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71.发明申请公开(公告)号：US20120095498A1
公开(公告)日：2012-04-19
申请号：US12903645
申请日：2010-10-13
IPC分类号： A61M29/00
CPC分类号： A61B17/0218 , A61B90/02 , A61B90/11 , A61B90/50
摘要： Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
摘要翻译： 提供的方法和装置用于允许外科手术器械由外科支撑系统支撑，所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。 提供了一种手术支撑系统，其包括限定枢轴点的引导端口，手术器械可以通过该枢转点枢转。 引导端口以及枢轴点可以位于仪器前进的组织表面上方的距离处。 还提供了用于允许体腔内注射而不在其中引入注射液的方法和装置。 提供了一种机械吹气装置，其包括可膨胀的远端构件，其构造成选择性地膨胀和展开以机械地灌注体腔。 机械吹气装置可以可选地与外科支架系统一起使用。
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公开(公告)号：US08100930B2
公开(公告)日：2012-01-24
申请号：US11693754
申请日：2007-03-30
申请人： David Stefanchik
发明人： David Stefanchik
IPC分类号： A61B17/00
CPC分类号： A61B17/32 , A61B2017/00858 , A61B2017/320044 , A61B2017/320056
摘要： Devices and methods for moving tissue and/or moving the devices relative to the tissue during a surgical procedure are disclosed. The devices and methods disclosed herein can be used in conventional, open surgical procedures, they are particularly useful in minimally invasive surgical procedures, such as laparoscopic and endoscopic procedures. In one aspect, the movement or tissue and/or the device is effected by moving a fabric associated with the device and in contact with tissue.
摘要翻译： 公开了用于在外科手术期间移动组织和/或移动装置相对于组织的装置和方法。 本文公开的装置和方法可以用于常规的开放式外科手术中，它们在微创外科手术（例如腹腔镜和内窥镜手术）中特别有用。 在一个方面，运动或组织和/或装置通过移动与装置相关联的织物并与组织接触来实现。
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公开(公告)号：US08075572B2
公开(公告)日：2011-12-13
申请号：US11796035
申请日：2007-04-26
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0625 , A61B2017/047 , A61B2017/0609
摘要： A surgical suturing apparatus is described. The suturing apparatus has a needle having at least one pointed end, a channel for releasably receiving the needle, a needle positioning assembly having members for moving the needle and an actuation assembly for actuating the needle positioning assembly. The needle includes a first puncturing point at a proximal end thereof and an engagement section adjacent thereto, a distal end, which may have a second puncturing point, and another engagement section adjacent the distal end. A structure, such as an eye or a slot, is provided to secure a length of suture material to the needle. The members for moving the needle include an engagement member for releasably engaging one of the engagement sections of the needle to effect axial movement of the needle within the channel, a ramp member for effecting movement of the needle in the distal direction along the longitudinal axis of the channel and for urging the proximal end of the needle out of the channel, and a snare axially movable within the channel and having a portion releasably housed within the channel. The snare portion is configured for capturing the proximal engagement section of the needle to guide the needle in a proximal direction when the needle is out of the channel and to guide the return of the needle to the channel.
摘要翻译： 描述了外科缝合装置。 缝合装置具有至少一个尖端的针，用于可释放地接收针的通道，具有用于移动针的构件的针定位组件和用于致动针定位组件的致动组件。 针包括在其近端处的第一穿刺点和与其相邻的接合部，可以具有第二穿刺点的远端和与远端相邻的另一接合部。 提供诸如眼睛或狭槽的结构以将一定数量的缝合材料固定到针上。 用于移动针的构件包括用于可释放地接合针的一个接合部分的接合构件，以实现针在通道内的轴向移动;斜面构件，用于沿着远端方向沿着纵向轴线 所述通道并且用于将所述针的近端推出所述通道，以及在所述通道内可轴向移动并具有可释放地容纳在所述通道内的部分的圈套。 所述圈套部分构造成用于捕获所述针的近侧接合部分，以在所述针离开所述通道时引导所述针沿近侧方向并引导所述针返回所述通道。
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公开(公告)号：US08007432B2
公开(公告)日：2011-08-30
申请号：US11627542
申请日：2007-01-26
IPC分类号： A61B1/00
CPC分类号： A61B17/00234 , A61B1/00135 , A61B1/018 , A61B17/3421 , A61B2017/00292 , A61B2017/00296 , A61B2017/2923 , A61B2017/3445
摘要： Devices and methods useful for manipulating tools at a surgical site are disclosed. In one exemplary embodiment, an accessory device is provided and can include an insertion member and a control wire. The insertion member can have a lumen for receiving a tool therethrough, such as an endoscope. The control wire can be coupled to the insertion member and have a distal portion extending distally from the insertion member and be adapted to receive and to manipulate a tool extending through the insertion member. The control wire can have a wide variety of configurations, and in certain exemplary embodiments the control wire can be slidably received in one or more control wire lumens formed through the insertion member. In use, the control wire can be manipulated, for example by axially sliding the control wire in one or more control wire lumens to control a tool.
