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21.发明授权Methods and devices for maintaining visibility and providing irrigation and/or suction during surgical procedures 有权用于在外科手术过程中保持可见性并提供灌注和/或抽吸的方法和装置公开(公告)号：US08915842B2
公开(公告)日：2014-12-23
申请号：US12172349
申请日：2008-07-14
CPC分类号： A61B1/015 , A61B1/00091 , A61B1/00135 , A61B1/126 , A61B1/3132
摘要： Methods and devices are provided for providing irrigation and/or suction to a surgical site and maintaining clear visibility through a lens of a scoping device during a surgical procedure. In general, the methods and devices can allow for a surgical instrument to maintain visibility during a surgical procedure using a fluid conduit coupled to the surgical instrument. A surgical device can include a sheath having at least one lumen extending therethrough configured to allow a surgical viewing instrument to be disposed therein. The sheath can also have a passageway extending therethrough configured to allow fluid to flow therethrough. The fluid conduit can be configured to be movable between positions that can allow alternative directions of fluid toward and/or away from a viewing element on the surgical instrument and fluid away from the viewing element and toward a surgical field in a body cavity.
摘要翻译： 提供了用于在手术部位提供冲洗和/或抽吸的方法和装置，并且在外科手术过程中通过观察装置的透镜保持清晰的可视性。 通常，方法和装置可以允许外科器械在使用与外科器械联接的流体导管的外科手术过程中保持可视性。 手术装置可以包括护套，其具有延伸穿过其构造成允许手术观察器具置于其中的至少一个内腔。 护套还可以具有延伸穿过其构造成允许流体流过其中的通道。 流体导管可以构造成可以在允许流体朝向和/或远离手术器械上的观察元件的替代方向和离开观察元件的流体和朝向体腔中的外科视野的位置之间移动。
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公开(公告)号：US20120290005A1
公开(公告)日：2012-11-15
申请号：US13467333
申请日：2012-05-09
申请人： David T. Martin , James A. Woodard, JR. , Carl J. Shurtleff , Kevin A. Larson , Mark J. Bookbinder , John L. Stammen
发明人： David T. Martin , James A. Woodard, JR. , Carl J. Shurtleff , Kevin A. Larson , Mark J. Bookbinder , John L. Stammen
IPC分类号： A61B17/04
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/0483 , A61B2017/2926
摘要： An apparatus is operable to secure suture fasteners to sutures to eliminate the need to tie knots in the sutures. The apparatus comprises a shaft, an end effector disposed at the distal end of the shaft, and a suture fastener removably secured to the end effector. The end effector may include a pivoting jaw or a suture cutter. The suture fastener may be secured to one, two, or more strands of suture. The apparatus may include several suture fasteners and may secure those fasteners to one or more sutures in a serial fashion without having to remove the apparatus from the patient for reloading. A plurality of fasteners may be arranged within the apparatus in an end-to-end configuration. The suture fastener may include an inner fastener member and an outer fastener member, and may capture one or more strands of suture between the inner and outer fastener members.
摘要翻译： 一种可操作的装置可将缝合线紧固件固定到缝合线上，以消除将缝结在缝合线上的需要。 该装置包括轴，设置在轴的远端处的末端执行器和可拆卸地固定到端部执行器的缝合线紧固件。 端部执行器可以包括枢转钳口或缝合线切割器。 缝线紧固件可以固定到一条，两条或更多条缝合线。 该装置可以包括多个缝合紧固件，并且可以将这些紧固件以串联的方式固定到一个或多个缝合线上，而不必从患者中移除装置以便重新加载。 多个紧固件可以以端对端配置布置在设备内。 缝合紧固件可以包括内部紧固件构件和外部紧固件构件，并且可以在内部和外部紧固件构件之间捕获一根或多根缝合线。
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公开(公告)号：US20120289975A1
公开(公告)日：2012-11-15
申请号：US13466188
申请日：2012-05-08
IPC分类号： A61B17/062
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/0483 , A61B2017/2926
摘要： A needle holder includes a shaft and a needle driver located at the distal end of the shaft. The needle driver is operable to rotate a needle such that the needle forms a non-perpendicular angle with a longitudinal axis of the shaft. In some versions, the needle driver includes a first arm and a rotatable assembly that is configured to longitudinally clamp about a portion of a needle. The rotatable assembly may include self-righting features to right the needle perpendicular to the first arm. The needle driver may further include a second arm that is pivotable relative to the first arm. The rotatable assembly may include a top member associated with the second arm and a bottom member associated with the first arm. In some versions, spring-loaded collets may secure the needle to a rotatable assembly. Alternatively, a pair of actuating arms may pivot the needle about a curved surface.
