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公开(公告)号：US08628545B2
公开(公告)日：2014-01-14
申请号：US12482049
申请日：2009-06-10
申请人： Ramiro Cabrera , Thomas Wingardner , David N. Fowler , Brian J. Creston , Dmitri Menn , Paul D. Richard
发明人： Ramiro Cabrera , Thomas Wingardner , David N. Fowler , Brian J. Creston , Dmitri Menn , Paul D. Richard
IPC分类号： A61B17/04
CPC分类号： A61B17/0491 , A61B17/00234 , A61B17/0469 , A61B17/0625 , A61B17/2909 , A61B2017/003 , A61B2017/00323 , A61B2017/00389 , A61B2017/06047 , A61B2017/0609 , A61B2017/2903 , A61B2017/2905 , A61B2017/2912 , A61B2017/2913 , A61B2017/2923 , A61B2017/2929
摘要： The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof.
摘要翻译： 本公开涉及用于内窥镜缝合或通过接入管等缝合的装置，系统和方法。 提供内窥镜缝合装置并且包括手柄组件; 由所述手柄组件支撑并从所述手柄组件延伸的细长轴; 以及支撑在细长轴的远端上的端部执行器。 末端执行器包括颈部组件，颈部组件构造和适于在基本上线性构型和离轴构型之间的一个方向上铰接，以及一对枢转地相互联接的并列夹爪。 每个钳口限定形成在其组织接触表面中的缝合针容纳凹部。
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公开(公告)号：US08372090B2
公开(公告)日：2013-02-12
申请号：US12444072
申请日：2007-10-05
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/0625 , A61B2017/00323 , A61B2017/06042 , A61B2017/0609 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2943
摘要： An endoscopic stitching device includes a tool assembly having a pair of juxtaposed jaws pivotally associated with one another, each jaw defining a needle receiving recess formed in a tissue contacting surface thereof; a drive assembly including a pair of concentric, individually rotatably and translatably supported barrels, each barrel defining a central lumen therethrough; and a pair of axially translatable needle engaging blades slidably supported, one each, in a respective jaw. The stitching device further includes a center rod slidably and rotatably disposed through the lumen of the barrels, a distal end of the center rod being operatively engaged with the pair of jaws.
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公开(公告)号：US20120310164A1
公开(公告)日：2012-12-06
申请号：US13585136
申请日：2012-08-14
IPC分类号： A61B17/34
CPC分类号： A61B17/0218 , A61B17/3421 , A61B17/3423 , A61B2017/3447 , Y10T29/49826
摘要： An access device includes a body, a first tube, a second tube, and a mechanism. The first and second tubes extend through the body. The mechanism operably couples the first and second tubes such that at least one tube is pivotable about an axis with respect to the other tube. The body may form a substantially fluid-tight seal at the incision. In another embodiment, the access device further includes a third tube extending through the body and the mechanism operably couples the tubes together such that at least two tubes are pivotable about the axis with respect to the remaining tube.
摘要翻译： 进入装置包括主体，第一管，第二管和机构。 第一和第二管延伸穿过身体。 该机构可操作地连接第一和第二管，使得至少一个管相对于另一个管可围绕轴线枢转。 身体可以在切口处形成基本上流体密封的密封。 在另一个实施例中，进入装置还包括延伸穿过主体的第三管，并且该机构可操作地将管连接在一起，使得至少两个管能相对于剩余的管围绕该轴线枢转。
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公开(公告)号：US20120277758A1
公开(公告)日：2012-11-01
申请号：US13438283
申请日：2012-04-03
IPC分类号： A61B17/26
CPC分类号： A61B17/00234 , A61B2017/00287
摘要： A specimen retrieval pouch (pouch) is provided. The pouch including a closed bottom portion, an open upper portion and an elongated tube operably coupled to an interior wall of the pouch. The elongated tube has a plurality of openings positioned along a length thereof. A suture accessible at a proximal end of the pouch is positioned within the elongated tube and extends past a distal end thereof. The suture is movable within the elongated tube and relative to the pouch. The suture has either a needle or a loop at a distal end thereof for attaching to tissue and subsequently drawing the tissue into the pouch when the suture is pulled. One or more reinforced tabs are operably disposed on the pouch. The reinforced tab(s) is/are configured to be grasped by a user to provide a counter pull force as the suture is being pulled through the elongated tube.
