公开(公告)号：US09451946B2

公开(公告)日：2016-09-27

申请号：US13449494

申请日：2012-04-18

申请人： James A. Woodard, Jr. ,  Aaron J. Brickner ,  Jason R. Lesko ,  William J. White ,  David T. Martin

发明人： James A. Woodard, Jr. ,  Aaron J. Brickner ,  Jason R. Lesko ,  William J. White ,  David T. Martin

IPC分类号： A61B17/04 ,  A61B17/062 ,  A61B17/06

CPC分类号： A61B17/0469 ,  A61B17/0491 ,  A61B17/0625 ,  A61B2017/0608 ,  A61B2017/061

摘要： A suture needle driving instrument comprises a shaft assembly, an end effector, and a grasping actuation assembly. The end effector is located at the distal end of the shaft assembly and includes a pair of grasping arms. Each grasping arm comprises a respective pair of jaws. Each pair of jaws is operable to cooperate to grasp and release a suture needle. The grasping actuation assembly is operable to drive one jaw of each pair in one direction while simultaneously driving the other jaw of the pair in an opposite direction, to selectively grasp or release the suture needle. The shaft assembly includes two pairs of parallel concentric shafts, which form part of the actuation assembly. Each shaft pair is operable to drive a respective internal drive shaft having separate threaded regions with opposing pitch. The instrument may be used through a trocar during minimally invasive surgery.

摘要翻译： 缝合针驱动装置包括轴组件，末端执行器和抓握致动组件。 末端执行器位于轴组件的远端并且包括一对把持臂。 每个抓握臂包括相应的一对夹爪。 每对钳口可操作以配合以抓住和释放缝合针。 抓握致动组件可操作以在一个方向上驱动每对的一个钳口，同时沿相反方向驱动该对的另一个钳口，以选择性地抓住或释放缝合针。 轴组件包括两对平行的同心轴，其形成致动组件的一部分。 每个轴对可操作以驱动具有相对间距的具有单独螺纹区域的相应内部驱动轴。 在微创手术中可以通过套管针使用该器械。

公开(公告)号：US09125646B2

公开(公告)日：2015-09-08

申请号：US13295186

申请日：2011-11-14

申请人： James A. Woodard, Jr. ,  Michael V. Sherrill ,  Jason R. Lesko ,  David T. Martin ,  Katherine J. Schmid ,  Michael J. Miller ,  Gary W. Knight ,  Richard F. Schwemberger ,  Atul M. Godbole

发明人： James A. Woodard, Jr. ,  Michael V. Sherrill ,  Jason R. Lesko ,  David T. Martin ,  Katherine J. Schmid ,  Michael J. Miller ,  Gary W. Knight ,  Richard F. Schwemberger ,  Atul M. Godbole

IPC分类号： A61B17/06 ,  A61B17/04 ,  A61B17/062 ,  A61B17/29

CPC分类号： A61B17/06004 ,  A61B17/0469 ,  A61B17/06066 ,  A61B17/062 ,  A61B2017/06009 ,  A61B2017/06019 ,  A61B2017/06023 ,  A61B2017/06047 ,  A61B2017/06052 ,  A61B2017/0609 ,  A61B2017/061 ,  A61B2017/2929

摘要： A surgical needle includes a pair of ends, a mid-region extending between the ends, and at least one grasping feature configured for grasping by a suturing instrument. An end of a suture is secured to the mid-region of the needle in a manner such that the end of the suture defines an oblique angle with at least part of the centerline defined by the mid-region of the needle. The end of the suture may be disposed in a hollow portion of the needle. The grasping feature may include a notch such as a scallop. The suture may be pivotally coupled with the needle via a ball or pin. The needle may have one or more sharp points. The sharp point may include three converging cutting edges, at least two planar surfaces bounded by the three cutting edges, and a rounded surface bounded by two of the three cutting edges.

摘要翻译： 外科用针包括一对端部，在端部之间延伸的中间区域，以及构造成用于通过缝合器械夹持的至少一个抓握部件。 缝合线的端部以这样的方式固定到针的中间区域，使得缝合线的端部限定与由针的中间区域限定的中心线的至少一部分的倾斜角度。 缝线的末端可以设置在针的中空部分中。 抓握功能可以包括诸如扇贝的凹口。 缝合线可以经由球或针与针枢转地联接。 针可能具有一个或多个尖锐点。 锐点可以包括三个会聚的切割边缘，由三个切割边界限定的至少两个平面，以及由三个切割边缘中的两个限定的圆形表面。

公开(公告)号：US08906043B2

公开(公告)日：2014-12-09

申请号：US13295210

申请日：2011-11-14

申请人： James A. Woodard, Jr. ,  Jason R. Lesko ,  Shawn C. Snyder ,  David T. Martin

