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公开(公告)号：US20110087266A1
公开(公告)日：2011-04-14
申请号：US12576565
申请日：2009-10-09
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。
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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
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。
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公开(公告)号：US20090112059A1
公开(公告)日：2009-04-30
申请号：US11981078
申请日：2007-10-31
申请人： Rudolph H. Nobis
发明人： Rudolph H. Nobis
IPC分类号： A61B1/012
CPC分类号： A61B1/12 , A61B1/2736
摘要： A surgical instrument for forming a gastrotomy. In various embodiments, the surgical instrument may comprise a hollow tip for attachment to a distal end of a tubular member such as an endoscope. In other embodiments, the hollow tip is integrally formed on the distal end of the endoscope. The hollow tip is configured such that when it is brought into contact with the inner layer of tissue in the stomach, the tissue is caused to stretch. A hole-forming device may be passed through the hollow tip to pierce through the stretched inner layer and adjacent outer layers of tissue to form a passageway therethrough for permitting surgical procedures to be performed therethrough. After the surgical procedures are performed through the passageway, the hollow tip is removed from contact with the inner layer of tissue to permit the inner layer of tissue to relax and to cause the holes formed through the inner layer and outer layers of tissue to be offset from each other.
摘要翻译： 用于形成胃切开术的手术器械。 在各种实施例中，外科器械可以包括用于附接到诸如内窥镜的管状构件的远端的中空末端。 在其他实施例中，中空末端一体地形成在内窥镜的远端上。 中空尖端构造成使得当其与胃中的组织的内层接触时，使组织拉伸。 孔形成装置可以穿过中空尖端以穿透延伸的内层和相邻的组织外层，以形成穿过其中的通道，以允许通过其进行外科手术。 在通过通道进行外科手术之后，中空尖端与组织内层脱离接触以允许组织的内层松弛并且使通过内层和组织外层形成的孔被偏移 从彼此。
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74.发明授权Surgical device for applying radio frequency energy to a portion of a captured vessel 失效用于将射频能量施加到捕获的血管的一部分的外科手术装置公开(公告)号：US06835195B2
公开(公告)日：2004-12-28
申请号：US10318755
申请日：2002-12-13
申请人： Dale R. Schulze , Michael F. Clem , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Gary L. Long
发明人： Dale R. Schulze , Michael F. Clem , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Gary L. Long
IPC分类号： A61B1818
CPC分类号： A61B18/1482 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00982
摘要： A surgical device for applying radio frequency energy to a portion of a captured vessel is provided. The device including: a first tube having an internal lumen for passage of a viewing device therein, the first tube having a substantially transparent first window at a distal tip thereof; a second tube slidingly disposed over the first tube, the second tube having a substantially transparent second window at a distal tip thereof, the second tube further having a slot for capturing a portion of the vessel; an actuator for sliding the second tube relative to the first tube between open and closed positions, wherein in the closed position an inner surface of the second window is aligned with an outer surface of the first window and captures the portion of the vessel therebetween; and at least one electrode affixed to one of the inner or outer surfaces and facing the other of the inner or outer surfaces for applying radio frequency energy to the captured portion of the vessel.
摘要翻译： 提供了一种用于将射频能量施加到捕获的血管的一部分的手术装置。 该装置包括：第一管，其具有用于在其中观察装置通过的内腔，第一管在其远端处具有基本透明的第一窗口; 滑动地设置在所述第一管上的第二管，所述第二管在其远端处具有基本透明的第二窗口，所述第二管还具有用于捕获所述容器的一部分的狭槽; 致动器，其用于在打开和关闭位置之间相对于第一管滑动第二管，其中在关闭位置，第二窗口的内表面与第一窗口的外表面对准并且捕获其间的容器部分; 以及至少一个电极，固定在所述内表面或外表面中的一个上并面向所述内表面或外表面中的另一个，以将射频能量施加到所述容器的所捕获的部分。
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公开(公告)号：US06592582B2
公开(公告)日：2003-07-15
申请号：US09966858
申请日：2001-09-28
IPC分类号： A61B1818
CPC分类号： A61B17/00008 , A61B18/1482 , A61B2018/00404 , A61B2018/00595 , A61B2018/00601 , A61B2018/1412 , A61B2018/1455
摘要： An endoscopic device including a shaft having a lumen for insertion of an endoscope therethrough, a transparent headpiece defining a workspace and disposed at a distal end of the shaft, a handle disposed at a proximal end of the shaft, a plunger disposed at the distal end of the shaft and movable between a retracted and extended position, wherein in the extended position the plunger interacts with at least a portion of the headpiece to capture a vessel therebetweeen, an actuator for moving the plunger between the retracted and extended positions, and a ligator for cauterizing the vessel captured between the plunger and the portion of the headpiece.
摘要翻译： 一种内窥镜装置，包括具有用于插入内窥镜的内腔的轴，限定工作空间并设置在所述轴的远端的透明头盔，设置在所述轴的近端的手柄，设置在所述远端的柱塞 并且在缩回位置和延伸位置之间可移动，其中在延伸位置中，柱塞与头盔的至少一部分相互作用以捕获其间的容器，用于在缩回位置和伸出位置之间移动柱塞的致动器，以及连接器 用于烧灼在柱塞和头盔部分之间捕获的容器。
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公开(公告)号：US06572615B2
公开(公告)日：2003-06-03
申请号：US09966790
申请日：2001-09-28
申请人： Dale R. Schulze , Michael F. Clem , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Gary L. Long
发明人： Dale R. Schulze , Michael F. Clem , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Gary L. Long
IPC分类号： A61B1818
CPC分类号： A61B18/1482 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00982
摘要： A surgical device for applying radio frequency energy to a portion of a captured vessel is provided. The device including: a first tube having an internal lumen for passage of a viewing device therein, the first tube having a substantially transparent first window at a distal tip thereof; a second tube slidingly disposed over the first tube, the second tube having a substantially transparent second window at a distal tip thereof, the second tube further having a slot for capturing a portion of the vessel; an actuator for sliding the second tube relative to the first tube between open and closed positions, wherein in the closed position an inner surface of the second window is aligned with an outer surface of the first window and captures the portion of the vessel therebetween; and at least one electrode affixed to one of the inner or outer surfaces and facing the other of the inner or outer surfaces for applying radio frequency energy to the captured portion of the vessel.
