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公开(公告)号：US08211125B2
公开(公告)日：2012-07-03
申请号：US12192372
申请日：2008-08-15
申请人： James T. Spivey
发明人： James T. Spivey
IPC分类号： A61B17/08
CPC分类号： A61F2/0063 , A61B17/00234 , A61B17/0057 , A61B2017/0034 , A61B2017/00539 , A61B2017/00544 , A61B2017/00557 , A61F2002/0072
摘要： A surgical device comprising a container and a tether used for delivering a sterile appliance into a body cavity during endoscopic procedures. Once positioned in the body cavity, a force is applied to the container through the tether. The force opens the container and releases the sterile appliance into the body cavity. In various embodiments, gas or liquid may be used to open the container.
摘要翻译： 一种手术装置，包括容器和系绳，用于在内窥镜手术期间将无菌器具输送到体腔中。 一旦定位在体腔中，通过系绳将力施加到容器。 该力打开容器并将无菌器具释放到体腔中。 在各种实施例中，可以使用气体或液体来打开容器。
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82.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：US20120078290A1
公开(公告)日：2012-03-29
申请号：US12889454
申请日：2010-09-24
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/2931 , A61B2017/294 , A61B2017/3454
摘要： A laparoscopic surgical device comprises an elongate shaft defining a longitudinal axis, the shaft comprising a distal end and a proximal end. A plurality of arms project distally from the distal end of the elongate shaft, the arms each comprising a lateral notch. The arms are axially slideable relative the elongate shaft and are medially deflectable. An elongate pin is positioned medially relative the arms. The elongate pin is axially slideable relative the arms between a locked position preventing medial deflection of the arms and an unlocked position allowing medial deflection of the arms. A surgical end effector is selectively attachable in vivo and detachable in vivo to the mating feature of the arms, the surgical end effector comprising a torque transfer means and tissue contact apparatus that open and close in response to the axial movement of the two arms when attached to the surgical end effector.
摘要翻译： 腹腔镜手术装置包括限定纵向轴线的细长轴，该轴包括远端和近端。 多个臂从细长轴的远端向远侧突出，所述臂各自包括侧向凹口。 臂相对于细长轴可轴向滑动并且可内向偏转。 细长销相对于臂中间定位。 细长销相对于臂在可防止臂的内侧偏转的锁定位置和允许臂的内侧偏转的解锁位置之间轴向滑动。 手术末端执行器可选择性地附接到体内并且能够在体内可拆卸到臂的配合特征，外科末端执行器包括扭矩传递装置和组织接触装置，其在附接时响应于两个臂的轴向运动而打开和关闭 到手术末端执行器。
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公开(公告)号：US20120053402A1
公开(公告)日：2012-03-01
申请号：US12873829
申请日：2010-09-01
IPC分类号： A61B1/00
CPC分类号： A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/068 , A61B17/07207 , A61B17/29 , A61B17/320016 , A61B17/34 , A61B17/3474 , A61B50/30 , A61B50/33 , A61B90/361 , A61B2017/00283 , A61B2017/00362 , A61B2017/00473 , A61B2017/00876 , A61B2017/0688 , A61B2017/07271
摘要： A single port surgical method comprises inserting only a single trocar through the abdominal wall; inserting a camera into the abdominal cavity; magnetically anchoring the camera to the abdominal wall; obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle; passing the distal end of the first instrument through the abdominal wall independent of a trocar; attaching in vivo an end effector to the distal end of the first surgical instrument; obtaining a second instrument comprising an elongate shaft with a distal end with an end effector and a proximal end connected to a second handle; passing the distal end of the second instrument through the trocar; and manipulating tissue in the abdominal cavity with the first and second surgical instrument end effectors under visualization from the magnetically anchored camera.
摘要翻译： 单端口手术方法包括仅穿过单个套管针穿过腹壁; 将相机插入腹腔; 将相机磁性地固定在腹壁上; 获得包括细长轴的第一仪器，其具有连接到第一手柄的远端和近端; 使第一个器械的远端通过腹壁独立于套管针; 将末端执行器体内附接到第一外科器械的远端; 获得包括具有远端的细长轴的第二仪器，所述远端具有末端执行器，并且近端连接到第二手柄; 使第二台仪器的远端穿过套管针; 并且使用第一和第二外科器械终端执行器在磁力锚定相机可视化下操纵腹腔中的组织。
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公开(公告)号：US08114119B2
公开(公告)日：2012-02-14
申请号：US12207306
申请日：2008-09-09
申请人： James T. Spivey , Rick D. Applegate
发明人： James T. Spivey , Rick D. Applegate
IPC分类号： A16B17/00
CPC分类号： A61B17/29 , A61B17/00234 , A61B17/1227 , A61B17/1285 , A61B2017/00265 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/2931 , A61B2017/2933
摘要： A surgical grasping device is disclosed. The surgical grasping device may comprise a clevis; a first jaw member pivotably coupled to the clevis; a second jaw member pivotably coupled to the clevis; and an actuating mechanism coupled to the clevis, the first jaw member and the second jaw member and a translating member coupled to and extending proximally from the actuating mechanism. The actuating mechanism may be configured to cause the first jaw member and the second jaw member to close in response to a first proximally directed force received via the translating member. The actuating mechanism may also be configured to cause the first jaw member and the second jaw member to open in response to a subsequent proximally directed force received via the translating member.
摘要翻译： 公开了一种手术夹持装置。 手术夹持装置可以包括U形夹; 第一钳口构件，其可枢转地联接到所述U形夹; 枢转地联接到所述U形夹的第二钳口构件; 以及联接到所述U形夹，所述第一钳口构件和所述第二钳口构件的致动机构以及联接到所述致动机构并且从所述致动机构向近侧延伸的平移构件。 致动机构可以被配置成使得第一钳口构件和第二钳口构件响应于经由平移构件接收的第一近端力而关闭。 致动机构还可以被配置成使得第一钳口构件和第二钳口构件响应于经由平移构件接收的随后的向近侧的力而打开。
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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：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：US07771416B2
公开(公告)日：2010-08-10
申请号：US11762855
申请日：2007-06-14
申请人： James T. Spivey , Omar J. Vakharia
发明人： James T. Spivey , Omar J. Vakharia
IPC分类号： A61B17/00
CPC分类号： A61B1/0052 , A61B1/00133 , A61B17/00234 , A61B2017/00278 , A61B2017/003 , A61B2017/0034 , A61B2017/2901 , A61B2017/2902 , A61M25/0136 , A61M25/0138 , A61M25/0147
摘要： Control devices and methods are provided for controlling tension applied to a tensioning element extending through a flexible shaft, such as on an endoscopic device. In one exemplary embodiment, the methods and devices are configured to allow free movement and optionally provide slack to a control mechanism on an endoscopic device during insertion to allow free flexion of the shaft of the device, and to tension the control mechanism when desired to actuate, articulate, or otherwise control the working end or other portion of the device disposed within a patient's body.
摘要翻译： 提供控制装置和方法，用于控制施加到延伸穿过诸如内窥镜装置上的柔性轴的张紧元件的张力。 在一个示例性实施例中，所述方法和装置被配置为允许自由运动并且可选地在插入期间在内窥镜装置上的控制机构松弛以允许装置的轴的自由弯曲，并且当需要致动时张紧控制机构 ，铰接或以其他方式控制设置在患者身体内的装置的工作端或其他部分。
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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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