摘要翻译： 针保持器包括位于轴的远端的轴和针驱动器。 针驱动器可操作以旋转针，使得针与轴的纵向轴线形成非垂直的角度。 在一些形式中，针驱动器包括第一臂和可旋转的组件，其被构造成围绕针的一部分纵向夹紧。 可旋转组件可以包括垂直于第一臂使针垂直的自对准特征。 针驱动器还可以包括可相对于第一臂枢转的第二臂。 可旋转组件可以包括与第二臂相关联的顶部构件和与第一臂相关联的底部构件。 在一些形式中，弹簧加载的夹头可将针固定到可旋转组件。 或者，一对致动臂可以围绕弯曲表面枢转针。
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公开(公告)号：US20100249525A1
公开(公告)日：2010-09-30
申请号：US12479418
申请日：2009-06-05
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3462 , A61B2017/3441 , A61B2017/3447 , A61B2017/3466
摘要： Methods and devices are provided for accessing a body cavity. In general, a surgical access device is provided that can include a retractor that forms a working channel through tissue, a seal housing for sealing the working channel and/or forming a seal around an instrument inserted therethrough, and a flexible suspension member that is configured to suspend the seal housing within the body cavity or allow the seal housing to extend beyond the distal end of the retractor.
摘要翻译： 提供用于访问体腔的方法和装置。 通常，提供外科进入装置，其可以包括通过组织形成工作通道的牵开器，用于密封工作通道的密封壳体和/或围绕插入穿过其中的器械形成密封件;以及配置的柔性悬挂构件 将密封壳体悬挂在体腔内或允许密封壳体延伸超过牵开器的远端。
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公开(公告)号：US20090192344A1
公开(公告)日：2009-07-30
申请号：US12019461
申请日：2008-01-24
申请人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
CPC分类号： A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要： A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译： 手术套件可用于操纵患者身体内的组织以在身体内产生工作空间，以允许外科医生使用各种手术器械容易地进入身体内并进行工作。 手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。 该套件还可以包括具有磁体的手术器械，其可用于操纵植入物和与其接合的组织。 手术套件可以包括锚固件和悬挂器，其构造成在主体内的不同位置处接合组织，以及与锚固件和悬挂器接合的连接构件，使得连接构件可以被拉动以将锚移向吊架。 使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。
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公开(公告)号：US20080255537A1
公开(公告)日：2008-10-16
申请号：US11771384
申请日：2007-06-29
CPC分类号： A61K41/0052 , A61B1/043 , A61B1/3132 , A61B5/0071 , A61B5/0075 , A61B5/0084 , A61B5/415 , A61B5/418 , A61K49/0017 , A61K49/0093
摘要： Various compositions, methods, and devices are provided that use fluorescent nanoparticles, which can function as markers, indicators, and light sources. The fluorescent nanoparticles can be formed from a fluorophore core surrounded by a biocompatible shell, such as a silica shell. In one embodiment, the fluorescent nanoparticles can be delivered to tissue to mark the tissue, enable identification and location of the tissue, and/or illuminate an area surrounding the tissue. In another embodiment, the fluorescent nanoparticles can be used on a device or implant to locate the device or implant in the body, indicate an orientation of the device or implant, and/or illuminate an area surrounding the device or implant. The fluorescent nanoparticles can also be used to provide a therapeutic effect.
摘要翻译： 提供使用可用作标记物，指示剂和光源的荧光纳米颗粒的各种组合物，方法和装置。 荧光纳米颗粒可以由包围生物相容的外壳如二氧化硅壳的荧光团芯形成。 在一个实施方案中，荧光纳米颗粒可以被递送到组织以标记组织，使得能够识别和定位组织，和/或照亮组织周围的区域。 在另一个实施方案中，荧光纳米颗粒可用于装置或植入物以将装置或植入物定位在体内，指示装置或植入物的取向，和/或照亮装置或植入物周围的区域。 荧光纳米颗粒也可用于提供治疗效果。
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公开(公告)号：US20080086078A1
公开(公告)日：2008-04-10
申请号：US11856773
申请日：2007-09-18
IPC分类号： A61M31/00 , A61B17/11 , A61B17/115
CPC分类号： A61B17/072 , A61B17/07292 , A61B17/115 , A61B2017/00893
摘要： An apparatus and method for reducing post-operative ileus and/or gastric stasis is described. The method can include applying to the intestine a therapeutically effective amount of a composition comprising a drug that is effective in reducing post-operative ileus and/or gastric stasis, such as by introducing the composition through a surgical access device, such as a trocar or endoscope. The apparatus can include a surgical fastener and a buttress comprising the composition.