摘要翻译： 公开了用于在手术部位操作工具的装置和方法。 在一个示例性实施例中，提供附件装置并且可以包括插入构件和控制线。 插入构件可以具有用于容纳穿过其中的工具的内腔，诸如内窥镜。 控制线可以联接到插入构件并且具有从插入构件向远侧延伸的远侧部分，并且适于接收和操纵延伸穿过插入构件的工具。 控制线可以具有各种各样的配置，并且在某些示例性实施例中，控制线可以可滑动地容纳在通过插入构件形成的一个或多个控制线腔中。 在使用中，控制线可以被操纵，例如通过在一个或多个控制线腔内轴向滑动控制线来控制工具。
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公开(公告)号：US07905830B2
公开(公告)日：2011-03-15
申请号：US11129590
申请日：2005-05-13
IPC分类号： A61B1/04
CPC分类号： A61B1/00154 , A61B1/00135 , A61B1/00147 , A61B1/018 , A61B1/273 , A61B17/3415 , A61B17/3431
摘要： A medical apparatus and method useful for positioning one or more members within the gastro-intestinal tract is disclosed. The sheath can be provided with texture on an inside surface to facilitate installation of the endoscope in the sheath, and to permit the endoscope to be gripped through the sheath.
摘要翻译： 公开了一种用于将一个或多个构件定位在胃肠道内的医疗装置和方法。 护套可以在内表面上具有纹理，以便于将内窥镜安装在护套中，并允许内窥镜通过护套夹持。
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公开(公告)号：US07846087B2
公开(公告)日：2010-12-07
申请号：US11380952
申请日：2006-05-01
申请人： David Stefanchik , James T. Spivey
发明人： David Stefanchik , James T. Spivey
IPC分类号： A61B1/00
CPC分类号： A61B1/008 , A61B1/0008 , A61B2017/00296 , A61B2017/2929
摘要： Devices and methods are provided for positioning a tool. In one embodiment, an endoscopic rotation device is provided having a rotatable collet, a flexible elongate translating mechanism, and an actuating mechanism. The rotatable collet can be configured to receive and engage a tool disposed therethrough, and the translating mechanism can be coupled to the collet. The actuating mechanism can be operatively associated with the translating mechanism and can be effective to cause the translating mechanism to apply a rotational force to the collet to rotate the tool disposed therethrough.
摘要翻译： 提供了用于定位工具的设备和方法。 在一个实施例中，内窥镜旋转装置设置有可旋转夹头，柔性细长平移机构和致动机构。 可旋转夹头可以被配置为接收和接合穿过其中的工具，并且平移机构可以联接到夹头。 致动机构可以与平移机构可操作地相关联，并且可以有效地使平移机构向夹头施加旋转力以旋转通过其设置的工具。
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公开(公告)号：US20100217083A1
公开(公告)日：2010-08-26
申请号：US12392472
申请日：2009-02-25
IPC分类号： A61B1/008
CPC分类号： A61B1/0055 , A61B1/00078 , A61B1/008 , A61B1/01
摘要： Methods and devices are provided for controlling an endoscope in a body cavity. In one exemplary embodiment, a stiffening element for an endoscopic surgical system includes an elongate member having a diameter configured for insertion and use in a channel of an endoscope. The elongate member can be movable between an unlocked position in which the elongate member is freely movable to assume a desired configuration, and a locked position in which the elongate member is maintained in a desired configuration. In one embodiment, the elongate member is formed from a plurality of links that are pivotally coupled to one another. Methods for controlling a surgical device in a body cavity, as well as systems for use in endoscopic surgeries, are also provided herein.
摘要翻译： 提供了用于控制体腔内窥镜的方法和装置。 在一个示例性实施例中，用于内窥镜手术系统的加强元件包括细长构件，该细长构件具有被构造用于在内窥镜的通道中插入和使用的直径。 细长构件可以在其中细长构件可自由移动以呈现期望构造的解锁位置和锁定位置之间移动，在该位置中细长构件保持在期望的构型。 在一个实施例中，细长构件由彼此枢转地联接的多个连杆形成。 本文还提供了用于控制体腔内的手术装置的方法以及用于内窥镜手术的系统。
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公开(公告)号：US07771396B2
公开(公告)日：2010-08-10
申请号：US11386484
申请日：2006-03-22
CPC分类号： A61B17/3415 , A61B1/00073 , A61B1/0014 , A61B1/2736 , A61J15/0007 , A61J15/0019 , A61J15/0023 , A61J15/003 , A61J15/0038 , A61J15/0061 , A61J15/0069
摘要： An intubation device is provided for use with a guide apparatus having a track that is adapted to be associated with an endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation device includes an elongated, flexible tube and a mating member attached to the tube and adapted to slidingly engage the track external of the endoscope. The intubation device further includes a tissue bolster disposed on the proximal portion of the tube and changeable between a collapsed and an expanded configuration. The tube is positionable inside the upper gastrointestinal tract of a patient such that the proximal end of the tube is externalized through the gastric and abdominal walls of the patient, and wherein the tissue bolster is securable against the inner gastric wall when the tissue bolster is in the expanded configuration.
