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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：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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公开(公告)号：US07785269B2
公开(公告)日：2010-08-31
申请号：US11128108
申请日：2005-05-12
IPC分类号： A61B10/00
CPC分类号： A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要： A first medical instrument includes a flexible catheter and a medical guidewire extendable beyond a distal end of the catheter. The catheter is adapted to slidably receive a rail-coupling portion of an adjunct medical device. The medical guidewire has first and second segments, wherein the bending moment of inertia of the first segment is less than the bending moment of inertia of the second segment. A second medical instrument includes a flexible catheter, a mechanized guidewire assembly, and a medical guidewire extendable beyond a distal end of the catheter. The catheter is adapted to slidably receive a rail-coupling portion of an adjunct medical device. The medical guidewire has an exterior surface including a repetitive series of spaced-apart surface elevation features. One example of surface elevation features is external threads. The spaced-apart surface elevation features are adapted for operable engagement with the mechanized guidewire drive assembly.
摘要翻译： 第一医疗器械包括柔性导管和可延伸超过导管远端的医疗导丝。 导管适于可滑动地容纳辅助医疗装置的轨道联接部分。 医疗用导线具有第一和第二部分，其中第一部分的弯曲转动惯量小于第二部分的弯曲转动惯量。 第二医疗器械包括柔性导管，机械化导丝组件和可延伸超过导管远端的医疗导丝。 导管适于可滑动地容纳辅助医疗装置的轨道联接部分。 医疗导丝具有包括重复的一系列间隔开的表面高度特征的外表面。 表面高程特征的一个例子是外部线程。 间隔开的表面高度特征适于与机械化的导丝驱动组件可操作地接合。
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公开(公告)号：US20080275297A1
公开(公告)日：2008-11-06
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
IPC分类号： A61B1/00
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：US07060025B2
公开(公告)日：2006-06-13
申请号：US10099772
申请日：2002-03-15
申请人： Gary L. Long , David Stefanchik
发明人： Gary L. Long , David Stefanchik
IPC分类号： A61B1/00
CPC分类号： A61B17/320016 , A61B1/0014 , A61B1/018 , A61B17/0469 , A61B18/042 , A61B18/06 , A61B2017/00296 , A61B2017/003 , A61B2018/1495
摘要： A method for guiding an instrument associated with a medical device, such as an endoscope, is provided. The method is useful for positioning a flexible medical instrument extending from an instrument channel of an endoscope, such as for the treatment of tissue. The method is also useful for providing cooperative motion between first and second instruments extending from instrument channels within a patient's body lumen. In one embodiment, the step of guiding the instrument comprises bending the instrument as the instrument extends from the instrument channel.
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公开(公告)号：US07060024B2
公开(公告)日：2006-06-13
申请号：US10098250
申请日：2002-03-15
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/0014
摘要： An apparatus for guiding an instrument inserted through an endoscope's instrument channel is provided. The apparatus can attach to an endoscope to guide the position of the end of the instrument, such as by constraining the instrument to bend in a predetermined manner, or otherwise guide the distal end of the instrument extending from the distal end of the instrument channel. The apparatus can be used to assist in positioning the instrument to perform useful work on tissue adjacent the perimeter of the endoscope. The apparatus can also be used to provide cooperation between instruments inserted either through or alongside the endoscope.
摘要翻译： 提供了一种用于引导插入通过内窥镜的仪器通道的仪器的装置。 该装置可以附接到内窥镜以引导器械的端部的位置，例如通过约束仪器以预定的方式弯曲，或以其它方式引导从器械通道的远端延伸的器械的远端。 该装置可用于帮助定位仪器以在靠近内窥镜的周边的组织上执行有用的工作。 该装置还可用于提供通过内窥镜插入或与内窥镜一起插入的装置之间的协作。
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公开(公告)号：US07261728B2
公开(公告)日：2007-08-28
申请号：US10099086
申请日：2002-03-15
申请人： Gary L. Long , David Stefanchik , James A. Craft
发明人： Gary L. Long , David Stefanchik , James A. Craft
CPC分类号： A61B10/04 , A61B10/0283 , A61B10/06 , A61B18/042 , A61B18/14 , A61B2090/306
摘要： An apparatus and method for providing a biopsy device at the distal end of a medical device, such as an endoscope, are disclosed. The apparatus can include a device attached to an endoscope to guide the position of the end of the instrument, such as by constraining the instrument to bend in a predetermined manner, or otherwise guide the distal end of the instrument extending from the distal end of the instrument channel.
