公开(公告)号：US20110184430A1

公开(公告)日：2011-07-28

申请号：US12692670

申请日：2010-01-25

申请人： Shailendra K. Parihar ,  Sean P. Conlon ,  Kyle P. Moore ,  Haresh D. Patil

发明人： Shailendra K. Parihar ,  Sean P. Conlon ,  Kyle P. Moore ,  Haresh D. Patil

IPC分类号： A61B17/29

CPC分类号： A61B17/00234 ,  A61B2017/00287 ,  A61B2017/2934 ,  A61B2017/294

摘要： A specimen retrieval instrument comprises a handle assembly, an actuating rod, an introducer tube, and a retrieval bag. In some versions the specimen retrieval instrument further comprises a modular cartridge containing the retrieval bag. Upon translation of the actuating rod within the tube, the cartridge opens, releasing and opening the retrieval bag for receiving a specimen. A center spindle may be included where the spindle includes a slot for inserting a portion of the retrieval bag and wrapping the retrieval bag about the spindle. Some versions of the specimen retrieval instrument further comprise a rotating cam actuator that opens and closes a pair of support arms attached to the retrieval bag. Some versions of the specimen retrieval instrument further comprise rotating curved support arms operable to open and close the retrieval bag. Pins registered to helical grooves may provide rotation of the support arms as the support arms translate.

摘要翻译： 样本检索仪器包括手柄组件，致动杆，导引管和取回袋。 在一些版本中，样本检索仪器还包括容纳取回袋的模块化盒。 在管内的致动杆平移时，盒打开，释放并打开用于接收样品的取回袋。 可以包括中心心轴，其中心轴包括用于插入取出袋的一部分并且围绕心轴包裹回收袋的狭槽。 样本检索仪器的一些版本还包括旋转凸轮致动器，其打开和关闭附接到取回袋的一对支撑臂。 样本取出器具的一些版本还包括旋转的弯曲支撑臂，可操作以打开和关闭取出袋。 注册到螺旋槽的销可以在支撑臂平移时提供支撑臂的旋转。

公开(公告)号：US20100152610A1

公开(公告)日：2010-06-17

申请号：US12335578

申请日：2008-12-16

申请人： Shailendra K. Parihar ,  Michael J. Andreyko ,  Kyle P. Moore ,  Eric B. Smith ,  James Janszen

发明人： Shailendra K. Parihar ,  Michael J. Andreyko ,  Kyle P. Moore ,  Eric B. Smith ,  James Janszen

IPC分类号： A61B10/02

CPC分类号： A61B10/0275 ,  A61B10/0283

摘要： A hand actuated biopsy device comprises a vacuum generation mechanism and a tissue cutting mechanism manually actuated by a trigger of the hand actuated biopsy device. Hand manipulation or actuation of the trigger is used to power a vacuum pump to generate vacuum and to power the tissue cutting mechanism. The hand actuated biopsy device has a tissue piercing needle with a tissue receiving aperture. A tissue cutter translates and rotates within the needle and is powered by actuations of the trigger. When the needle is placed into tissue and the trigger is actuated to power the vacuum pump and the tissue cutter, tissue is drawn into the tissue receiving aperture and severed by the hand powered cutter. A tissue collection chamber can be attached to the hand actuated biopsy device to receive severed tissue samples within.

摘要翻译： 手动活检装置包括由手动活检装置的触发器手动致动的真空产生机构和组织切割机构。 触发器的手操作或致动被用于为真空泵供电以产生真空并为组织切割机构供电。 手动活检装置具有带有组织接收孔的组织穿刺针。 组织切割机在针内平移和旋转，并由触发器的致动器供电。 当针被放置在组织中并且触发器被致动以为真空泵和组织切割器供电时，组织被拉入组织接收孔并被手动切割器切断。 组织收集室可以附接到手动活检装置，以在其内接收切断的组织样本。

