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    Surgical fastener for applying a large staple through a small delivery port
    71.
    发明授权
    Surgical fastener for applying a large staple through a small delivery port 有权
    外科紧固件，用于通过小型输送口施加大型钉

    公开(公告)号：US08453905B2

    公开(公告)日：2013-06-04

    申请号：US13164960

    申请日：2011-06-21

    申请人： Matthew D. Holcomb ,  Jason L. Harris ,  Michael J. Stokes ,  Jeffrey C. Cerier ,  Jonathan B. O'Keefe ,  Keith D. Boudreau ,  Mark S. Zeiner

    发明人： Matthew D. Holcomb ,  Jason L. Harris ,  Michael J. Stokes ,  Jeffrey C. Cerier ,  Jonathan B. O'Keefe ,  Keith D. Boudreau ,  Mark S. Zeiner

    IPC分类号： A61B17/68

    CPC分类号： A61B17/0644 ,  A61B17/0682 ,  A61B17/0684

    摘要： A surgical fastener applying device having a handle with a trigger pivotably attached thereto and movable within a trigger plane. The trigger has a bottom portion extending from the handle and a top portion disposed within a housing of the handle. The device has a staple housing with a proximal end attached to the handle, a distal end extending therefrom and a longitudinal axis therebetween. The housing has a firing bar disposed within, and the trigger is coupled to the firing bar. The device has a link member with a first end pivotably attached to the top portion of trigger, the link member has a second end comprising a slidable pin. The pin engages a three dimensional cam path disposed within the housing. The link member follows distal and proximal movement of the top portion of the trigger, and the pin slides perpendicular to the trigger plane to follow the three dimensional cam path.

    摘要翻译： 一种手术紧固件施加装置，具有手柄，该手柄具有可枢转地附接到其上并在触发平面内可移动的扳机。 触发器具有从手柄延伸的底部部分和设置在手柄壳体内的顶部部分。 该装置具有钉壳体，其近端附接到手柄，从其延伸的远端和它们之间的纵向轴线。 壳体具有设置在其内的击发杆，并且触发器联接到击发杆。 该装置具有连杆构件，其具有可枢转地附接到触发器的顶部的第一端，该连杆构件具有包括可滑动销的第二端。 销接合设置在壳体内的三维凸轮路径。 连杆构件遵循触发器的顶部的远端和近端运动，并且销垂直于触发平面滑动以跟随三维凸轮路径。

    METHODS AND DEVICES FOR REMOTELY CONTROLLING MOVEMENT OF SURGICAL TOOLS
    72.
    发明申请
    METHODS AND DEVICES FOR REMOTELY CONTROLLING MOVEMENT OF SURGICAL TOOLS 有权
    用于远程控制外科手术运动的方法和装置

    公开(公告)号：US20130085509A1

    公开(公告)日：2013-04-04

    申请号：US13249714

    申请日：2011-09-30

    申请人： Michael J. Stokes ,  David N. Plescia ,  David Stefanchik ,  Omar J. Vakharia ,  Andrew Yoo ,  James T. Spivey ,  Christopher J. Hess

    发明人： Michael J. Stokes ,  David N. Plescia ,  David Stefanchik ,  Omar J. Vakharia ,  Andrew Yoo ,  James T. Spivey ,  Christopher J. Hess

    IPC分类号： A61B19/00

    CPC分类号： A61B34/37 ,  A61B34/30 ,  A61B34/70 ,  A61B2017/00022 ,  A61B2017/00207

    摘要： Methods and devices are provided for controlling movement of a distal end of a surgical instrument. In general, the methods and devices can allow for controlling movement of surgical tools, and in particular for causing mimicked motion between an external control unit and a surgical tool positioned within a patient's body. In one embodiment, a surgical system is provided having a master assembly including an input tool and a slave assembly including a surgical instrument. The master assembly and the slave assembly can be configured to be electronically coupled together such that movement of the master assembly can be electronically communicated to the slave assembly to cause mimicked movement of the slave assembly.