摘要翻译： 插管装置被提供用于具有适于与内窥镜相关联的轨道的引导装置，使得轨道的弯曲基本上与内窥镜的弯曲脱离。 插管装置包括细长的柔性管和连接到管并适于滑动地接合内窥镜外部的轨道的配合构件。 插管装置还包括设置在管的近端部分上的组织垫，并且可以在折叠和膨胀构型之间改变。 管可以定位在患者的上胃肠道内，使得管的近端通过患者的胃和腹壁被外部化，并且其中当组织垫在其中时，组织垫可抵靠胃内壁固定 扩展配置。
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公开(公告)号：US20100076451A1
公开(公告)日：2010-03-25
申请号：US12234425
申请日：2008-09-19
IPC分类号： A61B17/94
CPC分类号： A61B1/005 , A61B1/00078 , A61B2017/00287 , A61B2017/003 , A61B2017/00336 , A61B2017/2901 , A61B2017/2905
摘要： A rigidizable surgical instrument comprises a rigidizable member, a first collapsible arm, a second collapsible arm, and a specimen retrieval bag for retrieving biological materials. The collapsible arms may be located at the distal end of the rigidizable member. The specimen retrieval bag may have an open end and a closed end, and may be configured to be retained upon the collapsible arms. The rigidizable member may include a rigidizing component to rigidize the rigidizable member when the state-change material or a stiffening element is in a rigid state. The rigidizable member may be rendered substantially rigid when the rigidizing component is actuated and the rigidizable member may be rendered substantially flexible when the rigidizing component is deactuated. A rigidizing mechanism for actuating the rigidizing component may include a vacuum. Various end-effectors may be provided in addition to the specimen retrieval bag.
摘要翻译： 一种可硬化的手术器械包括可固化构件，第一可折叠臂，第二可折叠臂和用于回收生物材料的检体取出袋。 可折叠臂可以位于可固化构件的远端。 样本回收袋可以具有开口端和封闭端，并且可以被配置为保持在可折叠臂上。 刚性化构件可以包括刚性组件，以在状态变化材料或加强元件处于刚性状态时使刚性化刚性化构件。 当刚性组件被致动时，刚性化构件可以变得基本上刚性，并且当刚性化构件停用时，可固化构件可以变得基本上柔性。 用于致动刚性组分的刚性机构可以包括真空。 除了样本取出袋之外，还可以提供各种终端效应器。
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公开(公告)号：US20080234693A1
公开(公告)日：2008-09-25
申请号：US11689125
申请日：2007-03-21
申请人： David Stefanchik
发明人： David Stefanchik
IPC分类号： A61B17/94
CPC分类号： A61B17/32056 , A61B18/1492 , A61B34/70 , A61B2017/00296 , A61B2017/003 , A61B2017/22074 , A61B2017/22078 , A61B2017/2929 , A61B2017/3445
摘要： Devices and methods useful for manipulating tools at a surgical site are disclosed. The disclosed devices and methods can be useful, for example, for orbiting the distal end of one tool around the distal end of another tool, such as in an endoscopic resection procedure, and/or for rotating a tool or an end effector. In one exemplary embodiment, an endoscopic device is provided and can include an elongate shaft having a first lumen and a second lumen formed therein, each of the first and the second lumens adapted to receive a tool therethrough. A rotatable element can be disposed at a distal end of the elongate shaft, the rotatable element having a lumen formed therein that is associated with the first lumen of the elongate shaft and also having a tool guide that is adapted to receive a tool and that is associated with the second lumen of the elongate shaft. The rotatable element can be configured to rotate on a longitudinal axis thereof such that the tool guide orbits the longitudinal axis of the rotatable element.
摘要翻译： 公开了用于在手术部位操作工具的装置和方法。 所公开的装置和方法可以是有用的，例如，例如在一个工具的远端围绕另一个工具的远端（例如在内窥镜切除过程中）和/或用于旋转工具或端部执行器。 在一个示例性实施例中，提供内窥镜装置，并且可以包括具有形成在其中的第一腔和第二腔的细长轴，第一和第二腔中的每一个适于接收穿过其中的工具。 可旋转元件可以设置在细长轴的远端处，可旋转元件具有形成在其中的内腔，其与细长轴的第一内腔相关联并且还具有适于接纳工具的工具引导件， 与细长轴的第二内腔相关联。 可旋转元件可以被构造成在其纵向轴线上旋转，使得工具引导件绕可旋转元件的纵向轴线运动。
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