公开(公告)号：US08292870B2

公开(公告)日：2012-10-23

申请号：US13167182

申请日：2011-06-23

申请人： Peter Hathaway ,  Gregory Fischvogt

发明人： Peter Hathaway ,  Gregory Fischvogt

IPC分类号： A61M31/00 ,  A61M5/178

CPC分类号： A61B17/3423 ,  A61B17/3439 ,  A61B2017/3484

摘要： A method for performing a surgical procedure includes the steps of: accessing a surgical site with an access member, the access member having proximal and distal ends, and defining a longitudinal axis, the access member having an elongated element operatively connected thereto; transitioning the access member from a first condition having a first dimension orthogonal to the longitudinal axis to a second condition having a second dimension orthogonal to the longitudinal axis greater than the first dimension by drawing the elongated element in a proximal direction; anchoring the access member within a tissue passage leading to the surgical site when in the second condition thereof; and introducing a surgical object through a longitudinal opening of the access member to perform a surgical task.

摘要翻译： 一种用于执行外科手术的方法包括以下步骤：使用进入构件进入手术部位，所述进入构件具有近端和远端并且限定纵向轴线，所述进入构件具有与其可操作地连接的细长元件; 通过沿近端方向拉伸所述细长元件，使所述进入构件从具有与所述纵向轴线正交的第一尺寸的第一状态转变为具有与所述纵向轴线正交的第二尺寸的第二尺寸; 在第二状态下将进入构件固定在通向手术部位的组织通道内; 以及通过所述进入构件的纵向开口引入手术对象以执行手术任务。

公开(公告)号：US20110196205A1

公开(公告)日：2011-08-11

申请号：US12987327

申请日：2011-01-10

申请人： Peter Hathaway ,  Eric Taylor

发明人： Peter Hathaway ,  Eric Taylor

IPC分类号： A61B1/32

CPC分类号： A61B17/3423 ,  A61B1/00154 ,  A61B17/3421 ,  A61B2017/00951 ,  A61B2017/3407 ,  A61B2017/347 ,  A61B2017/3486 ,  A61B2017/3492

摘要： A surgical portal apparatus includes a portal having an elongated portal member and defining a portal passage for reception of a surgical object, and a locking base. The locking base includes a flange segment defining a longitudinal axis and having a longitudinal opening for permitting reciprocal longitudinal passage of the portal member and a locking segment mounted to the flange segment. The flange segment is dimensioned and configured for positioning against body tissue. The locking segment is dimensioned to selectively engage the portal member and establish a secured relation therewith to selectively secure the portal at a predetermined longitudinal position with respect to the longitudinal axis of the locking base. The flange segment of the locking base may include an adhesive coating for adhesive engagement with the body tissue.

摘要翻译： 手术入口装置包括具有细长入口构件并限定用于接收手术对象的入口通道的门户，以及锁定基座。 锁定底座包括限定纵向轴线的凸缘部分，并且具有纵向开口，用于允许入口构件的往复纵向通道和安装到凸缘段的锁定段。 凸缘段的尺寸和构造适用于针对身体组织的定位。 锁定段的尺寸被设计成选择性地接合入口构件并建立与其的固定关系，以将入口选择性地固定在相对于锁定基座的纵向轴线的预定纵向位置处。 锁定基座的凸缘部分可以包括用于与身体组织粘合接合的粘合剂涂层。

公开(公告)号：US07988669B2

公开(公告)日：2011-08-02

申请号：US12641906

申请日：2009-12-18

申请人： Peter Hathaway ,  Gregory Fischvogt

发明人： Peter Hathaway ,  Gregory Fischvogt

IPC分类号： A61M5/178

CPC分类号： A61B17/3423 ,  A61B17/3439 ,  A61B2017/3484

摘要： The present disclosure relates to surgical access apparatus for positioning within a percutaneous tissue tract to facilitate access to an underlying surgical worksite. In one embodiment, the disclosed surgical access includes a housing with proximal and distal ends that is configured to removably receive at least one surgical instrument, a tubular member that extends distally from the housing along a longitudinal axis, a connective member that is secured to the tubular member, either internally or externally, at least one filament that is secured to the connective member so as to extend proximally therefrom, and at least one manual member that is secured to the at least one filament.

摘要翻译： 本公开涉及用于定位在经皮组织道内以便于进入下面的手术工作场所的外科进入装置。 在一个实施例中，所公开的外科手术通道包括具有近端和远端的壳体，其构造成可移除地容纳至少一个手术器械，沿着纵向轴线从壳体向远侧延伸的管状构件，固定到 管状构件，内部或外部，至少一个细丝，其固定到连接构件以从其向近侧延伸;以及至少一个固定到所述至少一个细丝的手动构件。

公开(公告)号：US20100262079A1

公开(公告)日：2010-10-14

申请号：US12724515

申请日：2010-03-16

申请人： Michael Davis ,  Peter Hathaway

发明人： Michael Davis ,  Peter Hathaway

IPC分类号： A61B17/34

CPC分类号： A61B17/3474 ,  A61B17/3417 ,  A61B2017/003 ,  A61B2017/00867 ,  A61B2017/00946 ,  A61B2018/00982

摘要： A bendable veress needle is disclosed that has a shaft with a bendable region located near its distal end. The distal end of the bendable region includes a tissue penetrating tip. A stylet may be inserted through the bendable veress needle. A housing having an insufflation port is located at a proximal end of the bendable veress needle. A light source or imaging system may be coupled to the bendable veress needle.

