公开(公告)号：US20090062602A1

公开(公告)日：2009-03-05

申请号：US12182980

申请日：2008-07-30

申请人： Craig R. Rosenberg ,  Jeffrey B. Alvarez ,  Frederic H. Moll ,  Daniel T. Wallace ,  Jason K. Chan

发明人： Craig R. Rosenberg ,  Jeffrey B. Alvarez ,  Frederic H. Moll ,  Daniel T. Wallace ,  Jason K. Chan

IPC分类号： A61B1/00 ,  A61M25/00

CPC分类号： A61M25/0147 ,  A61B34/30 ,  A61B34/37 ,  A61B34/71 ,  A61B2017/003 ,  A61B2017/00867 ,  A61B2017/2901 ,  A61B2034/301 ,  A61B2034/741 ,  A61M25/0105 ,  A61M25/0138 ,  A61M25/0141

摘要： A flexible spine for use in one or more surgical instruments including a catheter and/or sheath of a robotic instrument system. The spine includes an elongate body that defines a central lumen and that is a unitary structure having a plurality of discrete sections, each of which has a distinguishing structural attribute that differentiates it from the other sections. Such distinguishing structural attributes may include, without limitation, materials, material attributes, shapes, sizes and/or attributes related to apertures in a wall of the elongate body, such as a number, shape, size, spacing and degree of overlap of such apertures. The arrangement of discrete, structurally different sections results in varying flexibility of the elongate spine and of corresponding sections of a surgical instrument incorporating the spine.

摘要翻译： 用于一个或多个手术器械的柔性脊柱，包括机器人仪器系统的导管和/或护套。 脊柱包括限定中心腔的细长体，并且其是具有多个离散部分的单一结构，每个离散部分具有将其与其它部分区分开的区别结构属性。 这种区别的结构属性可以包括但不限于与细长体的壁中的孔相关的材料，材料属性，形状，尺寸和/或属性，例如这些孔的数量，形状，尺寸，间隔和重叠程度 。 离散的，结构不同的部分的布置导致细长的脊柱和结合脊柱的手术器械的相应部分的变化的灵活性。

公开(公告)号：US20090036900A1

公开(公告)日：2009-02-05

申请号：US12024760

申请日：2008-02-01

申请人： Frederic H. Moll

发明人： Frederic H. Moll

IPC分类号： A61B19/00

CPC分类号： A61G7/0503 ,  A61B34/20 ,  A61B34/30 ,  A61B34/71 ,  A61B90/361 ,  A61B90/50 ,  A61B2017/00261 ,  A61B2034/102 ,  A61B2034/2051 ,  A61B2034/2061 ,  A61G13/10 ,  A61G13/101

摘要： Various methods for performing various surgical procedures using a robotic instrument system are disclosed. In one embodiment, the method comprises advancing a guide instrument into a patient's body and to the vicinity of a treatment area. The guide instrument may be a robotically controlled catheter which is controlled by a robotic catheter system. The guide instrument comprises an elongate flexible body having a proximal end and a distal end, and an end effector coupled to the distal end. The end effector may comprise various devices for assisting and performing the surgical procedure. For example, the end effector may be a clip applier, a laser fiber, a cryo fiber, or a needle and grasper. An image capture device may also be coupled to the distal end to assist in positioning and operating the guide instrument.

摘要翻译： 公开了使用机器人仪器系统执行各种外科手术的各种方法。 在一个实施例中，该方法包括将引导器械推入患者身体和治疗区域附近。 引导器械可以是由机器人导管系统控制的机器人控制的导管。 引导器械包括具有近端和远端的细长柔性体，以及连接到远端的端部执行器。 末端执行器可以包括用于辅助和执行外科手术的各种装置。 例如，末端执行器可以是夹具施加器，激光纤维，低温纤维或针和抓紧器。 图像捕获装置还可以耦合到远端以帮助定位和操作导向装置。

公开(公告)号：US06979423B2

公开(公告)日：2005-12-27

申请号：US10374623

申请日：2003-02-24

申请人： Frederic H. Moll

发明人： Frederic H. Moll

IPC分类号： A61M1/36 ,  A61M1/14 ,  A61M37/00

CPC分类号： A61M1/3653 ,  A61M1/3659 ,  A61M1/3666 ,  Y10S128/03 ,  Y10S128/907

摘要： A method and system for performing a cardiopulmonary bypass procedure are provided. The method includes accessing a source of blood in a patient body from which source the blood is to be passed through a cardiopulmonary bypass machine, drawing blood from the source through the cardiopulmonary bypass machine and introducing the blood into an aortic artery of the patient body through a plurality of separate passages, after the blood has been passed through the cardiopulmonary bypass machine. The system includes a cardiopulmonary bypass machine, a tubular member coupled to an outlet port of the cardiopulmonary bypass machine and a plurality of separate needle members connected in fluid flow communication with the tubular member, the needle members being arranged to be connected in fluid flow communication with an aortic artery, during a cardiopulmonary bypass procedure.