摘要翻译： 描述了用于减少术后肠梗阻和/或胃潴留的装置和方法。 该方法可以包括将治疗有效量的包含有效减少手术后肠梗阻和/或胃潴留的药物的组合物施用于肠道，例如通过将组合物通过外科进入装置如套针针或 内窥镜 该装置可以包括外科紧固件和包括该组合物的支撑件。
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公开(公告)号：US08932249B2
公开(公告)日：2015-01-13
申请号：US12575574
申请日：2009-10-08
CPC分类号： A61B17/3498 , A61B17/34 , A61M13/003
摘要： A trocar assembly including a sleeve assembly defining a working channel extending axially therethrough and including an insufflation port in fluid communication with the working channel, and an insufflation valve assembly fluidly coupled to the insufflation port, the insufflation valve assembly including a valve member and a housing, wherein the valve member defines an inlet channel and is biased relative to the housing to a first position in which the inlet channel is in fluid communication with the working channel, and wherein the valve member is moveable relative to the housing from the first position to a second position in which the inlet channel is fluidly decoupled from the working channel.
摘要翻译： 一种套管针组件，其包括套筒组件，其限定了轴向延伸穿过其中并且包括与所述工作通道流体连通的吹入口的工作通道，以及流体连接到所述吹入口的吹入阀组件，所述吹入阀组件包括阀构件和壳体 ，其中所述阀构件限定入口通道并且相对于所述壳体偏置到第一位置，在所述第一位置，所述入口通道与所述工作通道流体连通，并且其中所述阀构件可相对于所述壳体从所述第一位置移动到 第二位置，其中入口通道与工作通道流体地分离。
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公开(公告)号：US08672208B2
公开(公告)日：2014-03-18
申请号：US12718165
申请日：2010-03-05
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B17/32 , A61B90/39 , A61B2017/00004 , A61B2017/00398 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： A surgical stapler including an anvil, a staple cartridge, and a buttress material removably retained to the anvil and/or staple cartridge. In various embodiments, the staple cartridge can include at least one staple removably stored therein which can, when deployed, or fired, therefrom, contact the buttress material and remove the buttress material from the anvil and/or staple cartridge. In at least one embodiment, the anvil can include at least one lip and/or groove configured to removably retain the buttress material to the anvil until deformable members extending from the surgical staple are bent by the anvil and are directed toward and contact the buttress material.
摘要翻译： 一种外科缝合器，包括可拆卸地保持在砧座和/或钉仓上的砧座，钉仓和支撑材料。 在各种实施例中，钉仓可以包括可拆卸地存储在其中的至少一个钉，其可以在展开时或从其中点燃，从而与支撑材料接触并且从砧座和/或钉仓移除支撑材料。 在至少一个实施例中，砧座可以包括至少一个唇缘和/或凹槽，所述至少一个唇缘和/或凹槽被构造成将支撑材料可移除地保持在砧座上，直到从外科缝合钉延伸的可变形构件被砧座弯曲并被引导并接触支撑材料 。
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公开(公告)号：US08239008B2
公开(公告)日：2012-08-07
申请号：US11771472
申请日：2007-06-29
IPC分类号： A61B1/06
CPC分类号： A61K41/0052 , A61B1/043 , A61B1/3132 , A61B5/0071 , A61B5/0075 , A61B5/0084 , A61B5/415 , A61B5/418 , A61K49/0017 , A61K49/0093
摘要： Various compositions, methods, and devices are provided that use fluorescent nanoparticles, which can function as markers, indicators, and light sources. The fluorescent nanoparticles can be formed from a fluorophore core surrounded by a biocompatible shell, such as a silica shell. In one embodiment, the fluorescent nanoparticles can be delivered to tissue to mark the tissue, enable identification and location of the tissue, and/or illuminate an area surrounding the tissue. In another embodiment, the fluorescent nanoparticles can be used on a device or implant to locate the device or implant in the body, indicate an orientation of the device or implant, and/or illuminate an area surrounding the device or implant. The fluorescent nanoparticles can also be used to provide a therapeutic effect.
摘要翻译： 提供使用可用作标记物，指示剂和光源的荧光纳米颗粒的各种组合物，方法和装置。 荧光纳米颗粒可以由包围生物相容的外壳如二氧化硅壳的荧光团芯形成。 在一个实施方案中，荧光纳米颗粒可以被递送到组织以标记组织，使得能够识别和定位组织，和/或照亮组织周围的区域。 在另一个实施方案中，荧光纳米颗粒可用于装置或植入物以将装置或植入物定位在体内，指示装置或植入物的取向，和/或照亮装置或植入物周围的区域。 荧光纳米颗粒也可用于提供治疗效果。
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