公开(公告)号：US20230398328A1

公开(公告)日：2023-12-14

申请号：US18457043

申请日：2023-08-28

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Carolyn M. Fenech ,  Hans F. Valencia

IPC: A61M25/01 ,  A61M25/00 ,  A61B34/35 ,  A61B34/37 ,  A61B90/00 ,  A61B34/20 ,  A61B1/00 ,  A61B1/005

CPC classification number: A61M25/0152 ,  A61M25/0026 ,  A61M25/0045 ,  A61M25/0012 ,  A61M25/0138 ,  A61B34/35 ,  A61B34/37 ,  A61B90/37 ,  A61B34/20 ,  A61B1/0016 ,  A61B1/0055 ,  A61B1/0011 ,  A61M2025/0037 ,  A61M25/0147 ,  A61B1/00128 ,  A61B1/2676

Abstract: An axial support structure for a flexible elongate device includes a plurality of rigid links coupled by pin joints. Each of the plurality of rigid links comprises a shaft, a pair of male joint connectors extending axially from a first end of the shaft, and a pair of female joint connectors extending axially from a second end of the shaft opposite the first end. The female joint connectors are complementary to the male joint connectors and are rotated by 90 degrees relative to the male joint connectors. Each of the plurality of rigid links is rotated by 90 degrees with respect to neighboring links among the plurality of rigid links, thereby aligning each pair of male joint connectors with a neighboring pair of female joint connectors to form the pin joints.

公开(公告)号：US20210275778A1

公开(公告)日：2021-09-09

申请号：US17189462

申请日：2021-03-02

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Hans F. Valencia ,  Peter Fernandez, IV ,  Lucas S. Gordon

IPC: A61M25/01 ,  A61M25/06 ,  A61M25/00

Abstract: A medical tool may comprise sheath and a needle extendable from and retractable into the sheath. The sheath may comprise a tubular shaft member and a guard member attached to the tubular shaft member. The needle may comprise a flexible jacket. One or more of these components may be configured to prevent interference between the flexible jacket and a portion of the guard member as the need is extended or retracted.

公开(公告)号：US20200029948A1

公开(公告)日：2020-01-30

申请号：US16523910

申请日：2019-07-26

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Serena H. Wong ,  Benjamin G. Cohn ,  Hans F. Valencia

IPC: A61B17/00 ,  A61B34/35 ,  A61B17/34

Abstract: Systems and methods for minimally invasive treatment of target tissue among one or more passageways include a flexible elongate device, a tool including a first tubular member, and an instrument to perform treatment on target tissue around the target location. The flexible elongate device includes a proximal end, a distal end, and a lumen therebetween. The tool is configured for deployment within the lumen to a passageway exit site, puncturing a passageway wall at the passageway exit site, and deployment to a target location. The instrument is sized to be deployed within the tool. In some embodiments, the systems and methods further include an anchor configured to stabilize the tool. In some embodiments, the first tubular member is a first hollow sheath configured to be deployed past the distal end of the flexible elongate device to the passageway exit site.

公开(公告)号：US20230309976A1

公开(公告)日：2023-10-05

申请号：US18328606

申请日：2023-06-02

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Serena H. Wong ,  Benjamin G. Cohn ,  Hans F. Valencia

IPC: A61B17/00 ,  A61B34/35 ,  A61B17/34

CPC classification number: A61B17/00234 ,  A61B34/35 ,  A61B17/3478 ,  A61B2034/301

Abstract: A method comprises deploying a tool to a passageway exit site through a lumen of a flexible elongate device. The flexible elongate device comprises a proximal end, a distal end, and the lumen therebetween, and the tool comprises a needle. The method further comprises puncturing a passageway wall at the passageway exit site with the needle. The method further comprises deploying the needle through the passageway wall and through target tissue at a target location beyond the passageway wall. The method further comprises deploying an instrument to perform treatment on the target tissue at the target location. The instrument is deployed within the tool and through a perforation created in the target tissue by the needle.

公开(公告)号：US20200222666A1

公开(公告)日：2020-07-16

申请号：US16632128

申请日：2018-07-20

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Jason K. Chan ,  Joseph R. Callol ,  Lucas S. Gordon ,  Anoop B. Kowshik ,  Randall L. Schlesinger ,  Hans F. Valencia ,  Worth B. Walters

IPC: A61M25/01 ,  A61B34/20 ,  A61B34/35

Abstract: Flexible elongate device systems and methods include a flexible elongate device having a flexible body and an axial support structure. The axial support structure includes at least one groove extending along a length of the axial support structure. The flexible elongate device further includes a plurality of control elements for actuating the flexible elongate device. Each of the plurality of control elements extends through one of the at least one groove of the axial support structure. In some embodiments, the at least one groove includes a plurality of grooves spaced circumferentially around the axial support structure. In some embodiments, the flexible body includes lumens that extend through the at least one of the grooves. The control elements are disposed in the lumens. In some embodiments, the flexible body includes a main lumen that extends centrally through the flexible body. The main lumen provides a channel for a medical tool.