摘要翻译： 提供了一种用于执行心肺分流手术的方法和系统。 该方法包括进入患者体内的血液来源，血源将通过体外循环机器从血液源通过心肺旁路机，从血液源抽取血液，并通过心肺旁路机将血液引入患者体内的主动脉，通过 在血液已经通过心肺旁路机之后，多个单独的通道。 所述系统包括心肺旁路机，连接到心肺旁路机的出口的管状部件和与管状部件流体连通地连接的多个单独的针部件，针部件布置成以流体流动连通 与主动脉动脉，在体外循环手术期间。

公开(公告)号：US06659939B2

公开(公告)日：2003-12-09

申请号：US09433120

申请日：1999-11-03

申请人： Frederic H. Moll ,  David J. Rosa ,  Andris D. Ramans ,  Steven J. Blumenkranz ,  Gary S. Guthart ,  Gunter D. Niemeyer ,  William C. Nowlin ,  J. Kenneth Salisbury ,  Michael Tierney

发明人： Frederic H. Moll ,  David J. Rosa ,  Andris D. Ramans ,  Steven J. Blumenkranz ,  Gary S. Guthart ,  Gunter D. Niemeyer ,  William C. Nowlin ,  J. Kenneth Salisbury ,  Michael Tierney

IPC分类号： A61B100

CPC分类号： A61B19/2203 ,  A61B34/30 ,  A61B34/35 ,  A61B34/37 ,  A61B34/76 ,  A61B90/361 ,  A61B2017/00199 ,  A61B2034/305 ,  A61B2034/742 ,  A61B2090/506 ,  G06F19/00 ,  G09B23/285

摘要： Improved robotic surgical systems, devices, and methods include selectably associatable master/slave pairs, often having more manipulator arms than will be moved simultaneously by the two hands of a surgeon. Four manipulator arms can support an image capture device, a left hand tissue manipulation tool, a right hand tissue manipulation tool, and a fourth surgical instrument, particularly for stabilizing, retracting, tool change, or other functions benefiting from intermittent movement. The four or more arms may sequentially be controlled by left and right master input control devices. The fourth arm may be used to support another image capture device, and control of some or all of the arms may be transferred back-and-forth between the operator and an assistant. Two or more robotic systems each having master controls and slave manipulators may be coupled to enable cooperative surgery between two or more operators.

公开(公告)号：US06554790B1

公开(公告)日：2003-04-29

申请号：US09443170

申请日：1999-11-19

申请人： Frederic H. Moll

发明人： Frederic H. Moll

IPC分类号： A61M3700

CPC分类号： A61M1/3653 ,  A61M1/3659 ,  A61M1/3666 ,  Y10S128/03 ,  Y10S128/907

摘要： A method and system for performing a cardiopulmonary bypass procedure are provided. The method includes accessing a source of blood in a patient body from which source the blood is to be passed through a cardiopulmonary bypass machine, drawing blood from the source through the cardiopulmonary bypass machine and introducing the blood into an aortic artery of the patient body through a plurality of separate passages, after the blood has been passed through the cardiopulmonary bypass machine. The system comprises a cardiopulmonary bypass machine, a tubular member coupled to an outlet port of the cardiopulmonary bypass machine and a plurality of separate needle members connected in fluid flow communication with the tubular member, the needle members being arranged to be connected in fluid flow communication with an aortic artery, during a cardiopulmonary bypass procedure.

公开(公告)号：US06468265B1

公开(公告)日：2002-10-22

申请号：US09436982

申请日：1999-11-09

申请人： Philip C. Evans ,  Frederic H. Moll ,  Gary S. Guthart ,  William C. Nowlin ,  Rand P. Pendleton ,  Christopher P. Wilson ,  Andris D. Ramans ,  David J. Rosa ,  Volkmar Falk ,  Robert G. Younge

发明人： Philip C. Evans ,  Frederic H. Moll ,  Gary S. Guthart ,  William C. Nowlin ,  Rand P. Pendleton ,  Christopher P. Wilson ,  Andris D. Ramans ,  David J. Rosa ,  Volkmar Falk ,  Robert G. Younge

IPC分类号： A61B1700

CPC分类号： A61B34/32 ,  A61B17/04 ,  A61B17/0469 ,  A61B34/20 ,  A61B34/30 ,  A61B34/35 ,  A61B34/37 ,  A61B34/70 ,  A61B34/71 ,  A61B34/77 ,  A61B90/361 ,  A61B2017/00243 ,  A61B2017/00703 ,  A61B2034/2065 ,  A61B2034/305 ,  A61B2034/742 ,  A61B2090/064