公开(公告)号：US20090171378A1

公开(公告)日：2009-07-02

申请号：US11965322

申请日：2007-12-27

申请人： Jonathan A. Coe ,  Mark S. Ortiz ,  Kyle P. Moore ,  Mark D. Overmyer ,  Thomas E. Adams ,  Andrew M. Zwolinski

发明人： Jonathan A. Coe ,  Mark S. Ortiz ,  Kyle P. Moore ,  Mark D. Overmyer ,  Thomas E. Adams ,  Andrew M. Zwolinski

IPC分类号： A61B17/08

CPC分类号： A61F5/0056

摘要： Methods and devices are provided for regulating a restriction system. In one exemplary embodiment, a restriction system is provided having a restriction device coupled to a port with a fluid disposed therein, such that the restriction device is adapted to form a restriction in a pathway corresponding to an amount of fluid contained therein, and a pressure adjustment unit in communication with the port and effective to maintain a substantially constant equilibrium pressure between the pressure adjustment unit and the restriction device. The pressure adjustment unit is configured to regulate an amount of fluid in the restriction device in response to a fluid pressure acting thereon.

摘要翻译： 提供了用于调节限制系统的方法和装置。 在一个示例性实施例中，提供限制系统，其具有联接到具有设置在其中的流体的端口的限制装置，使得限制装置适于在对应于其中容纳的流体的量的通路中形成限制，并且压力 调节单元与端口连通并且有效地在压力调节单元和限制装置之间保持基本恒定的平衡压力。 压力调节单元构造成响应于作用在其上的流体压力来调节限制装置中的流体的量。

公开(公告)号：US20080243106A1

公开(公告)日：2008-10-02

申请号：US11693976

申请日：2007-03-30

申请人： Jonathan A. Coe ,  James W. Voegele ,  Gary L. Long ,  Andrew M. Zwolinski ,  Kyle P. Moore ,  Robert P. Gill

发明人： Jonathan A. Coe ,  James W. Voegele ,  Gary L. Long ,  Andrew M. Zwolinski ,  Kyle P. Moore ,  Robert P. Gill

IPC分类号： A61B17/00

CPC分类号： A61B17/29 ,  A61B17/00 ,  A61B17/00234 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/2931

摘要： Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft. For example, a surgeon can actuate an actuation mechanism on the proximal end of the shaft to mate one of the end effectors to the distal end of the shaft without assistance from other tools and devices. After use of the end effector, the end effector can be released and another end effector can be remotely attached to the distal end of the shaft.

摘要翻译： 提供了用于使用可互换的末端执行器执行各种过程的方法和装置。 通常，所述方法和装置允许外科医生远程地和选择性地将各种可互换的手术端部执行器附接到位于患者体内的轴，从而允许外科医生执行各种程序，而不需要从患者身体移除轴。 在示例性实施例中，可以将多个端部执行器引入体腔中。 末端执行器可以彼此分离或分离，使得它们在体腔内浮动。 轴的远端可以定位在体腔内，并且其可以用于选择性地接合末端执行器中的一个。 特别地，该装置可以构造成允许每个端部执行器远离该轴远端附接和分离。 例如，外科医生可以致动在轴的近端上的致动机构，以便在其他工具和装置的帮助下将端部执行器中的一个配合到轴的远端。 在使用末端执行器之后，端部执行器可以被释放，而另一端部执行器可以远程连接到轴的远端。

公开(公告)号：US09039634B2

公开(公告)日：2015-05-26

申请号：US11942797

申请日：2007-11-20

申请人： Trevor W. V. Speeg ,  Gavin M. Monson ,  Michael J. Andreyko ,  Kyle P. Moore ,  John A. Hibner ,  Shailendra K. Parihar

发明人： Trevor W. V. Speeg ,  Gavin M. Monson ,  Michael J. Andreyko ,  Kyle P. Moore ,  John A. Hibner ,  Shailendra K. Parihar