发明人： James A. Woodard, Jr. ,  Jason R. Lesko ,  Shawn C. Snyder ,  David T. Martin

IPC分类号： A61B17/04 ,  A61B17/29 ,  A61B17/06 ,  A61B17/062

CPC分类号： A61B17/0469 ,  A61B17/0491 ,  A61B17/062 ,  A61B17/0625 ,  A61B17/29 ,  A61B2017/06047 ,  A61B2017/0609 ,  A61B2017/2903 ,  A61B2017/2906 ,  A61B2017/2929 ,  A61B2017/2944

摘要： A suture needle driving instrument comprises a shaft and an end effector. The end effector is located at the distal end of the shaft and includes a pair of needle grasping arms. Each grasping arm extends along a respective arm axis. The grasping arms are operable to drive a suture needle along a rotational path about an axis, such as one of the arm axes, that is offset from the central longitudinal axis of the shaft. The rotational path may be perpendicular to the axis of the shaft. A needle driven by the end effector may have an arc radius that is greater than the radius of the shaft. At least one of the needle grasping arms may include a dogleg feature positioning a distal portion of the grasping arm outside the radius of the shaft. The instrument may be used through a trocar during minimally invasive surgery.

摘要翻译： 缝合针驱动装置包括轴和端部执行器。 末端执行器位于轴的远端，并且包括一对针把持臂。 每个抓握臂沿相应的臂轴线延伸。 抓握臂可操作以沿着旋转路径驱动缝合针，所述旋转路径绕轴线（诸如臂轴线之一）偏离轴的中心纵向轴线。 旋转路径可以垂直于轴的轴线。 由端部执行器驱动的针可以具有大于轴的半径的圆弧半径。 针抓握臂中的至少一个可以包括将抓握臂的远侧部分定位在轴的半径之外的狗腿特征。 在微创手术中可以通过套管针使用该器械。

公开(公告)号：US20120078243A1

公开(公告)日：2012-03-29

申请号：US13235623

申请日：2011-09-19

申请人： Barry C. Worrell ,  Zhifan F. Huang ,  Jason R. Lesko ,  Matthew C. Miller ,  Geoffrey S. Strobl ,  Gregory A. Trees ,  Charles S. Black ,  William E. Clem ,  Emron J. Henry ,  Kevin M. Montgomery

发明人： Barry C. Worrell ,  Zhifan F. Huang ,  Jason R. Lesko ,  Matthew C. Miller ,  Geoffrey S. Strobl ,  Gregory A. Trees ,  Charles S. Black ,  William E. Clem ,  Emron J. Henry ,  Kevin M. Montgomery

IPC分类号： A61B19/00 ,  A61B18/18

CPC分类号： A61B17/07207 ,  A61B2017/0038 ,  A61B2017/2908 ,  A61B2017/2927 ,  A61B2017/2946

摘要： An electrosurgical device includes a body, an end effector, a cutting member, and a shaft. The end effector comprises a pair of jaws and at least one electrode that is operable to deliver RF energy to tissue clamped between the jaws. The cutting member is operable to cut tissue clamped between the jaws. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. The body includes a controller operable to selectively actuate the articulation section. The controller may include a rotary knob, a pivoting knob, or a pivoting fin, among other things. An electrical coupling may contact a conductive moving member along at least two axes. A resiliently biased lever may assist a trigger in returning from an actuated position to a home position.

摘要翻译： 电外科装置包括主体，端部执行器，切割构件和轴。 末端执行器包括一对钳口和至少一个电极，其可操作以将RF能量递送到钳夹在钳口之间的组织。 切割构件可操作以切割夹在夹爪之间的组织。 轴包括铰接部分，其可操作以选择性地将末端执行器定位在相对于轴的纵向轴线的非平行位置。 身体包括可操作以选择性地致动关节运动部分的控制器。 控制器可以包括旋钮，旋转旋钮或枢转翅片等。 电耦合可以沿着至少两个轴接触导电移动构件。 弹性偏压杆可以帮助触发器从致动位置返回到原始位置。

公开(公告)号：US09585655B2

公开(公告)日：2017-03-07

申请号：US13449514

申请日：2012-04-18

申请人： James A. Woodard, Jr. ,  Aaron J. Brickner ,  Jason R. Lesko

发明人： James A. Woodard, Jr. ,  Aaron J. Brickner ,  Jason R. Lesko

IPC分类号： A61B17/04 ,  A61B17/062 ,  A61B17/06 ,  A61B17/00 ,  A61B17/29

CPC分类号： A61B17/062 ,  A61B17/04 ,  A61B17/0469 ,  A61B17/0491 ,  A61B17/06161 ,  A61B17/06195 ,  A61B17/0625 ,  A61B2017/00367 ,  A61B2017/0038 ,  A61B2017/00393 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/2913 ,  A61B2017/2923 ,  A61B2017/2929