摘要翻译： 公开了一种具有位于其远端附近的具有可弯曲区域的轴的可弯曲的调节针。 可弯曲区域的远端包括组织穿透尖端。 可以通过可弯曲的调节针插入探针。 具有吹入口的壳体位于可弯曲的针扣针的近端。 光源或成像系统可以联接到可弯曲的调光针。

公开(公告)号：US20100211012A1

公开(公告)日：2010-08-19

申请号：US12641906

申请日：2009-12-18

申请人： Peter Hathaway ,  Gregory Fishvogt

发明人： Peter Hathaway ,  Gregory Fishvogt

IPC分类号： A61B17/34

CPC分类号： A61B17/3423 ,  A61B17/3439 ,  A61B2017/3484

摘要： The present disclosure relates to surgical access apparatus for positioning within a percutaneous tissue tract to facilitate access to an underlying surgical worksite. In one embodiment, the disclosed surgical access includes a housing with proximal and distal ends that is configured to removably receive at least one surgical instrument, a tubular member that extends distally from the housing along a longitudinal axis, a connective member that is secured to the tubular member, either internally or externally, at least one filament that is secured to the connective member so as to extend proximally therefrom, and at least one manual member that is secured to the at least one filament.

摘要翻译： 本公开涉及用于定位在经皮组织道内以便于进入下面的手术工作场所的外科进入装置。 在一个实施例中，所公开的外科手术通道包括具有近端和远端的壳体，其构造成可移除地容纳至少一个手术器械，沿着纵向轴线从壳体向远侧延伸的管状构件，固定到 管状构件，内部或外部，至少一个细丝，其固定到连接构件以从其向近侧延伸;以及至少一个固定到所述至少一个细丝的手动构件。

公开(公告)号：US20090182354A1

公开(公告)日：2009-07-16

申请号：US12350313

申请日：2009-01-08

申请人： Kenneth Blier ,  Peter Hathaway ,  Eric Taylor

发明人： Kenneth Blier ,  Peter Hathaway ,  Eric Taylor

IPC分类号： A61B17/10

CPC分类号： A61B17/068 ,  A61B17/04 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B2017/0046 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/07214 ,  A61B2017/2905 ,  A61B2017/2919 ,  A61B2017/2927 ,  A61B2017/294 ,  A61B2017/2947 ,  A61B2017/320052

摘要： A surgical device includes a loading unit having proximal and distal portions. The proximal portion of the loading unit is configured to be attached to an actuation apparatus. The surgical device further includes a flexible shaft interconnecting the proximal portion and the distal portion of the loading unit. Additionally, the surgical device has a tool assembly disposed in mechanical cooperation with the distal portion of the loading unit. The tool assembly is configured to articulate upon activation of the actuation apparatus. In a further embodiment, the surgical device includes a guiding member operatively connected to the tool assembly. The guiding member has a body and a bore extending through the body. The bore slidably receives a suture

摘要翻译： 手术装置包括具有近端部分和远端部分的装载单元。 装载单元的近侧部分构造成附接到致动装置。 手术装置还包括互连装载单元的近端部分和远端部分的柔性轴。 另外，手术装置具有与装载单元的远端部分机械配合设置的工具组件。 工具组件构造成在致动装置的启动时铰接。 在另一实施例中，手术装置包括可操作地连接到工具组件的引导构件。 引导构件具有延伸穿过主体的主体和孔。 孔可滑动地接收缝合线

公开(公告)号：US08535270B2

公开(公告)日：2013-09-17

申请号：US13540936

申请日：2012-07-03

申请人： Michael Davis ,  Stanislaw Marczyk ,  Peter Hathaway ,  Brian Creston ,  Gregory G. Okoniewski

发明人： Michael Davis ,  Stanislaw Marczyk ,  Peter Hathaway ,  Brian Creston ,  Gregory G. Okoniewski

IPC分类号： A61M5/178

CPC分类号： A61B17/3494 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00106 ,  A61B2017/00544 ,  A61B2017/3484 ,  A61B2017/3486 ,  A61B2017/3492

摘要： A safety trocar assembly incorporating an airbag is provided to prevent overpenetration of the safety trocar assembly through an abdominal wall and into a body cavity. The safety trocar assembly includes an airbag cannula having an expandable airbag proximal of the distal end of the cannula. A sensing device is located at a distal end of the cannula for detecting changes in conditions at the distal end of the cannula. A trigger mechanism is provided on the cannula and operates to inflate the airbag in response to a change in condition detected by the sensing device.

