Compound angle laparoscopic methods and devices

    公开(公告)号:US10206701B2

    公开(公告)日:2019-02-19

    申请号:US15267750

    申请日:2016-09-16

    摘要: Methods and devices are provided for performing minimally invasive surgical procedures. In one embodiment, a surgical device is provided that include an elongate shaft having a distal portion configured to be movable between a first configuration in which the distal portion of the shaft is substantially straight or linear and a second configuration in which the distal portion of the shaft is articulated at a compound angle. The shaft's distal portion can include two articulation joints to facilitate formation of the compound angle.

    Coupling features for ultrasonic surgical instrument
    2.
    发明授权
    Coupling features for ultrasonic surgical instrument 有权
    超声波手术器械耦合功能

    公开(公告)号:US09539020B2

    公开(公告)日:2017-01-10

    申请号:US14142216

    申请日:2013-12-27

    IPC分类号: A61B17/32 A61B17/00

    摘要: A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The body comprises a pivotal trigger. The shaft couples the end effector and the body together. The end effector comprises a clamp arm and an ultrasonic blade in acoustic communication with the ultrasonic transducer. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue. Pivotal movement of the trigger causes movement of the clamp arm. The shaft is operable to be selectively coupled and decoupled from the ultrasonic transducer. The apparatus comprises electro-mechanical means for coupling and decoupling the shaft from the ultrasonic transducer, and may further comprise means for preventing movement of the shaft as it is coupled to the ultrasonic transducer.

    摘要翻译: 手术装置包括主体,超声换能器,轴和端部执行器。 超声波换能器可操作以将电力转换成超声波振动。 主体包括枢轴扳机。 轴将末端执行器和身体连接在一起。 末端执行器包括与超声换能器声学连通的夹臂和超声波刀片。 超声波刀片可操作以将超声波振动传递给组织。 触发器的枢轴运动导致夹紧臂的移动。 所述轴可操作以选择性地耦合并与所述超声换能器分离。 该装置包括用于将轴与超声波换能器联接和分离的电机械装置,并且还可包括用于在连接到超声波换能器时轴防止运动的装置。

    ACTIVATION FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT
    4.
    发明申请
    ACTIVATION FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT 有权
    超声外科仪器的活动特点

    公开(公告)号:US20160106455A1

    公开(公告)日:2016-04-21

    申请号:US14515129

    申请日:2014-10-15

    IPC分类号: A61B17/32 A61N7/00

    摘要: An ultrasonic instrument comprises a handle assembly or other kind of body configured to receive an ultrasonic transducer and a shaft assembly having an acoustic waveguide and an ultrasonic blade. The ultrasonic blade is in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide. The ultrasonic instrument further comprises an actuation assembly disposed within the handle assembly. The actuation assembly includes a plurality of buttons disposed about the handle assembly in an angularly spaced array. Each button may be depressed independently of the rest to thereby actuate a switch assembly such that power is provided to the ultrasonic transducer, the acoustic waveguide, and the ultrasonic blade. The actuation assembly is operable to convert radial movement of the buttons into longitudinal, transverse, and/or pivotal movement that actuates the switch assembly.

    摘要翻译: 超声波仪器包括手柄组件或其他类型的主体,其构造成接收超声波换能器和具有声波导和超声波叶片的轴组件。 超声波刀片与声波导声声通信,使得超声波换能器可操作以驱动超声波刀片经由声波导进行超声波振动。 超声波仪器还包括设置在手柄组件内的致动组件。 致动组件包括以角度间隔的阵列围绕手柄组件布置的多个按钮。 每个按钮可以独立于其余按钮被按压,从而致动开关组件,使得向超声波换能器,声波导和超声波叶片提供功率。 致动组件可操作以将按钮的径向移动转换成致动开关组件的纵向,横向和/或枢转运动。

    HAND HELD SURGICAL DEVICE FOR MANIPULATING AN INTERNAL MAGNET ASSEMBLY WITHIN A PATIENT
    6.
    发明申请
    HAND HELD SURGICAL DEVICE FOR MANIPULATING AN INTERNAL MAGNET ASSEMBLY WITHIN A PATIENT 有权
    用于在患者体内操作内部磁体组件的手持式手术装置

    公开(公告)号:US20150374444A1

    公开(公告)日:2015-12-31

    申请号:US14712278

    申请日:2015-05-14

    IPC分类号: A61B19/00

    摘要: A device for manipulating a magnetic coupling force across tissue in response to a monitored coupling force is described. The device includes a magnetic field source assembly, a positioning assembly operatively connected to the magnetic field force assembly, and a magnetic coupling force monitor. The magnetic field source assembly includes magnets that provide an external magnetic field source for providing a magnetic field across tissue. The positioning assembly adjusts the position of the magnetic field source. The magnetic field creates a magnetic coupling force between the external magnetic field source and an object positioned in use in a patient during a procedure, wherein the object has or is associated with an internal magnetic field.

    摘要翻译: 描述了响应于监视的耦合力来操纵组织的磁耦合力的装置。 该装置包括磁场源组件,可操作地连接到磁场力组件的定位组件和磁耦合力监视器。 磁场源组件包括提供用于提供横跨组织的磁场的外部磁场源的磁体。 定位组件调整磁场源的位置。 磁场在外部磁场源和位于使用过程中的患者中的物体之间产生磁耦合力,其中物体具有或者与内部磁场相关联。

    ULTRASONIC SURGICAL INSTRUMENTS WITH MOVING CUTTING IMPLEMENT
    8.
    发明申请
    ULTRASONIC SURGICAL INSTRUMENTS WITH MOVING CUTTING IMPLEMENT 有权
    超声波手术器械与移动切割实现

    公开(公告)号:US20150119916A1

    公开(公告)日:2015-04-30

    申请号:US14590574

    申请日:2015-01-06

    摘要: In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath and a blade disposed at least partially within the sheath. Coupled to the blade may be at least one ultrasonic transducer, which, in turn, may be coupled to a drive system. The drive system may be configured to deliver gross axial motions to the blade such that the blade translates with respect to the hollow sheath when the drive system is activated. Accordingly, tissue may be cut by the blade with gross axial movement of the blade and/or ultrasonic vibrational motion provided by the ultrasonic transducer(s). In alternative embodiments, the blade may be rotated axially instead of translated with respect to the hollow sheath.

    摘要翻译: 在各种实施例中,提供了用于在水性环境中操作的外科器械。 在至少一个实施例中,外科器械可以包括中空护套和至少部分地设置在护套内的刀片。 耦合到叶片的可以是至少一个超声换能器,其又可以耦合到驱动系统。 驱动系统可以被配置为将大的轴向运动传递到叶片,使得当驱动系统被启动时,叶片相对于中空护套平移。 因此,组织可以由刀片切割,叶片具有大的轴向运动和/或由超声波换能器提供的超声振动运动。 在替代实施例中,叶片可以轴向旋转而不是相对于中空护套平移。