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1.发明授权公开(公告)号：US09351754B2
公开(公告)日：2016-05-31
申请号：US13538711
申请日：2012-06-29
CPC分类号： A61B17/320092 , A61B17/295 , A61B18/1445 , A61B34/30 , A61B34/71 , A61B2018/00875 , A61B2018/1452 , A61B2018/1455 , A61B2034/302 , A61B2034/305
摘要： Various embodiments are directed to surgical instruments comprising an end effector, a shaft and a jaw assembly. The end effector may comprise an ultrasonic blade extending distally substantially parallel to a longitudinal axis. The shaft may extend proximally from the end effector along the longitudinal axis. The jaw assembly may comprise first and second jaw members. The jaw assembly may be pivotable about a first axis substantially perpendicular to the longitudinal axis from a first position where the first and second jaw members are substantially parallel to the ultrasonic blade to a second position. Additionally, the first and second jaw members may be pivotable about a second axis substantially perpendicular to the first axis.
摘要翻译： 各种实施例涉及包括端部执行器，轴和钳口组件的手术器械。 末端执行器可以包括沿着纵向轴线向远侧延伸的超声刀片。 轴可以沿着纵向轴线从端部执行器向近端延伸。 钳口组件可以包括第一和第二钳口构件。 钳口组件可以围绕基本上垂直于纵向轴线的第一轴线从第一和第二钳口构件基本上平行于第二位置的第一位置枢转到第二位置。 另外，第一和第二钳口构件可以围绕基本上垂直于第一轴线的第二轴线枢转。
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公开(公告)号：US20130140835A1
公开(公告)日：2013-06-06
申请号：US13309891
申请日：2011-12-02
IPC分类号： B25J15/00
CPC分类号： A61B17/29 , A61B17/2909 , A61B34/70 , A61B34/71 , A61B90/50 , A61B2017/00738 , A61B2017/2902 , A61B2017/291 , A61B2017/2926 , A61B2017/2927
摘要： Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed.
摘要翻译： 本文公开的手术装置通常包括体内肘关节，以便于端部执行器的平移运动，同时允许手术装置的主体部分和套管针或工作通道，装置通过该套管针或工作通道保持在固定的角度定向相对 给病人 这允许使用单个切口或接入装置有效地使用多个这样的装置。 这样的装置还通常提供具有六个自由度的末端执行器运动，同时保持使用者和末端执行器之间的机械联动，同时模仿和/或镜像自然使用者的运动。 还公开了与这种装置有关的各种方法。
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公开(公告)号：US20130085510A1
公开(公告)日：2013-04-04
申请号：US13250018
申请日：2011-09-30
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
CPC分类号： A61G13/02 , A61B34/20 , A61B34/30 , A61B34/37 , A61G2203/36 , G06F19/3481
摘要： The systems and methods disclosed herein generally involve a robotically-assisted surgical system in which a platform for supporting a patient is physically and operatively coupled to a surgical robot and an associated controller. As a result, the position of the patient can be controlled remotely using the robot, and the controller can have an awareness of the position and orientation of the patient with respect to the operating room and with respect to various components of the robot. Such systems can thus maintain a fixed frame of reference between the patient and one or more end effectors of the surgical robot, eliminating the need for recalibration of the system due to patient movement.
摘要翻译： 本文公开的系统和方法通常涉及一种机器人辅助外科系统，其中用于支撑患者的平台物理地和操作地耦合到外科手术机器人和相关联的控制器。 结果，可以使用机器人远程控制患者的位置，并且控制器可以意识到患者相对于手术室的位置和取向以及关于机器人的各种部件。 因此，这样的系统可以在患者和手术机器人的一个或多个端部执行器之间保持固定的参考系，从而消除了由于患者移动而对系统进行重新校准的需要。
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公开(公告)号：US20130085494A1
公开(公告)日：2013-04-04
申请号：US13250272
申请日：2011-09-30
CPC分类号： A61B17/29 , A61B17/0469 , A61B17/062 , A61B18/085 , A61B18/1445 , A61B2017/2926 , A61B2017/2938 , A61B2017/2945
摘要： Methods and devices are provided utilizing an end effector having three jaws movably coupled thereto for grasping and/or dissecting tissue. In one embodiment, each of the three jaws are movable between an open position in which the distal ends of the three jaws are spaced apart from one another, and a closed position in which the distal ends directly contact one another. The jaws can define an opening therebetween when the jaws are in the closed position.
