公开(公告)号：US20110087266A1

公开(公告)日：2011-04-14

申请号：US12576565

申请日：2009-10-09

申请人： Sean P. Conlon ,  James T. Spivey ,  Kevin M. Huey ,  Rudolph H. Nobis

发明人： Sean P. Conlon ,  James T. Spivey ,  Kevin M. Huey ,  Rudolph H. Nobis

IPC分类号： A61B17/29 ,  A61B17/94

CPC分类号： A61B17/00234 ,  A61B17/29 ,  A61B17/320092 ,  A61B17/3201 ,  A61B18/1442 ,  A61B2017/00238 ,  A61B2017/00296 ,  A61B2017/00464 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2018/1495

摘要： A surgical device for use in combination with a percutaneous elongate shaft defining a longitudinal axis. The shaft comprises a distal end and a proximal end, the distal end comprising an attachment mechanism. A surgical end effector is selectively attachable in vivo and detachable in vivo to the attachment mechanism of the percutaneous elongate shaft. A percutaneous elongate loader comprises an articulating distal end. The distal end comprises a tube with an opening at the distal tip, the tube being dimensioned to receive the surgical end effector. The distal end further comprises an engagement feature capable of frictionally holding the surgical end effector in the tube during in vivo attachment to and in vivo detachment from the percutaneous elongate shaft.

摘要翻译： 一种与限定纵向轴线的经皮细长轴组合使用的手术装置。 轴包括远端和近端，远端包括附接机构。 手术末端执行器可选择性地附接到体内并且可在体内可拆卸到经皮细长轴的附接机构。 经皮细长装载器包括铰接的远端。 远端包括在远侧末端具有开口的管，该管的尺寸被设计成接纳外科末端执行器。 远端还包括接合特征，该接合特征能够在体内附着到经皮细长轴和体内脱离经皮细长轴的过程中摩擦地保持管中的外科末端执行器。

公开(公告)号：US20090306658A1

公开(公告)日：2009-12-10

申请号：US12133953

申请日：2008-06-05

申请人： Rudolph H. Nobis ,  Sean P. Conlon

发明人： Rudolph H. Nobis ,  Sean P. Conlon

IPC分类号： A61B18/14 ,  A61B17/32

CPC分类号： A61B17/320016 ,  A61B18/1482 ,  A61B2018/1422 ,  A61B2018/1475 ,  A61B2018/1861

摘要： A surgical device is disclosed. The device includes an elongate shaft having a distal end coupled to a proximal end of an articulation joint, and an actuation wire extending through the elongate shaft and the articulation joint. The device further includes an end effector having a distal tip coupled to a distal end of the articulation joint and receiving therethrough a distal end of the actuation wire. The end effector includes a hook knife disposed adjacent the distal tip and having a proximal end connected to the distal end of the actuation wire. The actuation wire is translatable along a longitudinal axis of the elongate shaft to extend and retract the distal end of the hook knife relative to the distal tip of the end effector, and the articulation joint is laterally articulatable relative to the longitudinal axis of the elongate shaft to allow the end effector to be angularly oriented relative to the elongate shaft.

摘要翻译： 公开了一种手术装置。 该装置包括细长轴，其具有联接到关节运动关节的近端的远端以及延伸穿过细长轴和关节运动关节的致动线。 该装置还包括端部执行器，该末端执行器具有联接到关节运动关节的远端的远侧末端，并且在其中穿过致动线的远端。 末端执行器包括设置在远侧末端附近并具有连接到致动线的远端的近端的钩刀。 驱动线可沿着细长轴的纵向轴线平移，以相对于末端执行器的远端延伸和缩回钩刀的远端，并且关节运动关节可相对于细长轴的纵向轴线横向铰接 以允许端部执行器相对于细长轴成角度地定向。

公开(公告)号：US07561916B2

公开(公告)日：2009-07-14

申请号：US11166968

申请日：2005-06-24

申请人： John V. Hunt ,  Joshua Uth ,  Randal T. Byrum ,  Sean P. Conlon

发明人： John V. Hunt ,  Joshua Uth ,  Randal T. Byrum ,  Sean P. Conlon

IPC分类号： A61N1/375

CPC分类号： A61M39/0208 ,  A61M5/14276 ,  A61M2039/0223 ,  A61M2039/0232 ,  A61N1/375 ,  A61N2001/0578

摘要： An attachment mechanism for a surgically implantable medical device includes one or more fasteners which may be simultaneously moved from an undeployed position to a deployed position by operation of an integral actuator. The attachment mechanism may be configured to be deactuated, and the fasteners simultaneously moved from a deployed position to an undeployed position, allowing removal or repositioning of the medical device. An applier includes a locator for detachably holding the implantable medical device, locating it at the desired position, and actuating the attachment mechanism. The applier is configured to undeploy the attachment mechanism the implantable medical device can be detached from the body tissue.