摘要： An apparatus comprises a body, a shaft assembly, an end effector assembly, and a drive assembly. The body may include a handpiece with an integral motor. The shaft assembly may include two pairs of concentric shafts. The end effector assembly may include arms that selectively grasp and release a suturing needle. The drive assembly is operable to drive the end effector assembly via the shaft assembly. The drive assembly is operable to convert a single rotary input into at least two rotary outputs. In some versions, the drive assembly comprises a plurality of shaft assemblies that include an input shaft, a first output shaft, a second output shaft, and a third output shaft. The drive assembly is operable to selectively rotate and hold the shaft assemblies in accordance with a predetermined sequence, such as to perform tissue suturing through a trocar in a minimally invasive surgical procedure.

摘要翻译： 一种装置包括主体，轴组件，端部执行器组件和驱动组件。 主体可以包括具有整体电动机的手持件。 轴组件可以包括两对同心轴。 末端执行器组件可以包括选择性地抓住和释放缝合针的臂。 驱动组件可操作以经由轴组件驱动端部执行器组件。 驱动组件可操作以将单个旋转输入转换成至少两个旋转输出。 在一些形式中，驱动组件包括多个轴组件，其包括输入轴，第一输出轴，第二输出轴和第三输出轴。 驱动组件可操作以根据预定顺序选择性地旋转和保持轴组件，例如以微创外科手术通过套管针进行组织缝合。

公开(公告)号：US20130282031A1

公开(公告)日：2013-10-24

申请号：US13449514

申请日：2012-04-18

申请人： James A. Woodard, JR. ,  Aaron J. Brickner ,  Jason R. Lesko

发明人： James A. Woodard, JR. ,  Aaron J. Brickner ,  Jason R. Lesko

IPC分类号： A61B17/062

CPC分类号： A61B17/062 ,  A61B17/04 ,  A61B17/0469 ,  A61B17/0491 ,  A61B17/06161 ,  A61B17/06195 ,  A61B17/0625 ,  A61B2017/00367 ,  A61B2017/0038 ,  A61B2017/00393 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/2913 ,  A61B2017/2923 ,  A61B2017/2929

摘要： An apparatus comprises a body, a shaft assembly, an end effector assembly, and a drive assembly. The body may include a handpiece with an integral motor. The shaft assembly may include two pairs of concentric shafts. The end effector assembly may include arms that selectively grasp and release a suturing needle. The drive assembly is operable to drive the end effector assembly via the shaft assembly. The drive assembly is operable to convert a single rotary input into at least two rotary outputs. In some versions, the drive assembly comprises a plurality of shaft assemblies that include an input shaft, a first output shaft, a second output shaft, and a third output shaft. The drive assembly is operable to selectively rotate and hold the shaft assemblies in accordance with a predetermined sequence, such as to perform tissue suturing through a trocar in a minimally invasive surgical procedure.

摘要翻译： 一种装置包括主体，轴组件，端部执行器组件和驱动组件。 主体可以包括具有整体电动机的手持件。 轴组件可以包括两对同心轴。 末端执行器组件可以包括选择性地抓住和释放缝合针的臂。 驱动组件可操作以经由轴组件驱动端部执行器组件。 驱动组件可操作以将单个旋转输入转换成至少两个旋转输出。 在一些形式中，驱动组件包括多个轴组件，其包括输入轴，第一输出轴，第二输出轴和第三输出轴。 驱动组件可操作以根据预定顺序选择性地旋转和保持轴组件，例如以微创外科手术通过套管针进行组织缝合。

公开(公告)号：US20130282027A1

公开(公告)日：2013-10-24

申请号：US13449494

申请日：2012-04-18

申请人： James A. Woodard, JR. ,  Aaron J. Brickner ,  Jason R. Lesko ,  William J. White ,  David T. Martin

发明人： James A. Woodard, JR. ,  Aaron J. Brickner ,  Jason R. Lesko ,  William J. White ,  David T. Martin

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0491 ,  A61B17/0625 ,  A61B2017/0608 ,  A61B2017/061

摘要： A suture needle driving instrument comprises a shaft assembly, an end effector, and a grasping actuation assembly. The end effector is located at the distal end of the shaft assembly and includes a pair of grasping arms. Each grasping arm comprises a respective pair of jaws. Each pair of jaws is operable to cooperate to grasp and release a suture needle. The grasping actuation assembly is operable to drive one jaw of each pair in one direction while simultaneously driving the other jaw of the pair in an opposite direction, to selectively grasp or release the suture needle. The shaft assembly includes two pairs of parallel concentric shafts, which form part of the actuation assembly. Each shaft pair is operable to drive a respective internal drive shaft having separate threaded regions with opposing pitch. The instrument may be used through a trocar during minimally invasive surgery.