摘要： A surgical system or assembly for performing cardiac surgery includes a surgical instrument; a servo-mechanical system engaged to the surgical instrument for operating the surgical instrument; and an attachment assembly for removing at least one degree of movement from a moving surgical cardiac worksite to produce a resultant surgical cardiac worksite. The surgical system or assembly also includes a motion tracking system for gathering movement information on a resultant surgical cardiac worksite. A control computer is engaged to the attachment assembly and to the motion tracking system and to the servo-mechanical system for controlling movement of the attachment assembly and for feeding gathered information to the servo-mechanical system for moving the surgical instrument in unison with the resultant surgical cardiac worksite such that a relative position of the moving surgical instrument with respect to the resultant surgical cardiac worksite is generally constant. A video monitor is coupled to the control computer; and an input system is coupled to the servo-mechanical system and to the control computer for providing a movement of the surgical instrument. The video monitor displays movement of the surgical instrument while the resultant surgical cardiac worksite appears substantially stationary, and while a relative position of the surgical instrument moving in unison with the resultant surgical cardiac worksite, as a result from the movement information gathered by the motion tracking system, remains generally constant. A method of performing cardiac surgery without cardioplegia comprising removing at least one degree of movement freedom from a moving surgical cardiac worksite to produce at least a partially stationary surgical cardiac worksite while allowing a residual heart section, generally separate from the at least partially stationary surgical cardiac worksite, to move as a residual moving heart part. Cardiac surgery is performed on the at least partially stationary cardiac worksite with a surgical instrument such as needle drivers, forceps, blades and scissors.

公开(公告)号：US5823945A

公开(公告)日：1998-10-20

申请号：US869552

申请日：1997-06-05

申请人： Frederic H. Moll ,  Charles Gresl, Jr. ,  Albert K. Chin ,  Philip K. Hopper

发明人： Frederic H. Moll ,  Charles Gresl, Jr. ,  Albert K. Chin ,  Philip K. Hopper

IPC分类号： A61B1/32 ,  A61B17/00 ,  A61B17/02 ,  A61B17/22 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B18/14 ,  A61B19/00 ,  A61B19/02 ,  A61F2/958 ,  A61M1/00 ,  A61M29/02

CPC分类号： A61B17/3417 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0281 ,  A61B17/22032 ,  A61B17/320016 ,  A61B50/20 ,  A61B90/50 ,  A61B17/32002 ,  A61B17/3462 ,  A61B18/14 ,  A61B2017/00261 ,  A61B2017/00278 ,  A61B2017/00535 ,  A61B2017/00557 ,  A61B2017/22051 ,  A61B2017/306 ,  A61B2017/320048 ,  A61B2017/32113 ,  A61B2017/3486 ,  A61B2090/306 ,  A61B2217/005 ,  A61B2217/007 ,  A61M25/10 ,  A61M25/1006

摘要： An apparatus for retracting an organ inside the body to gain access to an adjacent tissue Includes an inflatable main chamber having a thin, flexible main envelope. Inflation of the main chamber within the body results in retraction of body tissues or organs to retracted conditions. During use an aperture may be formed in the main envelope to provide access through the main chamber to body tissue. An inflatable secondary chamber defines a cage positioned within or around the main chamber and maintains retraction of organs retracted by the main chamber notwithstanding formation of an aperture in the main envelope.

摘要翻译： 用于收回身体内的脏器以进入相邻组织的装置包括具有薄的，柔性的主信封的可充气主室。 体内主室的充气导致身体组织或器官退缩到缩回状态。 在使用期间，可以在主外壳中形成孔，以提供通过主室到身体组织的通路。 可充气的次级室限定了定位在主室内或周围的保持架，并且保持由主室收回的器官的缩回，尽管在主外壳中形成孔。

公开(公告)号：US5743851A

公开(公告)日：1998-04-28

申请号：US660333

申请日：1996-06-04

申请人： Frederic H. Moll ,  Albert K. Chin

发明人： Frederic H. Moll ,  Albert K. Chin

IPC分类号： A61B1/32 ,  A61B17/00 ,  A61B17/02 ,  A61B17/22 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B19/00 ,  A61B19/02

CPC分类号： A61B17/3417 ,  A61B17/0218 ,  A61B17/0281 ,  A61B17/22032 ,  A61B90/50 ,  A61B17/3462 ,  A61B2017/00261 ,  A61B2017/00535 ,  A61B2017/00557 ,  A61B2017/306 ,  A61B2017/320048 ,  A61B2017/3486 ,  A61B2090/306