    摘要翻译： 提供了用于控制手术器械的远端的运动的方法和装置。 通常，所述方法和装置可以允许控制手术工具的移动，并且特别是用于在外部控制单元和位于患者体内的手术工具之间引起模拟的运动。 在一个实施例中，提供具有主组件的外科系统，所述主组件包括输入工具和包括外科器械的从属组件。 主组件和从组件可以被配置为电子耦合在一起，使得主组件的运动可以电子地传递到从组件以引起从组件的模拟运动。

    Lumen reduction methods and devices
    73.
    发明授权
    Lumen reduction methods and devices 有权
    流明减少方法和装置

    公开(公告)号：US08221438B2

    公开(公告)日：2012-07-17

    申请号：US11307698

    申请日：2006-02-17

    申请人： Mark S. Ortiz ,  Michael J. Stokes

    发明人： Mark S. Ortiz ,  Michael J. Stokes

    IPC分类号： A61B17/12

    CPC分类号： A61B17/00234 ,  A61B17/0401 ,  A61B17/072 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/1142 ,  A61B2017/1157

    摘要： Devices and methods for reducing a size of a lumen are provided. In one embodiment, a lumen reduction device is provided having an end effector with a trough formed therein for receiving tissue surrounding a lumen, and a plurality of fasteners configured to engage the tissue disposed within the trough. In use, the end effector can be actuated to deliver the fasteners to the tissue, and one or more sutures coupled to the fasteners can be used to pull the fasteners together and thereby cinch the tissue to reduce the size of a lumen.

    摘要翻译： 提供了用于减小管腔尺寸的装置和方法。 在一个实施例中，提供了具有末端执行器的管腔减小装置，其中形成有槽，用于接纳围绕内腔的组织，以及多个紧固件，其构造成接合设置在槽内的组织。 在使用中，端部执行器可以被致动以将紧固件递送到组织，并且联接到紧固件的一个或多个缝合线可以用于将紧固件拉到一起，从而使组织束紧以减小管腔的尺寸。

    Surgical Fastener for Applying A Large Staple Through A Small Delivery Port
    74.
    发明申请
    Surgical Fastener for Applying A Large Staple Through A Small Delivery Port 有权
    手术紧固件通过一个小的送货口应用大型主食

    公开(公告)号：US20120160890A1

    公开(公告)日：2012-06-28

    申请号：US13164960

    申请日：2011-06-21

    申请人： Matthew D. Holcomb ,  Jason L. Harris ,  Michael J. Stokes ,  Jeffrey C. Cerier ,  Jonathan B. O'Keefe ,  Keith D. Boudreau ,  Mark S. Zeiner

    发明人： Matthew D. Holcomb ,  Jason L. Harris ,  Michael J. Stokes ,  Jeffrey C. Cerier ,  Jonathan B. O'Keefe ,  Keith D. Boudreau ,  Mark S. Zeiner

    IPC分类号： A61B17/068

    CPC分类号： A61B17/0644 ,  A61B17/0682 ,  A61B17/0684

    摘要： A surgical fastener applying device having a handle with a trigger pivotably attached thereto and movable within a trigger plane. The trigger has a bottom portion extending from the handle and a top portion disposed within a housing of the handle. The device has a staple housing with a proximal end attached to the handle, a distal end extending therefrom and a longitudinal axis therebetween. The housing has a firing bar disposed within, and the trigger is coupled to the firing bar. The device has a link member with a first end pivotably attached to the top portion of trigger, the link member has a second end comprising a slidable pin. The pin engages a three dimensional cam path disposed within the housing. The link member follows distal and proximal movement of the top portion of the trigger, and the pin slides perpendicular to the trigger plane to follow the three dimensional cam path.

    摘要翻译： 一种手术紧固件施加装置，具有手柄，该手柄具有可枢转地附接到其上并在触发平面内可移动的扳机。 触发器具有从手柄延伸的底部部分和设置在手柄壳体内的顶部部分。 该装置具有钉壳体，其近端附接到手柄，从其延伸的远端和它们之间的纵向轴线。 壳体具有设置在其内的击发杆，并且触发器联接到击发杆。 该装置具有连杆构件，其具有可枢转地附接到触发器的顶部的第一端，该连杆构件具有包括可滑动销的第二端。 销接合设置在壳体内的三维凸轮路径。 连杆构件遵循触发器的顶部的远端和近端运动，并且销垂直于触发平面滑动以跟随三维凸轮路径。