摘要翻译： 缝合针驱动装置包括轴组件，末端执行器和抓握致动组件。 末端执行器位于轴组件的远端并且包括一对把持臂。 每个抓握臂包括相应的一对夹爪。 每对钳口可操作以配合以抓住和释放缝合针。 抓握致动组件可操作以在一个方向上驱动每对的一个钳口，同时沿相反方向驱动该对的另一个钳口，以选择性地抓住或释放缝合针。 轴组件包括两对平行的同心轴，其形成致动组件的一部分。 每个轴对可操作以驱动具有相对间距的具有单独螺纹区域的相应内部驱动轴。 在微创手术中可以通过套管针使用该器械。

公开(公告)号：US20130245643A1

公开(公告)日：2013-09-19

申请号：US13419503

申请日：2012-03-14

申请人： James A. Woodard, JR. ,  Aaron J. Brickner ,  Jason R. Lesko

发明人： James A. Woodard, JR. ,  Aaron J. Brickner ,  Jason R. Lesko

IPC分类号： A61B17/04

CPC分类号： A61B17/0482 ,  A61B17/0469 ,  A61B2017/06052 ,  A61B2017/2936

摘要： A suture needle driving instrument comprises a shaft and an end effector. The end effector is located at the distal end of the shaft and includes a pair of grasping arms. Each grasping arm comprises a respective pair of jaws. Each pair of jaws is operable to cooperate to grasp and release a suture needle. Each jaw has a needle grasping member operable to align a suture needle along a predetermined arc path. The end effector is further operable to pass the needle from one arm to the other arm during a suturing procedure. The instrument may be used through a trocar during minimally invasive surgery.

摘要翻译： 缝合针驱动装置包括轴和端部执行器。 末端执行器位于轴的远端并且包括一对把持臂。 每个抓握臂包括相应的一对夹爪。 每对钳口可操作以配合以抓住和释放缝合针。 每个钳口具有可沿着预定弧径对准缝合针的针抓持构件。 端部执行器还可操作以在缝合过程期间将针从一个臂传递到另一个臂。 在微创手术中可以通过套管针使用该器械。

公开(公告)号：US20110028794A1

公开(公告)日：2011-02-03

申请号：US12512568

申请日：2009-07-30

申请人： Christopher W. Widenhouse ,  Jason R. Lesko ,  Michael V. Sherrill ,  Tamara S. V. Widenhouse

发明人： Christopher W. Widenhouse ,  Jason R. Lesko ,  Michael V. Sherrill ,  Tamara S. V. Widenhouse

IPC分类号： A61B1/32 ,  A61F11/00

CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3474 ,  A61B2017/3464 ,  A61B2017/3466

摘要： Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing having multiple access ports for receiving surgical instruments, and a retractor removably coupled to the housing and having a working channel configured to extend into a body cavity. With the housing and retractor mated together, a portion of the housing through which instruments can be inserted can rotate relative to the retractor. The retractor can be positioned in tissue using an inserter tool configured to seat the retractor and to automatically release the retractor into position within the tissue. The retractor can be removed from the tissue using a cord coupled to the retractor.

公开(公告)号：US09877720B2

公开(公告)日：2018-01-30

申请号：US13235623

申请日：2011-09-19

申请人： Barry C. Worrell ,  Zhifan F. Huang ,  Jason R. Lesko ,  Matthew C. Miller ,  Geoffrey S. Strobl ,  Gregory A. Trees ,  Charles S. Black ,  William E. Clem ,  Emron Henry ,  Kevin M. Montgomery

发明人： Barry C. Worrell ,  Zhifan F. Huang ,  Jason R. Lesko ,  Matthew C. Miller ,  Geoffrey S. Strobl ,  Gregory A. Trees ,  Charles S. Black ,  William E. Clem ,  Emron Henry ,  Kevin M. Montgomery

IPC分类号： A61B19/00 ,  A61B17/072 ,  A61B17/00 ,  A61B17/29

CPC分类号： A61B17/07207 ,  A61B2017/0038 ,  A61B2017/2908 ,  A61B2017/2927 ,  A61B2017/2946

摘要： An electrosurgical device includes a body, an end effector, a cutting member, and a shaft. The end effector comprises a pair of jaws and at least one electrode that is operable to deliver RF energy to tissue clamped between the jaws. The cutting member is operable to cut tissue clamped between the jaws. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. The body includes a controller operable to selectively actuate the articulation section. The controller may include a rotary knob, a pivoting knob, or a pivoting fin, among other things. An electrical coupling may contact a conductive moving member along at least two axes. A resiliently biased lever may assist a trigger in returning from an actuated position to a home position.