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公开(公告)号：US20100152609A1
公开(公告)日：2010-06-17
申请号：US12332938
申请日：2008-12-11
IPC分类号： A61B10/02
CPC分类号： A61B10/06 , A61B10/0096 , A61B10/0283
摘要： A surgical instrument can be used to capture and retrieve tissue, or other specimens, from within the body of a patient through a single trocar port. The surgical instrument can include a grasper, wherein the grasper can be configured to capture a specimen, and a specimen retrieval bag, wherein the specimen retrieval bag can be configured to at least partially surround, or encapsulate, the captured specimen when the specimen retrieval bag is in a deployed position. In certain embodiments, the retrieval bag can be inverted as it is moved between undeployed and deployed positions. In various embodiments, the surgical instrument can further include a snare operably engaged with the specimen retrieval bag, wherein the snare can be configured to at least partially close the bag. A vacuum can be placed in communication with the bag to reduce the size of the bag before it is removed from the surgical site.
摘要翻译： 手术器械可用于通过单个套管针端口从患者体内捕获和回收组织或其他标本。 手术器械可以包括抓取器，其中抓取器可以构造成捕获样本和样本取回袋，其中样本取回袋可被构造成至少部分地包围或封装所捕获的样本，当样本取回袋 处于部署位置。 在某些实施例中，当取出袋在未部署位置和展开位置之间移动时可以反转。 在各种实施例中，手术器械还可以包括可操作地与样本回收袋接合的圈套，其中所述圈套可被构造成至少部分地封闭所述袋。 可以将真空放置成与袋连通，以在袋从手术部位移除之前减小袋的尺寸。
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公开(公告)号：US08172772B2
公开(公告)日：2012-05-08
申请号：US12332938
申请日：2008-12-11
CPC分类号： A61B10/06 , A61B10/0096 , A61B10/0283
摘要： A surgical instrument can be used to capture and retrieve tissue, or other specimens, from within the body of a patient through a single trocar port. The surgical instrument can include a grasper, wherein the grasper can be configured to capture a specimen, and a specimen retrieval bag, wherein the specimen retrieval bag can be configured to at least partially surround, or encapsulate, the captured specimen when the specimen retrieval bag is in a deployed position. In certain embodiments, the retrieval bag can be inverted as it is moved between undeployed and deployed positions. In various embodiments, the surgical instrument can further include a snare operably engaged with the specimen retrieval bag, wherein the snare can be configured to at least partially close the bag. A vacuum can be placed in communication with the bag to reduce the size of the bag before it is removed from the surgical site.
摘要翻译： 手术器械可用于通过单个套管针端口从患者体内捕获和回收组织或其他标本。 手术器械可以包括抓取器，其中抓取器可以构造成捕获样本和样本取回袋，其中样本取回袋可被构造成至少部分地包围或封装所捕获的样本，当样本取回袋 处于部署位置。 在某些实施例中，当取出袋在未部署位置和展开位置之间移动时可以反转。 在各种实施例中，手术器械还可以包括可操作地与样本回收袋接合的圈套，其中所述圈套可被构造成至少部分地封闭所述袋。 可以将真空放置成与袋连通，以在袋从手术部位移除之前减小袋的尺寸。
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公开(公告)号：US20100152539A1
公开(公告)日：2010-06-17
申请号：US12337340
申请日：2008-12-17
申请人： Ragae M. Ghabrial , Michael J. Stokes , Rudolph H. Nobis , Andrew M. Zwolinski , Michael P. Weir , David N. Plescia , Christle M. Cunningham , Omar J. Vakharia , William D. Fox , James T. Spivey
发明人： Ragae M. Ghabrial , Michael J. Stokes , Rudolph H. Nobis , Andrew M. Zwolinski , Michael P. Weir , David N. Plescia , Christle M. Cunningham , Omar J. Vakharia , William D. Fox , James T. Spivey
IPC分类号： A61B1/00
CPC分类号： A61B1/041 , A61B1/00029 , A61B1/00147 , A61B5/073 , A61B5/6882 , A61B34/73 , A61B2017/00283
摘要： A positionable imaging device includes a body defining a first end and a second end. The body is configured to be received within an internal body cavity. An imaging device is located at the first end of the body. A releasable fastener is coupled to the body to removably attach the imaging device to tissue within the internal body cavity. A release mechanism is coupled to the releasable fastener to detach the imaging device from the tissue.