摘要翻译： 用于手术可植入医疗装置的附接机构包括一个或多个紧固件，其可以通过整体致动器的操作同时从未部署位置移动到展开位置。 附接机构可以被配置为停用，并且紧固件同时从展开位置移动到非展开位置，允许移除或重新定位医疗装置。 施放器包括用于可拆卸地固定可植入医疗装置的定位器，将其定位在期望的位置，以及致动附接机构。 施放器被构造成去除可植入医疗装置可以与身体组织分离的附接机构。

公开(公告)号：US20090143794A1

公开(公告)日：2009-06-04

申请号：US11998370

申请日：2007-11-29

申请人： Sean P. Conlon ,  Christopher Paul Swain ,  Per-Ola Park

发明人： Sean P. Conlon ,  Christopher Paul Swain ,  Per-Ola Park

IPC分类号： A61B17/32 ,  A61L2/00

CPC分类号： A61L2/081 ,  A61B17/0469 ,  A61B17/32056 ,  A61B18/14 ,  A61B18/1482 ,  A61B18/149 ,  A61B2017/00278 ,  A61B2017/0409 ,  A61B2017/306 ,  A61B2018/00083 ,  A61B2018/00291 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/1407 ,  A61L2/082 ,  A61L2/087 ,  A61L2202/24

摘要： A surgical instrument which can be utilized to hold, view, transect, and suture tissue. The surgical instrument can include a tissue-receiving cavity which can be placed in fluid communication with a vacuum source such that the tissue can be held in the cavity. The surgical instrument can further include a housing and a cutting element, wherein the cutting element can be moved relative to the housing to resect the tissue positioned within the cavity. The surgical instrument can also include a passage configured to receive a suture applicator which can be moved between first and second positions to incise the tissue. In at least one embodiment, the passage can be configured to align and orient the suture applicator relative to the tissue positioned within the cavity. The surgical instrument can further include a passage configured to slidably receive an endoscope where the passage can align and orient the endoscope.

摘要翻译： 可用于保持，观察，切断和缝合组织的手术器械。 外科器械可以包括可以与真空源流体连通的组织接收腔，使得组织能够保持在空腔中。 外科器械还可以包括壳体和切割元件，其中切割元件可以相对于壳体移动以切除位于空腔内的组织。 手术器械还可以包括构造成接收可以在第一和第二位置之间移动以切开组织的缝合线施加器的通道。 在至少一个实施例中，通道可被配置成相对于位于空腔内的组织对准和定向缝合线施加器。 外科器械还可以包括通道，其构造成可滑动地容纳内窥镜，其中通道可以对准和定向内窥镜。

公开(公告)号：US20090093768A1

公开(公告)日：2009-04-09

申请号：US12333365

申请日：2008-12-12

申请人： Sean P. Conlon ,  Joshua Uth ,  How-Lun Chen

发明人： Sean P. Conlon ,  Joshua Uth ,  How-Lun Chen

IPC分类号： A61M5/32 ,  A61M5/31

CPC分类号： A61M39/0208 ,  A61F5/0056 ,  A61M39/04 ,  A61M2039/0205 ,  A61M2039/0223

摘要： A method for implanting an injection port within a patient. The method involves providing a port having a housing with a closed distal end, a open proximal end, a fluid reservoir therebetween, a needle penetrable septum attached to the housing about the opening, and at least one attachment mechanism mounted to the housing at a pivot point along an outer periphery of the housing. The attachment mechanism is an arcuate hook pivotable with respect to the housing, the arcuate hook having a length extending substantially at least 180° about the pivot point. The method further involves placing the distal end of the port adjacent tissue, and rotating the arcuate hook at least 180 degrees so that a free end of the hook extends into tissue and back out again.