摘要翻译： 提供样本检索袋（袋）。 所述袋包括封闭的底部部分，开放的上部部分和可操作地联接到所述袋的内壁的细长管。 细长管具有沿其长度定位的多个开口。 在小袋的近端处可接近的缝合线定位在细长管内并且延伸超过其远端。 缝合线可在细长管内并相对于袋移动。 缝合线在其远端处具有针或环，用于附接到组织，并且当缝合线被拉动时随后将组织拉入袋中。 一个或多个增强突片可操作地设置在袋上。 加强的突舌被构造成被使用者抓住以在缝合线被拉过细长管时提供反拉力。
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公开(公告)号：US20110190590A1
公开(公告)日：2011-08-04
申请号：US13089340
申请日：2011-04-19
CPC分类号： A61B17/0218 , A61B17/3421 , A61B17/3423 , A61B2017/3447 , Y10T29/49826
摘要： An access device includes a body, a first tube, a second tube, and a mechanism. The first and second tubes extend through the body. The mechanism operably couples the first and second tubes such that at least one tube is pivotable about an axis with respect to the other tube. The body may form a substantially fluid-tight seal at the incision. In another embodiment, the access device further includes a third tube extending through the body and the mechanism operably couples the tubes together such that at least two tubes are pivotable about the axis with respect to the remaining tube.
摘要翻译： 进入装置包括主体，第一管，第二管和机构。 第一和第二管延伸穿过身体。 该机构可操作地连接第一和第二管，使得至少一个管相对于另一个管可围绕轴线枢转。 身体可以在切口处形成基本上流体密封的密封。 在另一个实施例中，进入装置还包括延伸穿过主体的第三管，并且该机构可操作地将管连接在一起，使得至少两个管可相对于剩余的管围绕该轴线枢转。
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公开(公告)号：US07951117B2
公开(公告)日：2011-05-31
申请号：US12468363
申请日：2009-05-19
IPC分类号： A61M5/178
CPC分类号： A61B17/0218 , A61B17/3421 , A61B17/3423 , A61B2017/3447 , Y10T29/49826
摘要： An access device includes a body, a first tube, a second tube, and a mechanism. The first and second tubes extend through the body. The mechanism operably couples the first and second tubes such that at least one tube is pivotable about an axis with respect to the other tube. The body may form a substantially fluid-tight seal at the incision. In another embodiment, the access device further includes a third tube extending through the body and the mechanism operably couples the tubes together such that at least two tubes are pivotable about the axis with respect to the remaining tube.
摘要翻译： 进入装置包括主体，第一管，第二管和机构。 第一和第二管延伸穿过身体。 该机构可操作地连接第一和第二管，使得至少一个管相对于另一个管可围绕轴线枢转。 身体可以在切口处形成基本上流体密封的密封。 在另一个实施例中，进入装置还包括延伸穿过主体的第三管，并且该机构可操作地将管连接在一起，使得至少两个管可相对于剩余的管围绕该轴线枢转。
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公开(公告)号：US20090326462A1
公开(公告)日：2009-12-31
申请号：US12468363
申请日：2009-05-19
IPC分类号： A61B17/34
CPC分类号： A61B17/0218 , A61B17/3421 , A61B17/3423 , A61B2017/3447 , Y10T29/49826
摘要： An access device includes a body, a first tube, a second tube, and a mechanism. The first and second tubes extend through the body. The mechanism operably couples the first and second tubes such that at least one tube is pivotable about an axis with respect to the other tube. The body may form a substantially fluid-tight seal at the incision. In another embodiment, the access device further includes a third tube extending through the body and the mechanism operably couples the tubes together such that at least two tubes are pivotable about the axis with respect to the remaining tube.