IPC分类号： A61B5/00 ,  A61B10/02

CPC分类号： A61B10/0266 ,  A61B2010/0225

摘要： A biopsy device includes a cutter defining a cutter lumen and a tissue sample holder for collecting tissue samples. In one example, the tissue sample holder includes a rotatable manifold, and has a plurality of chambers that are each configured to separately hold tissue samples. A tissue sample holder rotation mechanism is operable to rotate the manifold to successively index each of the chambers with the cutter lumen. A sensing system is configured to sense the rotational position of the manifold. A controller in communication with both the sensing system and the rotation mechanism is operable to control the rotation mechanism based at least in part on the position of the manifold as sensed by the sensing system. The sensing system may include a sensor in a fixed position and a rotating encoder wheel on a shaft that is used to rotate the manifold.

摘要翻译： 活检装置包括限定切割器内腔的切割器和用于收集组织样本的组织样本保持器。 在一个示例中，组织样本保持器包括可旋转的歧管，并且具有多个室，每个室被构造成分别保持组织样本。 组织样本保持器旋转机构可操作以使歧管旋转，以连续地用切割器内腔折射每个腔室。 感测系统被配置为感测歧管的旋转位置。 与感测系统和旋转机构两者通信的控制器可操作以至少部分地基于由感测系统感测到的歧管的位置来控制旋转机构。 感测系统可以包括处于固定位置的传感器和用于旋转歧管的轴上的旋转编码轮。

公开(公告)号：US08574167B2

公开(公告)日：2013-11-05

申请号：US12843092

申请日：2010-07-26

申请人： Eric B. Smith ,  Shailendra K. Parihar ,  Michael J. Andreyko ,  Kyle P. Moore ,  James Janszen

发明人： Eric B. Smith ,  Shailendra K. Parihar ,  Michael J. Andreyko ,  Kyle P. Moore ,  James Janszen

IPC分类号： A61B10/00

CPC分类号： A61B10/0266 ,  A61B10/0096 ,  A61B10/0233 ,  A61B10/0275 ,  A61B10/0283

摘要： A biopsy device comprises a body and a needle extending distally from the body. The needle comprises a cannula and a tissue piercing tip that is unitary with the cannula. The tissue piercing tip may be formed by compressing the distal end of the cannula to put two distal cannula portions in apposition with each other. One of the apposed distal cannula portions may be removed. The remaining distal cannula portion may be formed into a blade of the tissue piercing tip. A cutter may be moved relative to the needle to sever samples from tissue protruding through a transverse aperture formed in the cannula. A gap may be provided between the exterior of the cutter and the interior of the cannula, permitting the cutter to be distally vented while a proximal vacuum is communicated to the cutter to transport severed tissue samples proximally through the cutter.

摘要翻译： 活检装置包括主体和从身体向远侧延伸的针。 该针包括与套管一体的套管和组织穿刺尖端。 组织穿刺尖端可以通过压缩套管的远端来形成，以使两个远端套管部分彼此并置。 所述远端插管部分中的一个可被移除。 剩余的远侧插管部分可以形成为组织穿刺尖端的刀片。 刀具可以相对于针移动以从通过形成在套管中的横向孔突出的组织切割样品。 可以在切割器的外部和套管的内部之间提供间隙，允许切割器被远离通气，同时将近端真空传送到切割器，以将切割的组织样品向近侧输送通过切割器。

公开(公告)号：US08377079B2

公开(公告)日：2013-02-19

申请号：US11965322

申请日：2007-12-27

申请人： Jonathan A. Coe ,  Mark S. Ortiz ,  Kyle P. Moore ,  Mark D. Overmyer ,  Thomas E. Adams ,  Andrew M. Zwolinski

发明人： Jonathan A. Coe ,  Mark S. Ortiz ,  Kyle P. Moore ,  Mark D. Overmyer ,  Thomas E. Adams ,  Andrew M. Zwolinski

IPC分类号： A61B17/12 ,  F16J3/04 ,  F16J3/06

CPC分类号： A61F5/0056

摘要： Methods and devices are provided for regulating a restriction system. In one exemplary embodiment, a restriction system is provided having a restriction device coupled to a port with a fluid disposed in the device, such that the restriction device is adapted to form a restriction in a pathway corresponding to an amount of fluid contained in the device, and a pressure adjustment unit in communication with the port and effective to maintain a substantially constant equilibrium pressure between the pressure adjustment unit and the restriction device. The pressure adjustment unit is configured to regulate an amount of fluid in the restriction device in response to a fluid pressure acting on the device.