    Surgical System and Methods for Mimicked Motion
    75.
    发明申请
    Surgical System and Methods for Mimicked Motion 有权

    公开(公告)号：US20120158014A1

    公开(公告)日：2012-06-21

    申请号：US12971491

    申请日：2010-12-17

    申请人： David Stefanchik ,  Michael J. Stokes

    发明人： David Stefanchik ,  Michael J. Stokes

    IPC分类号： A61B19/00

    CPC分类号： A61B34/30 ,  A61B17/29 ,  A61B17/3417 ,  A61B34/35 ,  A61B34/37 ,  A61B34/70 ,  A61B34/71 ,  A61B34/74 ,  A61B2017/00477 ,  A61B2034/302 ,  A61B2034/305 ,  A61B2090/506 ,  B25J9/1689

    摘要： The present invention generally provides methods and devices for controlling movement of an end effector, and in particular for causing mimicked motion between an input tool and an end effector during a surgical procedure. In an exemplary embodiment, a surgical system is provided having a master assembly with an input tool and a slave assembly with an end effector. The master assembly and the slave assembly can be coupled together by a mechanical assembly that is configured to mechanically transfer mimicked, rather than mirrored, motion from the input tool to the end effector. A floating frame is also provided and can be utilized with the surgical system. The floating frame can have a counterbalance that allows the surgical system to “float” above a patient and provide a weightless feel to movement of the surgical system. In addition, the floating frame can provide a number of additional degrees of freedom for ease of movement of the surgical system around the patient and/or the operating room.

    Safe tissue puncture device
    76.
    发明授权
    Safe tissue puncture device 有权
    安全的组织穿刺装置

    公开(公告)号：US08197504B2

    公开(公告)日：2012-06-12

    申请号：US12113758

    申请日：2008-05-01

    申请人： Michael J. Stokes ,  Mark S. Ortiz

    发明人： Michael J. Stokes ,  Mark S. Ortiz

    IPC分类号： A61B17/34

    CPC分类号： A61F5/0083 ,  A61B17/0469 ,  A61B17/1114 ,  A61B17/3474 ,  A61B17/3478 ,  A61B18/1477 ,  A61B2017/00278 ,  A61B2017/00818 ,  A61B2017/308 ,  A61B2018/00291 ,  A61B2018/1425

    摘要： A method for safely penetrating the tissue of a gastric wall includes deploying a tissue puncture assembly including a suction device proximate the gastric wall tissue, applying a vacuum source to the suction device to draw a portion of the gastric wall tissue thereto and extending a needle through the portion of gastric wall tissue drawn into contact with the suction device. A device for safely penetrating the tissue of a gastric wall includes a tissue puncture assembly including a suction device in the form of a cup with suction ports therein and an open end. A needle is surrounded by the cup and extends through the cup toward the open end.

    摘要翻译： 一种用于安全地穿透胃壁组织的方法包括：将包括靠近胃壁组织的抽吸装置的组织穿刺组件展开，向抽吸装置施加真空源以将胃壁组织的一部分拉出并延伸针穿过 胃壁组织的部分与抽吸装置接触。 用于安全地穿透胃壁的组织的装置包括组织穿刺组件，该组织穿刺组件包括具有吸入口的杯形式的抽吸装置和开口端。 针被杯子包围，并且穿过杯子朝向开口端延伸。

    METHODS AND DEVICES FOR MECHANICAL SPACE CREATION AT A SURGICAL SITE
    77.
    发明申请
    METHODS AND DEVICES FOR MECHANICAL SPACE CREATION AT A SURGICAL SITE 审中-公开
    用于手术室机械空间创建的方法和装置

    公开(公告)号：US20120095498A1

    公开(公告)日：2012-04-19

    申请号：US12903645

    申请日：2010-10-13

    申请人： David Stefanchik ,  James T. Spivey ,  Robert M. Trusty ,  Peter K. Shires ,  Michael J. Stokes

    发明人： David Stefanchik ,  James T. Spivey ,  Robert M. Trusty ,  Peter K. Shires ,  Michael J. Stokes

    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。