摘要翻译： 使用具有可移动地联接到其上的三个钳口的端部执行器来提供方法和装置，以用于抓握和/或解剖组织。 在一个实施例中，三个钳口中的每一个可以在三个钳口的远端彼此间隔开的打开位置和闭合位置之间移动，其中远端彼此直接接触。 当夹爪处于关闭位置时，夹爪可以在其间限定开口。
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公开(公告)号：US08157727B2
公开(公告)日：2012-04-17
申请号：US11778142
申请日：2007-07-16
申请人： David Stefanchik
发明人： David Stefanchik
CPC分类号： A61B1/00073 , A61B1/00135 , A61B1/0014 , A61B1/00156 , A61B1/0058 , A61B1/015 , A61B1/31
摘要： An endoscopic device and method of use for facilitating movement of an elongate insertion element through a tortuous passageway includes a tissue engaging section having an outer wall with a plurality of openings that communicate with at least one of a source of vacuum and a source of irrigation, and a porous fabric extending over at least a portion of the tissue engaging section. The tissue engaging section can be appended to an accessory channel formed on an outer surface of the elongate insertion element, wherein the central longitudinal axis of the tissue engaging section is offset from a central longitudinal axis of the insertion element, or can be in the form of an elongate helical ribbon disposed around at least a portion of the insertion element. The movement of the device is effected by applying suction to draw tissue to the device, thus straightening the passageway. The suction can be removed or reduced and then the device can be further advanced along the passageway.
摘要翻译： 用于促进细长插入元件通过曲折通道的移动的内窥镜装置和方法包括具有外壁的组织接合部分，该外壁具有与真空源和冲洗源中的至少一个连通的多个开口， 以及在组织接合部分的至少一部分上延伸的多孔织物。 组织接合部分可以附着到形成在细长插入元件的外表面上的附件通道中，其中组织接合部分的中心纵向轴线偏离插入元件的中心纵向轴线，或者可以是形式 设置在所述插入元件的至少一部分周围的细长螺旋带。 装置的移动通过施加抽吸来将组织拉到装置来实现，从而矫正通道。 抽吸可以被去除或减少，然后装置可以沿通道进一步前进。
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公开(公告)号：US08070759B2
公开(公告)日：2011-12-06
申请号：US12130023
申请日：2008-05-30
申请人： David Stefanchik , James T. Spivey
发明人： David Stefanchik , James T. Spivey
IPC分类号： A61B17/10
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B17/12009 , A61B2017/0649
摘要： Various embodiments are directed to a surgical device including an end effector. The end effector may include a first jaw member defining a first groove and a second jaw member defining a second groove. The first jaw member and the second jaw member may be selectively pivotable between an open position and a closed position. Also, the first groove and the second groove may align to form a combined helical groove when the first jaw member and the second jaw member are in the closed position. In addition, the first jaw member may define a wire opening aligned with the first groove. Further, the first jaw member may define a beveled edge directed distally and substantially parallel to a distal portion of the wire opening.
摘要翻译： 各种实施例涉及包括端部执行器的手术装置。 端部执行器可以包括限定第一槽的第一钳口构件和限定第二槽的第二钳口构件。 第一钳口构件和第二钳口构件可以在打开位置和关闭位置之间选择性地枢转。 此外，当第一钳口构件和第二钳口构件处于关闭位置时，第一槽和第二槽可对准以形成组合的螺旋槽。 此外，第一钳口构件可以限定与第一凹槽对准的线开口。 此外，第一钳口构件可以限定朝向远侧并基本平行于线开口的远端部分的倾斜边缘。
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公开(公告)号：US07976458B2
公开(公告)日：2011-07-12
申请号：US11566954
申请日：2006-12-05
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： A61B1/018 , A61B1/00073 , A61B1/00135 , A61B1/0014 , A61B1/00154
摘要： Devices and methods useful for delivering tools and/or materials to a surgical site are disclosed. In one embodiment, an accessory device for an endoscope is provided and can include an elongate sheath and an accessory channel. The elongate sheath can be adapted to receive an endoscope therein, and it can include a mating element extending longitudinally between proximal and distal ends thereof. The accessory channel can be adapted to receive a tool therethrough and it can also have a mating element extending between proximal and distal ends thereof and adapted to slidably mate to the mating element formed on the elongate sheath. In certain exemplary embodiments, a distal portion of the accessory channel can be adapted to derail from at least a distal portion of the elongate sheath while a proximal portion of the accessory channel remains mated to a proximal portion of the elongate sheath. In use, the elongate sheath and the accessory channel can each provide a pathway for delivering tools and/or materials to a surgical site. The distal ends of elongate sheath and the accessory channel can be detached and positioned independently of one another to afford improved positioning or placement of the tools and/or materials received therethrough.