摘要翻译： 提供了用于调节限制系统的方法和装置。 在一个示例性实施例中，提供限制系统，其具有联接到具有设置在装置中的流体的端口的限制装置，使得限制装置适于在对应于包含在装置中的流体的量的通路中形成限制 以及与所述端口连通并且有效地在所述压力调节单元和所述限制装置之间保持基本恒定的平衡压力的压力调节单元。 压力调节单元构造成响应于作用在该装置上的流体压力来调节限制装置中的流体的量。

公开(公告)号：US08251916B2

公开(公告)日：2012-08-28

申请号：US11942785

申请日：2007-11-20

申请人： Trevor W. V. Speeg ,  Gavin M. Monson ,  Kyle P. Moore ,  John A. Hibner ,  Edward A. Rhad ,  Shailendra K. Parihar ,  Wells D. Haberstich ,  Kenneth E. Hogue ,  Michele D'Arcangelo ,  Robert F. Weikel, Jr.

发明人： Trevor W. V. Speeg ,  Gavin M. Monson ,  Kyle P. Moore ,  John A. Hibner ,  Edward A. Rhad ,  Shailendra K. Parihar ,  Wells D. Haberstich ,  Kenneth E. Hogue ,  Michele D'Arcangelo ,  Robert F. Weikel, Jr.

IPC分类号： A61B10/00

CPC分类号： A61B10/0275 ,  A61B10/0096 ,  A61B10/0283 ,  A61B2010/0208 ,  A61B2010/0225 ,  A61B2017/00199 ,  A61B2017/00398 ,  A61B2017/0046

摘要： A biopsy device includes a cutter defining a cutter lumen and a tissue sample holder for collecting tissue samples. In one example, the tissue sample holder has a rotatable manifold that is configured to redirect fluid from one axial direction to an opposite axial direction. The tissue sample holder also has a plurality of tissue sample trays through which fluid may be communicated. The tissue sample trays define chambers that are each configured to separately hold tissue samples. The tissue sample trays are removable relative to the manifold. A cup is configured to cover the manifold and trays. A tissue sample holder rotation mechanism is operable to rotate the manifold to successively index each chamber of the tissue sample trays with the cutter lumen. A feature may prevent rotation of the manifold when one part of the biopsy device is separated from another part of the biopsy device.

摘要翻译： 活检装置包括限定切割器内腔的切割器和用于收集组织样本的组织样本保持器。 在一个示例中，组织样本保持器具有可旋转歧管，其被配置为将流体从一个轴向方向重定向到相反的轴向方向。 组织样本保持器还具有多个组织样本托盘，流体可以通过该组织样本托盘连通。 组织样品托盘限定了分别保持组织样本的腔室。 组织样品托盘相对于歧管是可移除的。 杯子被配置成覆盖歧管和托盘。 组织样本保持器旋转机构可操作以使歧管旋转，以连续地用切割器内腔折叠组织样品托盘的每个室。 当活检装置的一部分与活检装置的另一部分分离时，特征可以防止歧管旋转。

公开(公告)号：US20090131818A1

公开(公告)日：2009-05-21

申请号：US11942797

申请日：2007-11-20

申请人： Trevor W. V. Speeg ,  Gavin M. Monson ,  Michael J. Andreyko ,  Kyle P. Moore ,  John A. Hibner ,  Shailendra K. Parihar

发明人： Trevor W. V. Speeg ,  Gavin M. Monson ,  Michael J. Andreyko ,  Kyle P. Moore ,  John A. Hibner ,  Shailendra K. Parihar