摘要翻译： 一种在患者体内植入注射口的方法。 该方法包括提供具有壳体的端口，该壳体具有封闭的远端，敞开的近端，在其间的流体储存器，围绕开口附接到壳体的针穿透隔膜，以及至少一个在枢轴处安装到壳体的附接机构 沿着壳体的外周指向。 附接机构是相对于壳体可枢转的弓形钩，弓形钩具有围绕枢轴点基本上至少180°延伸的长度。 该方法还包括将端口的远端邻近组织放置，并且将弓形钩旋转至少180度，使得钩的自由端延伸进入组织并再次退出。

公开(公告)号：US07374557B2

公开(公告)日：2008-05-20

申请号：US10741868

申请日：2003-12-19

申请人： Sean P. Conlon ,  Ronald John Kolata

发明人： Sean P. Conlon ,  Ronald John Kolata

IPC分类号： A61M5/32

CPC分类号： A61M39/0208 ,  A61F5/0003 ,  A61M2039/0223

摘要： A self attaching injection port has integral fasteners extending from the housing, fixed relative thereto. The fasteners include one way fasteners, such as formed by a plurality of axially spaced concentrically aligned frustroconical annular flanges. The injection port is self attaching upon the surgeon applying a distal force to the injection port housing, causing the fasteners to penetrate the tissue, engaging the tissue to hold the injection port in place.

摘要翻译： 自连接注射口具有从壳体延伸的整体紧固件，相对于其固定。 紧固件包括单向紧固件，例如由多个轴向间隔开的同心对准的截头圆锥形环形凸缘形成。 注射口自身附着在外科医生上，将远端力施加到注射口外壳上，使紧固件穿透组织，使组织接合以将注射口保持在适当位置。

公开(公告)号：US09427255B2

公开(公告)日：2016-08-30

申请号：US13470781

申请日：2012-05-14

申请人： David B. Griffith ,  Sean P. Conlon ,  William B. Weisenburgh, II ,  Christopher J. Hess ,  Kempton K. Carroll, II

发明人： David B. Griffith ,  Sean P. Conlon ,  William B. Weisenburgh, II ,  Christopher J. Hess ,  Kempton K. Carroll, II

IPC分类号： A61B1/04 ,  A61B17/34 ,  A61B1/00 ,  A61B17/00

CPC分类号： A61B17/3423 ,  A61B1/00154 ,  A61B1/00158 ,  A61B1/041 ,  A61B1/3132 ,  A61B17/3421 ,  A61B17/3462 ,  A61B17/3474 ,  A61B2017/00283 ,  A61B2017/3445

摘要： A cannula assembly including a seal for an endoscopic internal magnetic camera tether. The seal may include stacked compliant membranes with an aperture in each membrane through which a camera tether may pass. The apertures may overlap. The at least one aperture may be arranged as a slit. Each of the apertures may comprise a wedge-shaped gap. The membranes may include engagement members that couple to engagement members on the cannula assembly. The cannula assembly may provide separate ports for the camera tethers and for a trocar or other endoscopic instrument passing through the cannula assembly. The cannula assembly also may include a rotating housing with two openings and a seal arranged in each opening. The cannula assembly may include a sleeve that encases a cannula tube. The sleeve may include a seal on its end and a channel on its periphery through which a camera tether may pass.

摘要翻译： 套管组件，其包括用于内窥镜内部磁性照相机系绳的密封件。 密封件可以包括具有每个膜中的孔的堆叠的柔顺膜，照相机系绳可以穿过该孔。 孔可以重叠。 该至少一个孔可以被布置成狭缝。 每个孔可以包括楔形间隙。 膜可以包括联接到套管组件上的接合构件的接合构件。 套管组件可以为照相机系绳提供分开的端口，以及针对通过插管组件的套管针或其他内窥镜器械。 插管组件还可以包括具有两个开口的旋转壳体和布置在每个开口中的密封件。 套管组件可以包括套管套管。 套筒可以包括其端部上的密封件和其周边上的通道，照相机系绳可以穿过该通道。

公开(公告)号：US09049987B2

公开(公告)日：2015-06-09

申请号：US13420805

申请日：2012-03-15

申请人： Sean P. Conlon ,  Victor C. Moreno

发明人： Sean P. Conlon ,  Victor C. Moreno

IPC分类号： A61N2/00 ,  G05B1/06 ,  A61B1/00 ,  A61B17/00 ,  A61B19/00

CPC分类号： A61B34/70 ,  A61B1/00158 ,  A61B34/73 ,  A61B90/13 ,  A61B2017/00039 ,  A61B2017/00398 ,  A61B2017/00876 ,  A61B2034/302 ,  A61B2034/731 ,  A61B2034/733 ,  A61B2090/064 ,  A61B2560/0223 ,  A61B2562/0223