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公开(公告)号：US06547799B2
公开(公告)日：2003-04-15
申请号：US09891587
申请日：2001-06-26
IPC分类号： A61B1700
CPC分类号： A61B17/11 , A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/1107 , A61B2017/1121
摘要： An instrument for everting an end of a vessel. The instrument has a tubular member having an axial bore, a distal end and a proximal end. The instrument further also has an elastic membrane sealably mounted on the distal end of the tubular member, a plunger slidably mounted within the axial bore of the body, a spring operationally engaged to the plunger for biasing the plunger in the distal direction and distending the membrane for insertion into the vessel, a distally extending mandrel mounted to the plunger, a sleeve slidably mounted over the membrane and at least a portion of the tubular member, and a proximal seal mounted in the proximal end of the axial bore so that the membrane, the proximal seal, and the axial bore define a sealed chamber. The instrument further comprises a pressure source for pressurizing the sealed chamber to expand the membrane into an expanded configuration, the sleeve limiting radial expansion of the membrane, and for depressurizing the sealed chamber to collapse the membrane into a collapsed configuration.
摘要翻译： 一种用于终止船只的工具。 仪器具有一个具有轴向孔，远端和近端的管状构件。 仪器还具有可密封地安装在管状构件的远端上的弹性膜，可滑动地安装在主体的轴向孔内的柱塞，可操作地接合到柱塞的弹簧，用于沿远端方向偏置柱塞并使膜膨胀 用于插入到容器中，安装到柱塞的远侧延伸的心轴，可滑动地安装在膜上的套管和管状构件的至少一部分，以及安装在轴向孔的近端中的近侧密封件， 近端密封件和轴向孔限定密封室。 该仪器还包括用于对密封室进行加压以将膜膨胀成膨胀构型的压力源，套筒限制膜的径向膨胀，并且用于使密封室减压以将膜塌缩成折叠构型。
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公开(公告)号：US06530932B1
公开(公告)日：2003-03-11
申请号：US09650577
申请日：2000-08-30
IPC分类号： A61B1704
CPC分类号： A61B17/11 , A61B17/0469 , A61B2017/06076 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： In accordance with the present invention there is provided a surgical device for presenting a first hollow organ and a second hollow organ for creation a passageway therebetween. The surgical device includes a member, an upper pin for entering a first hollow organ, and a lower pin for entering a the second hollow organ, the pins having proximal ends attached to the member, distal ends extending therefrom and longitudinal axis extending therebetween. The device further includes a first actuator assembly coupled to the member for laterally moving the distal and proximal ends of the lower pin relative to the first member, and a second actuator coupled to the member for moving the distal ends of the upper and lower pins adjacent to one another so as to move the hollow organs close together.
摘要翻译： 根据本发明，提供了一种用于呈现第一中空器官和第二中空器官的手术装置，用于在其间形成通道。 手术装置包括构件，用于进入第一中空器官的上销和用于进入第二中空器官的下销，所述销具有附接到构件的近端，从其延伸的远端和在它们之间延伸的纵向轴线。 所述装置还包括联接到所述构件的第一致动器组件，用于相对于所述第一构件侧向移动所述下销的远端和近端，以及联接到所述构件的第二致动器，用于使所述上销和下销的远端相邻 相互靠近，将中空器官靠近在一起。
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公开(公告)号：USRE35525E
公开(公告)日：1997-06-03
申请号：US518766
申请日：1995-05-31
申请人： David Stefanchik , Jerome E. Reckelhoff , Rudolph H. Nobis , Michael A. Murray , John E. Burbank
发明人： David Stefanchik , Jerome E. Reckelhoff , Rudolph H. Nobis , Michael A. Murray , John E. Burbank
IPC分类号： A61B17/28 , A61B1/00 , A61B17/128 , A61B17/00
CPC分类号： A61B17/1285
摘要： An endoscopic clip applying system as described which contains a venting system and a clip applying support system which prevents closure of the mechanism before firing. Also, the system ensures proper loading of the clips and prevents them from falling out during loading. Further, the system describes an easily manufacturable, positively opening system which has minimized size requirements. Furthermore, a lock-out mechanism is provided so that the mechanism may not be inadvertently fired. The shaft resists excessive torque as well as holds the clip in place during firing. There are provisions for sealant and non back-up of the clips, as well as features which make the clip properly placed for closure.
摘要翻译： 如上所述的内窥镜夹子施加系统，其包含通气系统和施加支撑系统的夹子，其防止在开火之前关闭机构。 此外，系统确保夹子的正确装载，并防止它们在装载过程中脱落。 此外，该系统描述了一种容易制造的，正面打开的系统，其具有最小化的尺寸要求。 此外，提供了一种锁定机构，使得该机构可能不会被无意地点燃。 轴可以防止过大的转矩，也可以在点火期间将夹子保持在适当位置。 夹具的密封剂和非支撑件的设置以及使夹子适当地放置以封闭的特征。
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