摘要翻译： 进入装置包括主体，第一管，第二管和机构。 第一和第二管延伸穿过身体。 该机构可操作地连接第一和第二管，使得至少一个管相对于另一个管可围绕轴线枢转。 身体可以在切口处形成基本上流体密封的密封。 在另一个实施例中，进入装置还包括延伸穿过主体的第三管，并且该机构可操作地将管连接在一起，使得至少两个管可相对于剩余的管围绕轴线枢转。
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公开(公告)号：US09005238B2
公开(公告)日：2015-04-14
申请号：US12193864
申请日：2008-08-19
CPC分类号： A61B1/008 , A61B17/2909 , A61B2017/003 , A61B2017/00424 , A61B2017/2905 , A61B2017/291 , A61B2017/292
摘要： According to an aspect of the present disclosure, an endoscopic surgical device is provided and includes a handle assembly; a tube assembly operatively supported on and extending from the handle assembly, the tube assembly defining a longitudinal axis; an articulation assembly operatively supported on and extending from a distal end of the tube assembly; and a tool assembly operatively supported on and extending from a distal end of the articulation assembly. In use, a rotation of the handle assembly about the longitudinal axis results in a concomitant rotation of the tool assembly; an actuation of the handle assembly in a particular manner results in a concomitant actuation of the tool assembly; and a pivoting of the handle assembly in any off-axis direction relative to the longitudinal axis results in a concomitant articulation of the tool assembly via the articulation assembly.
摘要翻译： 根据本公开的一个方面，提供内窥镜手术装置并且包括手柄组件; 管组件，其可操作地支撑在所述把手组件上并从所述把手组件延伸，所述管组件限定纵向轴线; 可操作地支撑在管组件的远端并从管组件的远端延伸的关节运动组件; 以及可操作地支撑在关节运动组件的远端上并从关节运动组件的远端延伸的工具组件。 在使用中，手柄组件围绕纵向轴线的旋转导致工具组件的伴随旋转; 手柄组件以特定方式的致动导致工具组件的伴随的致动; 并且手柄组件相对于纵向轴线在任何离轴方向上的枢转导致经由铰接组件的工具组件的伴随关节。
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公开(公告)号：US08795291B2
公开(公告)日：2014-08-05
申请号：US13438283
申请日：2012-04-03
IPC分类号： A61B17/26
CPC分类号： A61B17/00234 , A61B2017/00287
摘要： A specimen retrieval pouch (pouch) is provided. The pouch including a closed bottom portion, an open upper portion and an elongated tube operably coupled to an interior wall of the pouch. The elongated tube has a plurality of openings positioned along a length thereof. A suture accessible at a proximal end of the pouch is positioned within the elongated tube and extends past a distal end thereof. The suture is movable within the elongated tube and relative to the pouch. The suture has either a needle or a loop at a distal end thereof for attaching to tissue and subsequently drawing the tissue into the pouch when the suture is pulled. One or more reinforced tabs are operably disposed on the pouch. The reinforced tab(s) is/are configured to be grasped by a user to provide a counter pull force as the suture is being pulled through the elongated tube.
摘要翻译： 提供样本检索袋（袋）。 所述袋包括封闭的底部部分，开放的上部部分和可操作地联接到所述袋的内壁的细长管。 细长管具有沿其长度定位的多个开口。 在小袋的近端处可接近的缝合线定位在细长管内并且延伸超过其远端。 缝合线可在细长管内并相对于袋移动。 缝合线在其远端处具有针或环，用于附接到组织，并且当缝合线被拉动时随后将组织拉入袋中。 一个或多个增强突片可操作地设置在袋上。 加强的突舌被构造成被使用者抓住以在缝合线被拉过细长管时提供反拉力。
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公开(公告)号：US08262620B2
公开(公告)日：2012-09-11
申请号：US13089340
申请日：2011-04-19
IPC分类号： A61M5/178
CPC分类号： A61B17/0218 , A61B17/3421 , A61B17/3423 , A61B2017/3447 , Y10T29/49826
摘要： An access device includes a body, a first tube, a second tube, and a mechanism. The first and second tubes extend through the body. The mechanism operably couples the first and second tubes such that at least one tube is pivotable about an axis with respect to the other tube. The body may form a substantially fluid-tight seal at the incision. In another embodiment, the access device further includes a third tube extending through the body and the mechanism operably couples the tubes together such that at least two tubes are pivotable about the axis with respect to the remaining tube.
摘要翻译： 进入装置包括主体，第一管，第二管和机构。 第一和第二管延伸穿过身体。 该机构可操作地连接第一和第二管，使得至少一个管相对于另一个管可围绕轴线枢转。 身体可以在切口处形成基本上流体密封的密封。 在另一个实施例中，进入装置还包括延伸穿过主体的第三管，并且该机构可操作地将管连接在一起，使得至少两个管能相对于剩余的管围绕该轴线枢转。
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