摘要： A device for manipulating a magnetic coupling force across tissue in response to a monitored coupling force is described. The device includes a magnetic field source assembly, a positioning assembly operatively connected to the magnetic field force assembly, and a magnetic coupling force monitor. The magnetic field source assembly includes magnets that provide an external magnetic field source for providing a magnetic field across tissue. The positioning assembly adjusts the position of the magnetic field source. The magnetic field creates a magnetic coupling force between the external magnetic field source and an object positioned in use in a patient during a procedure, wherein the object has or is associated with an internal magnetic field.

摘要翻译： 描述了响应于监视的耦合力来操纵组织的磁耦合力的装置。 该装置包括磁场源组件，可操作地连接到磁场力组件的定位组件和磁耦合力监视器。 磁场源组件包括提供用于提供横跨组织的磁场的外部磁场源的磁体。 定位组件调整磁场源的位置。 磁场在外部磁场源和位于使用过程中的患者中的物体之间产生磁耦合力，其中物体具有或者与内部磁场相关联。

公开(公告)号：US08631991B2

公开(公告)日：2014-01-21

申请号：US11755430

申请日：2007-05-30

申请人： Michael S. Cropper ,  Sean P. Conlon

发明人： Michael S. Cropper ,  Sean P. Conlon

IPC分类号： A61B17/068

CPC分类号： A61B17/0684 ,  A61B2017/2905 ,  A61B2017/293

摘要： A surgical instrument for fastening tissue with a staple. The instrument includes a cartridge adapted for containing the staple. The cartridge includes a mechanism adapted to selectively advance the staple toward a forward end of the cartridge so the ends of the staple protrude from the cartridge and to selectively close the staple. The cartridge includes a mount connected to the cartridge and adapted for mounting the cartridge to an end of an endoscope. The cartridge includes a linkage connected to the cartridge for actuating the mechanism to advance and close the staple and a remote actuator connected to the linkage a predetermined distance from the cartridge for actuating the mechanism from a position remote from the cartridge.

摘要翻译： 一种用钉固定组织的手术器械。 仪器包括适于容纳订书钉的盒。 盒包括适于选择性地使订书钉朝向盒的前端推进的机构，使得订书钉的端部从盒突出并且选择性地关闭订书钉。 所述盒包括连接到所述盒并适于将所述盒安装到内窥镜的端部的安装件。 盒包括连接到盒的联动装置，用于致动机构以推进和关闭订书钉，以及连接到联动装置的远程致动器与盒的预定距离，用于从远离盒的位置致动机构。

公开(公告)号：US20130245356A1

公开(公告)日：2013-09-19

申请号：US13420818

申请日：2012-03-15

申请人： Raul Fernandez ,  Sean P. Conlon ,  Richard Bergs

发明人： Raul Fernandez ,  Sean P. Conlon ,  Richard Bergs

IPC分类号： A61N2/12 ,  A61N2/10

CPC分类号： A61B34/70 ,  A61B34/77 ,  A61B2017/00876 ,  A61B2034/302 ,  A61B2090/065

摘要： A device for manipulating a magnetic coupling force across tissue in response to a monitored coupling force is described. The device includes a magnetic field source assembly that includes at least one fixed magnet and a rotatable magnet positioned within a cavity defined by the fixed magnet that provide an external magnetic field source for providing a magnetic field across tissue. An actuation assembly is operatively connected to the magnetic field force assembly. A sensor is provided that senses a magnetic coupling force and communicates changes therein to a controller which directs the accuation assembly to adjust the speed of rotation of the rotatable magnet in response to the sensed changes in magnetic coupling force to effect a change of magnetic flux generated by the rotatable magnet.

摘要翻译： 描述了响应于监视的耦合力来操纵组织的磁耦合力的装置。 该装置包括磁场源组件，该磁场源组件包括至少一个固定磁体和位于由固定磁体限定的空腔内的可旋转磁体，该固定磁体提供用于提供横跨组织的磁场的外部磁场源。 致动组件可操作地连接到磁场力组件。 提供了一种传感器，其感测磁耦合力并将其中的变化传递到控制器，该控制器响应于感测到的磁耦合力的变化而引导致动组件调节可旋转磁体的旋转速度，以实现产生的磁通量的变化 通过可旋转的磁体。