摘要翻译： 可定位成像装置包括限定第一端和第二端的主体。 身体构造成被容纳在内部体腔内。 成像装置位于身体的第一端。 可拆卸紧固件联接到主体以将成像装置可移除地附接到内部体腔内的组织。 释放机构联接到可释放紧固件以将成像装置与组织分离。
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4.发明申请公开(公告)号：US20100076488A1
公开(公告)日：2010-03-25
申请号：US12237858
申请日：2008-09-25
CPC分类号： A61B17/0469 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464
摘要： Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels, with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures attached to the respective anchors.
摘要翻译： 提供了用于部署和应用多个缝合锚的方法和装置。 在一个实施例中，提供外科装置，其具有被配置为被引入到身体中的轴的轴，例如通过观察装置，并且将多个缝合锚定件输送到组织中，优选地不需要将轴从身体移除。 所述轴可以具有多个通道，所述多个通道中的每一个被构造成座位多个缝线锚中的至少一个。 每个锚固件可以可移除地安置在通道中，使得锚固件可以从装置移除，例如通过拉动附接到各个锚固件的缝合线。
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5.发明授权公开(公告)号：US09089320B2
公开(公告)日：2015-07-28
申请号：US12237858
申请日：2008-09-25
CPC分类号： A61B17/0469 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464
摘要： Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels, with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures attached to the respective anchors.
摘要翻译： 提供了用于部署和应用多个缝合锚的方法和装置。 在一个实施例中，提供外科装置，其具有被配置为被引入到身体中的轴的轴，例如通过观察装置，并且将多个缝合锚定件输送到组织中，优选地不需要将轴从身体移除。 所述轴可以具有多个通道，所述多个通道中的每一个被构造成座位多个缝线锚中的至少一个。 每个锚固件可以可移除地安置在通道中，使得锚固件可以从装置移除，例如通过拉动附接到各个锚固件的缝合线。
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公开(公告)号：US08603078B2
公开(公告)日：2013-12-10
申请号：US12903330
申请日：2010-10-13
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B90/11 , A61B2017/3407
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：US20120095449A1
公开(公告)日：2012-04-19
申请号：US12903330
申请日：2010-10-13
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B90/11 , A61B2017/3407
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：US07967741B2
公开(公告)日：2011-06-28
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译： 提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。 在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。 该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。 锚定构件可以包括或形成开口，通过该开口可以插入装置。 锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。
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公开(公告)号：US20120165792A1
公开(公告)日：2012-06-28
申请号：US12976648
申请日：2010-12-22
申请人： Mark S. Ortiz , Christopher J. Hess , Jason L. Harris , James T. Spivey , Michael J. Stokes , Thomas E. Albrecht , Mark S. Zeiner , Joseph Bernard Kraimer , James Anthony Topich , Daniel James Prenger
发明人： Mark S. Ortiz , Christopher J. Hess , Jason L. Harris , James T. Spivey , Michael J. Stokes , Thomas E. Albrecht , Mark S. Zeiner , Joseph Bernard Kraimer , James Anthony Topich , Daniel James Prenger
IPC分类号： A61M37/00
CPC分类号： A61M31/002 , A61B1/00147 , A61B1/041 , A61B5/07 , A61B5/4839
摘要： Devices and related methods arc provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as “catchers,” are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete. administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs.
摘要翻译： 提供了设备和相关方法，用于将治疗剂控制递送到身体内的目标位置。 更具体地，提供了用于控制经口给药的药丸通过身体的速率的方法和装置，以及用于控制体内在特定位置处的丸剂内的治疗剂的递送。 提供了在本文中通常被称为“捕获器”的各种类型的装置，其可以在通过身体时主动地捕捉药丸。 捕手可以将药丸保持在身体内的特定位置，直到发生预定事件，例如部分或完全。 给药丸内的治疗剂。 然后，捕手可以在命令和/或发生预定事件时释放药片以允许药丸从身体中流出。 在其他实施例中，提供了可以主动地接合捕获器并保持与捕获器接合的各种类型的药丸，直到发生预定事件。
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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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