摘要： A first inflatable retraction device has a first inflatable chamber and a non-pressurized chamber inside the main chamber. The non-pressurized chamber is expanded by inflating a second inflatable chamber. The non-pressurized chamber enables the main chamber to remain inflated when an aperture is cut in the envelope of the main chamber, through which treatment is carried out. A second inflatable retraction device has an inflatable retractor and a maintainer. The inflatable retractor retracts the organ and the maintainer maintains the organ in its retracted condition after the inflatable retractor is deflated. The maintainer can be inflatable, and can be inside or outside the inflatable retractor. A self-retracting endoscope has an optical assembly with an expandable retractor fitted to its distal end. The distal end of the endoscope is inserted into the body with the retractor in a collapsed condition. The retractor is then expanded to retract organs that would otherwise obstruct the view from the distal end of the optical assembly. After observations are complete, the retractor is returned to its collapsed condition. An insertion tube enables cylindrical objects, such as packaged inflatable retraction devices, to be pulled, instead of pushed, into the body. The additional chamber of an inflatable retraction device having two inflatable chambers is filled with a slurry of a particulate solid in a liquid. The liquid is removed and the additional chamber evacuated to consolidate the particulate solid. This increases the retracting strength of the additional chamber.

公开(公告)号：US5743850A

公开(公告)日：1998-04-28

申请号：US295144

申请日：1994-08-24

申请人： Frederic H. Moll ,  Charles Gresl, Jr. ,  Albert K. Chin ,  Philip K. Hopper

发明人： Frederic H. Moll ,  Charles Gresl, Jr. ,  Albert K. Chin ,  Philip K. Hopper

IPC分类号： A61B1/32 ,  A61B17/00 ,  A61B17/02 ,  A61B17/22 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B18/14 ,  A61B19/00 ,  A61B19/02 ,  A61F2/958 ,  A61M1/00 ,  A61M29/02

CPC分类号： A61B17/3417 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0281 ,  A61B17/22032 ,  A61B17/320016 ,  A61B50/20 ,  A61B90/50 ,  A61B17/32002 ,  A61B17/3462 ,  A61B18/14 ,  A61B2017/00261 ,  A61B2017/00278 ,  A61B2017/00535 ,  A61B2017/00557 ,  A61B2017/22051 ,  A61B2017/306 ,  A61B2017/320048 ,  A61B2017/32113 ,  A61B2017/3486 ,  A61B2090/306 ,  A61B2217/005 ,  A61B2217/007 ,  A61M25/10 ,  A61M25/1006

摘要： An apparatus for retracting an organ inside the body to gain access to an adjacent tissue includes a main chamber which is positionable within the body and inflatable to an expanded condition to retract a body organ. The apparatus includes an inflatable additional chamber which when inflated maintains the main chamber in the expanded condition, and the organ in the retracted condition, notwithstanding release of the main chamber from the inflated condition.

摘要翻译： 用于收回身体内的器官以进入相邻组织的装置包括主室，其可定位在身体内并且可膨胀至膨胀状态以收回身体器官。 该装置包括可膨胀的附加室，当充气时，主室保持膨胀状态，并且器官处于缩回状态，尽管主室从膨胀状态释放。

公开(公告)号：US5527264A

公开(公告)日：1996-06-18

申请号：US193615

申请日：1994-02-08

申请人： Frederic H. Moll ,  Charles Gresl, Jr. ,  Albert K. Chin ,  Philip K. Hopper

发明人： Frederic H. Moll ,  Charles Gresl, Jr. ,  Albert K. Chin ,  Philip K. Hopper

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/22 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B19/00 ,  A61B19/02 ,  A61M29/02

CPC分类号： A61B17/3417 ,  A61B17/0218 ,  A61B17/0281 ,  A61B17/22032 ,  A61B90/50 ,  A61B17/3462 ,  A61B2017/00261 ,  A61B2017/00535 ,  A61B2017/00557 ,  A61B2017/306 ,  A61B2017/320048 ,  A61B2017/3486 ,  A61B2090/306

摘要： In a method for retracting an organ inside the body to provide access for treating a tissue, a retractor having a main envelope which defines a main chamber is positioned in a collapsed state adjacent to the organ to be retracted. The main chamber is subsequently inflated to retract the adjacent organ. A surgical instrument is passed through the main envelope into the main chamber to contact the tissue for treatment.

摘要翻译： 在用于回缩体内的器官以提供用于治疗组织的通路的方法中，具有限定主室的主外壳的牵开器被定位成与要缩回的器官相邻的收缩状态。 随后将主室充气以使相邻器官收缩。 手术器械通过主信封进入主室以接触组织进行治疗。