摘要翻译： 公开了一种用于在诸如内窥镜的医疗装置的远端处提供活检装置的装置和方法。 该装置可以包括附接到内窥镜以引导器械端部的位置的装置，例如通过约束器械以预定的方式弯曲，或以其它方式引导从远端的远端延伸的器械的远端 仪器通道。
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公开(公告)号：US09247997B2
公开(公告)日：2016-02-02
申请号：US13249883
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： A61B19/26 , A61B17/3417 , A61B90/50 , A61B2017/00535 , A61B2017/00876 , A61B2017/00991 , A61B2017/3447 , A61B2017/347
摘要： A patient-referenced surgical support frame and method of use are provided. In one embodiment, a surgical support frame can have at least three support members coupled by adjustable linkages. Each support member can have a lumen extending therethrough for receiving a cannula, and each support member can be configured such that the at least three support members (or the cannulas extending therethrough) are angularly adjustable relative to one another, and such that a distance between each of the at least three support members is adjustable. In use, the surgical support frame can be positioned on a skin surface of a patient and used to retain one or more instruments extending through the support members in a fixed orientation or position with respect to the patient, thereby allowing more than two instruments to be used simultaneously.
摘要翻译： 提供了一种患者参考的手术支架和使用方法。 在一个实施例中，手术支撑框架可以具有通过可调节联接件联接的至少三个支撑构件。 每个支撑构件可以具有延伸穿过其中用于接纳插管的内腔，并且每个支撑构件可被构造成使得至少三个支撑构件（或穿过其中的插管）可相对于彼此成角度地调节，并且使得 所述至少三个支撑构件中的每一个都是可调节的。 在使用中，手术支撑框架可以定位在患者的皮肤表面上并用于保持一个或多个仪器以相对于患者的固定取向或位置延伸穿过支撑构件，从而允许两个以上的器械 同时使用
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公开(公告)号：US09211159B2
公开(公告)日：2015-12-15
申请号：US13309856
申请日：2011-12-02
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
CPC分类号： A61B17/29 , A61B17/28 , A61B17/2804 , A61B17/2816 , A61B19/2203 , A61B34/30 , A61B34/70 , A61B34/71 , A61B90/50 , A61B2017/003 , A61B2017/00323 , A61B2017/00738 , A61B2017/2901 , A61B2017/2902 , A61B2017/291 , A61B2017/2927 , A61B2017/2939 , A61B2017/2947 , A61B2019/2223
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：US09186220B2
公开(公告)日：2015-11-17
申请号：US12971491
申请日：2010-12-17
CPC分类号： A61B34/30 , A61B17/29 , A61B17/3417 , A61B34/35 , A61B34/37 , A61B34/70 , A61B34/71 , A61B34/74 , A61B2017/00477 , A61B2034/302 , A61B2034/305 , A61B2090/506 , B25J9/1689
摘要： The present invention generally provides methods and devices for controlling movement of an end effector, and in particular for causing mimicked motion between an input tool and an end effector during a surgical procedure. In an exemplary embodiment, a surgical system is provided having a master assembly with an input tool and a slave assembly with an end effector. The master assembly and the slave assembly can be coupled together by a mechanical assembly that is configured to mechanically transfer mimicked, rather than mirrored, motion from the input tool to the end effector. A floating frame is also provided and can be utilized with the surgical system. The floating frame can have a counterbalance that allows the surgical system to “float” above a patient and provide a weightless feel to movement of the surgical system. The floating frame can provides additional degrees of freedom for movement of the surgical system.
摘要翻译： 本发明总体上提供了用于控制末端执行器的运动的方法和装置，特别是用于在外科手术过程中在输入工具和末端执行器之间引起模拟运动。 在示例性实施例中，提供了具有主组件的外科系统，其具有输入工具和具有端部执行器的从动组件。 主组件和从属组件可以通过机械组件耦合在一起，机械组件被配置为将模拟而不是镜像的运动从输入工具机械地传递到端部执行器。 还提供浮动框架并且可以与外科系统一起使用。 浮动框架可以具有允许手术系统在患者身上“漂浮”的平衡物，并且为外科系统的移动提供失重的感觉。 浮动框架可为手术系统的移动提供额外的自由度。
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