摘要翻译： 公开了用于将工具和/或材料递送到手术部位的装置和方法。 在一个实施例中，提供了一种用于内窥镜的附件装置，并且可以包括细长护套和附件通道。 细长护套可以适于在其中容纳内窥镜，并且其可以包括在其近端和远端之间纵向延伸的配合元件。 附件通道可以适于接收穿过其中的工具，并且其还可以具有在其近端和远端之间延伸并且适于滑动地配合到形成在细长护套上的配合元件的配合元件。 在某些示例性实施例中，附件通道的远侧部分可以适于从细长护套的至少远侧部分脱轨，而附件通道的近侧部分保持配合到细长护套的近端部分。 在使用中，细长护套和附件通道可以各自提供用于将工具和/或材料递送到手术部位的路径。 细长护套的远端和附件通道可以彼此独立地拆卸和定位，以提供通过其接收的工具和/或材料的改进的定位或放置。
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公开(公告)号：US07815662B2
公开(公告)日：2010-10-19
申请号：US11715710
申请日：2007-03-08
CPC分类号： A61B17/0401 , A61B2017/0406 , A61B2017/0409 , A61B2017/0414 , A61B2017/0445 , A61B2017/0446 , A61B2017/0488 , Y10T24/3916
摘要： A suture anchor is provided which includes a hollow member having an outer surface defining an enclosure, the member having a longitudinal axis and a slot through a portion of the outer surface in a direction transverse to the longitudinal axis, the slot providing an opening into the enclosure. The suture anchor further includes a one-way valve positioned within the enclosure at the slot to allow entry of a suture through the slot into the enclosure and to prevent the exit of the suture from the enclosure. A device is provided for deploying the suture anchor. The deployment device includes an elongate hollow member having a suture anchor release zone positioned at the distal end, a launch bar having at least a portion positioned in the release zone. The launch bar is movable within the release zone between a resting position and a launching position and is operatively connected to an actuation member positioned proximally to the elongate member. The hollow elongate member defines a housing for receiving a plurality of suture anchors in tandem.
摘要翻译： 提供了缝合锚，其包括具有限定外壳的外表面的中空构件，所述构件具有纵向轴线和穿过外表面的横向于纵向轴线的方向的一部分的狭槽，所述狭槽提供到 外壳。 缝合锚还包括位于外壳内的单向阀，该单向阀位于狭槽处，以允许缝线通过狭槽进入外壳并防止缝合线从外壳排出。 提供了用于展开缝线锚的装置。 展开装置包括细长的中空构件，其具有位于远端的缝合线锚释放区，发射杆具有至少一部分位于释放区中。 发射杆可在释放区域内在静止位置和发射位置之间移动，并且可操作地连接到定位在细长构件的近侧的致动构件。 中空细长构件限定用于串联接收多个缝合锚的壳体。
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公开(公告)号：US07615003B2
公开(公告)日：2009-11-10
申请号：US11128733
申请日：2005-05-13
IPC分类号： A61B1/00
CPC分类号： A61B1/00073 , A61B1/00135 , A61B1/012 , A61B17/3415 , A61B17/3431 , A61B2017/00278
摘要： A medical apparatus and method useful for positioning one or more members within the gastro-intestinal tract is disclosed. The medical apparatus can include a track supported on a sheath sized to receive an endoscope, and a carrier slidable with respect to the track. A feeding tube accessory adapted to slidably engage the carrier is disclosed.
摘要翻译： 公开了一种用于将一个或多个构件定位在胃肠道内的医疗装置和方法。 医疗装置可以包括支撑在尺寸适于接收内窥镜的护套上的轨道和可相对于轨道滑动的托架。 公开了一种适于可滑动地接合载体的供给管附件。
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公开(公告)号：US20090192344A1
公开(公告)日：2009-07-30
申请号：US12019461
申请日：2008-01-24
申请人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
CPC分类号： A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要： A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译： 手术套件可用于操纵患者身体内的组织以在身体内产生工作空间，以允许外科医生使用各种手术器械容易地进入身体内并进行工作。 手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。 该套件还可以包括具有磁体的手术器械，其可用于操纵植入物和与其接合的组织。 手术套件可以包括锚固件和悬挂器，其构造成在主体内的不同位置处接合组织，以及与锚固件和悬挂器接合的连接构件，使得连接构件可以被拉动以将锚移向吊架。 使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。
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