摘要翻译： 提供一种安装有安全气囊的安全套管针组件，以防止安全套管组件通过腹壁过度穿透并进入体腔。 安全套管针组件包括气囊插管，其具有在插管远端附近的可扩张的气囊。 感测装置位于套管的远端，用于检测插管远端处的状况变化。 在套管上提供触发机构，并且响应于由感测装置检测到的状况改变而使安全气囊膨胀。

公开(公告)号：US20120271234A1

公开(公告)日：2012-10-25

申请号：US13540936

申请日：2012-07-03

申请人： Michael Davis ,  Stanislaw Marczyk ,  Peter Hathaway ,  Brian Creston ,  Gregory G. Okoniewski

发明人： Michael Davis ,  Stanislaw Marczyk ,  Peter Hathaway ,  Brian Creston ,  Gregory G. Okoniewski

IPC分类号： A61B17/34

CPC分类号： A61B17/3494 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00106 ,  A61B2017/00544 ,  A61B2017/3484 ,  A61B2017/3486 ,  A61B2017/3492

摘要： A safety trocar assembly incorporating an airbag is provided to prevent overpenetration of the safety trocar assembly through an abdominal wall and into a body cavity. The safety trocar assembly includes an airbag cannula having an expandable airbag proximal of the distal end of the cannula. A sensing device is located at a distal end of the cannula for detecting changes in conditions at the distal end of the cannula. A trigger mechanism is provided on the cannula and operates to inflate the airbag in response to a change in condition detected by the sensing device.

摘要翻译： 提供一种安装有安全气囊的安全套管针组件，以防止安全套管组件通过腹壁过度穿透并进入体腔。 安全套管针组件包括气囊插管，其具有在插管远端附近的可扩张的气囊。 感测装置位于套管的远端，用于检测插管远端处的状况变化。 在套管上提供触发机构，并且响应于由感测装置检测到的状况改变而使安全气囊膨胀。

公开(公告)号：US20110082476A1

公开(公告)日：2011-04-07

申请号：US12896324

申请日：2010-10-01

申请人： Greg Furnish ,  Eric Bielefeld ,  Edwin Bon ,  Eric Taylor ,  Peter Hathaway ,  Matthew Chowaniec

发明人： Greg Furnish ,  Eric Bielefeld ,  Edwin Bon ,  Eric Taylor ,  Peter Hathaway ,  Matthew Chowaniec

IPC分类号： A61B17/94

CPC分类号： A61B17/0469 ,  A61B17/0625 ,  A61B2017/00327 ,  A61B2017/0609 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2090/0811

摘要： A handle assembly for operating an articulatable surgical instrument is provided and includes a housing; an actuation shaft translatably and rotatably supported in the housing; a first trigger supported on the housing and connected to the actuation shaft, the first trigger being configured to translate the actuation shaft to operate a first function of the surgical instrument; a second trigger supported on the housing and connected to the actuation shaft, the second trigger being configured to rotate the actuation shaft to operate a second function of the surgical instrument; and a second-trigger release supported in the housing, the second-trigger release having a first position blocking actuation of the second trigger and a second position permitting actuation of the second trigger, where the second-trigger release is actuated from the first position to the second position upon and complete actuation of the first trigger.

摘要翻译： 提供了一种用于操作可铰接外科器械的手柄组件，并包括壳体; 可移动地并且可旋转地支撑在壳体中的致动轴; 支撑在壳体上并连接到致动轴的第一触发器，第一触发器被配置为平移致动轴以操作外科器械的第一功能; 支撑在壳体上并连接到致动轴的第二触发器，第二触发器被配置为旋转致动轴以操作外科器械的第二功能; 以及支撑在所述壳体中的第二触发释放件，所述第二触发释放件具有阻止所述第二触发器的致动的第一位置和允许所述第二触发器的致动的第二位置，其中所述第二触发器释放被从所述第一位置致动到 第一触发器的第二位置和完全致动。

公开(公告)号：US20090242611A1

公开(公告)日：2009-10-01

申请号：US12409900

申请日：2009-03-24

申请人： Peter Hathaway ,  Eric Taylor ,  Kenneth Blier

发明人： Peter Hathaway ,  Eric Taylor ,  Kenneth Blier

IPC分类号： A61B17/068

CPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/320068 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07264

摘要： An end effector for a surgical instrument includes a cartridge assembly housing a plurality of fasteners, an anvil assembly operatively connected to the cartridge assembly, and a transducer operably connected to at least one of the cartridge assembly and the anvil assembly. The anvil assembly and the cartridge assembly are movable between open and closed positions. The transducer is adapted to effect vibrations along at least one of the anvil assembly and the cartridge assembly. The vibrations reduce the friction on the end effector, thereby reducing the force necessary to fire the end effector.

摘要翻译： 用于外科器械的端部执行器包括容纳多个紧固件的盒组件，可操作地连接到盒组件的砧座组件和可操作地连接到盒组件和砧座组件中的至少一个的换能器。 砧组件和筒组件可在打开位置和关闭位置之间移动。 传感器适于沿着砧座组件和盒组件中的至少一个来实现振动。 振动减小了末端执行器上的摩擦力，从而减少了发射末端执行器所需的力。