发明，提供了一种用于稳定和/或操纵移动组织（例如跳动心脏）的装置，以便于在这些组织上进行外科手术。 该装置包括具有近端，远端和在其间延伸的内腔的管。 管可操作地连接到抽吸源，以便将空气从远端抽吸到近端。 该装置还包括可操作地连接到管的远端的至少一个脚。 脚从管横向延伸。 在优选实施例中，该装置包括彼此间隔开的一对脚。 每个脚具有近端表面和用于与组织接触的远侧表面。 每只脚通过球窝连接器连接在管上。 球和插座连接器可操作地连接到致动器，该致动器可以从插座释放并重新接合球。 致动器靠近球窝，并且优选地邻近管的远端。
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公开(公告)号：US5722934A
公开(公告)日：1998-03-03
申请号：US698499
申请日：1996-08-15
IPC分类号： A61B1/00 , A61B1/018 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/12 , A61B17/128 , A61B17/28 , A61B17/32 , A61B19/00 , A61B1/22
CPC分类号： A61B1/018 , A61B17/00008 , A61B17/00234 , A61B17/0218 , A61B17/1285 , A61B2017/00424 , A61B2017/00778 , A61B2017/00907 , A61B2017/00969 , A61B2017/320044 , A61B90/30
摘要： A method for removing a vessel from a patient's body comprises the steps of identifying the vessel to be removing and providing an incision in the patient's body near the identified vessel. An optical dissector is inserted through the incision and tissue is optically dissected away from the surface of the vessel with the optical dissector. The optical dissector is then withdrawn from the body through the incision. An optical retractor is inserted into the body through the incision and is used to retract the dissected tissue away from the surface of the vessel thereby providing space between the dissected vessel and the retracted tissue. The vessel and its side branches are then dissected, ligated and transected and the vessel is then removed from the body through the incision.
摘要翻译： 从患者身体移除容器的方法包括以下步骤：识别要移除的血管并在所识别的血管附近的患者体内提供切口。 通过切口插入光学解剖器，并用光学解剖器将组织从容器的表面光学剖开。 然后通过切口将光学解剖器从身体排出。 光学牵开器通过切口插入身体，并用于将解剖的组织从血管表面缩回，从而在解剖的血管和收缩的组织之间提供空间。 然后将血管及其侧枝解剖，连接并横切，然后通过切口从体内取出血管。
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