IPC分类号： A61B10/02

CPC分类号： A61B10/0266 ,  A61B2010/0225

摘要： A biopsy device includes a cutter defining a cutter lumen and a tissue sample holder for collecting tissue samples. In one example, the tissue sample holder includes a rotatable manifold, and has a plurality of chambers that are each configured to separately hold tissue samples. A tissue sample holder rotation mechanism is operable to rotate the manifold to successively index each of the chambers with the cutter lumen. A sensing system is configured to sense the rotational position of the manifold. A controller in communication with both the sensing system and the rotation mechanism is operable to control the rotation mechanism based at least in part on the position of the manifold as sensed by the sensing system. The sensing system may include a sensor in a fixed position and a rotating encoder wheel on a shaft that is used to rotate the manifold.

摘要翻译： 活检装置包括限定切割器内腔的切割器和用于收集组织样本的组织样本保持器。 在一个示例中，组织样本保持器包括可旋转的歧管，并且具有多个室，每个室被构造成分别保持组织样本。 组织样本保持器旋转机构可操作以使歧管旋转，以连续地用切割器内腔折射每个腔室。 感测系统被配置为感测歧管的旋转位置。 与感测系统和旋转机构两者通信的控制器可操作以至少部分地基于由感测系统感测到的歧管的位置来控制旋转机构。 感测系统可以包括处于固定位置的传感器和用于旋转歧管的轴上的旋转编码轮。

公开(公告)号：US20080195066A1

公开(公告)日：2008-08-14

申请号：US11942785

申请日：2007-11-20

申请人： Trevor W. V. Speeg ,  Gavin M. Monson ,  Kyle P. Moore ,  John A. Hibner ,  Edward A. Rhad ,  Shailendra K. Parihar ,  Wells D. Haberstich ,  Kenneth E. Hogue ,  Michele D'Arcangelo ,  Robert F. Weikel

发明人： Trevor W. V. Speeg ,  Gavin M. Monson ,  Kyle P. Moore ,  John A. Hibner ,  Edward A. Rhad ,  Shailendra K. Parihar ,  Wells D. Haberstich ,  Kenneth E. Hogue ,  Michele D'Arcangelo ,  Robert F. Weikel

IPC分类号： A61B10/02

CPC分类号： A61B10/0275 ,  A61B10/0096 ,  A61B10/0283 ,  A61B2010/0208 ,  A61B2010/0225 ,  A61B2017/00199 ,  A61B2017/00398 ,  A61B2017/0046

摘要： A biopsy device includes a cutter defining a cutter lumen and a tissue sample holder for collecting tissue samples. In one example, the tissue sample holder has a rotatable manifold that is configured to redirect fluid from one axial direction to an opposite axial direction. The tissue sample holder also has a plurality of tissue sample trays through which fluid may be communicated. The tissue sample trays define chambers that are each configured to separately hold tissue samples. The tissue sample trays are removable relative to the manifold. A cup is configured to cover the manifold and trays. A tissue sample holder rotation mechanism is operable to rotate the manifold to successively index each chamber of the tissue sample trays with the cutter lumen. A feature may prevent rotation of the manifold when one part of the biopsy device is separated from another part of the biopsy device.

摘要翻译： 活检装置包括限定切割器内腔的切割器和用于收集组织样本的组织样本保持器。 在一个示例中，组织样本保持器具有可旋转歧管，其被配置为将流体从一个轴向方向重定向到相反的轴向方向。 组织样本保持器还具有多个组织样本托盘，流体可以通过该组织样本托盘连通。 组织样品托盘限定了分别保持组织样本的腔室。 组织样品托盘相对于歧管是可移除的。 杯子被配置成覆盖歧管和托盘。 组织样本保持器旋转机构可操作以使歧管旋转，以连续地用切割器内腔折叠组织样品托盘的每个室。 当活检装置的一部分与活检装置的另一部分分离时，特征可以防止歧管旋转。