公开(公告)号：US12082793B2

公开(公告)日：2024-09-10

申请号：US18328606

申请日：2023-06-02

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Serena H. Wong ,  Benjamin G. Cohn ,  Hans F. Valencia

IPC: A61B17/00 ,  A61B17/34 ,  A61B34/35 ,  A61B10/04 ,  A61B18/00 ,  A61B34/20 ,  A61B34/30 ,  A61M25/01

CPC classification number: A61B17/00234 ,  A61B17/3478 ,  A61B34/35 ,  A61B2010/045 ,  A61B2017/00115 ,  A61B2017/00327 ,  A61B2017/3454 ,  A61B2018/00285 ,  A61B2034/2061 ,  A61B2034/301 ,  A61M2025/0166

Abstract: A method comprises deploying a tool to a passageway exit site through a lumen of a flexible elongate device. The flexible elongate device comprises a proximal end, a distal end, and the lumen therebetween, and the tool comprises a needle. The method further comprises puncturing a passageway wall at the passageway exit site with the needle. The method further comprises deploying the needle through the passageway wall and through target tissue at a target location beyond the passageway wall. The method further comprises deploying an instrument to perform treatment on the target tissue at the target location. The instrument is deployed within the tool and through a perforation created in the target tissue by the needle.

公开(公告)号：US11771871B2

公开(公告)日：2023-10-03

申请号：US16932196

申请日：2020-07-17

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Carolyn M. Fenech ,  Hans F. Valencia

IPC: A61M25/01 ,  A61M25/00 ,  A61B34/35 ,  A61B34/37 ,  A61B90/00 ,  A61B34/20 ,  A61B1/00 ,  A61B1/005 ,  A61B1/267 ,  A61B34/30 ,  A61B17/00

CPC classification number: A61M25/0152 ,  A61B1/0011 ,  A61B1/0016 ,  A61B1/0055 ,  A61B34/20 ,  A61B34/35 ,  A61B34/37 ,  A61B90/37 ,  A61M25/0012 ,  A61M25/0026 ,  A61M25/0045 ,  A61M25/0138 ,  A61B1/00128 ,  A61B1/2676 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2034/2051 ,  A61B2034/2055 ,  A61B2034/2059 ,  A61B2034/2061 ,  A61B2034/301 ,  A61B2090/365 ,  A61B2090/3614 ,  A61B2090/371 ,  A61B2090/374 ,  A61B2090/376 ,  A61B2090/3735 ,  A61B2090/3762 ,  A61M25/0009 ,  A61M25/0147 ,  A61M2025/0037

Abstract: An axial support structure for a flexible elongate device may comprise a plurality of rigid links coupled by pin joints. Each of the plurality of rigid links may comprise a shaft, a pair of male joint connectors, and a pair of female joint connectors. Each male joint connector may comprise a male tab including an inner surface coplanar with an inner surface of the shaft and extending axially from a first end of the shaft. Each of the male joint connectors may include a pin extending radially. Each female joint connector may comprise a female tab having an outer surface coplanar with an outer surface of the shaft and extending axially from a second end of the shaft. The pair of female joint connectors may be rotated by 90 degrees relative to the pair of male joint connectors. Each female tab may define an aperture.

公开(公告)号：US10729886B2

公开(公告)日：2020-08-04

申请号：US15685979

申请日：2017-08-24

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Carolyn M. Fenech ,  Hans F. Valencia

IPC: A61M25/01 ,  A61M25/00 ,  A61B34/35 ,  A61B34/37 ,  A61B90/00 ,  A61B34/20 ,  A61B1/00 ,  A61B1/005 ,  A61B1/267 ,  A61B34/30 ,  A61B17/00

Abstract: An axial support structure for a flexible elongate device includes a plurality of rigid links. each link comprises a shaft, a pair of male joint connectors comprising a male tab coplanar with the shaft extending from a first end, and a pair of female joint connectors comprising a female tab coplanar with the shaft extending from a second end. Each of the male joint connectors includes a pin extending from the male tab in a direction perpendicular to an axial direction of the shaft and each female tab defines an aperture. Each of the plurality of rigid links is rotated by 90 degrees with respect to neighboring links among the plurality of rigid links, thereby aligning each pair of male joint connectors with a neighboring pair of female joint connectors to form pin joints in which each aperture encircles a corresponding pin.

公开(公告)号：US20200077991A1

公开(公告)日：2020-03-12

申请号：US16305282

申请日：2017-05-31

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Lucas S. Gordon ,  Hans F. Valencia ,  Oliver J. Wagner

IPC: A61B10/02 ,  A61B10/04

Abstract: A medical tool comprises an elongated tubular section having a body wall including a plurality of slits and a rigid needle tip coupled to a distal end of the tubular section. The tool further includes a flexible jacket coupled with the elongated tubular section by extending into the plurality of slits to block a fluid passageway through the plurality of slits.

公开(公告)号：US20240316319A1

公开(公告)日：2024-09-26

申请号：US18733281

申请日：2024-06-04

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Hans F. Valencia ,  Peter Fernandez, IV ,  Lucas S. Gordon

IPC: A61M25/01 ,  A61M25/00 ,  A61M25/06

CPC classification number: A61M25/0138 ,  A61M25/0015 ,  A61M25/0618

Abstract: A medical tool may comprise a sheath and an elongate instrument. The sheath may comprise a tubular shaft member including a sheath channel and a guard member coupled to a distal portion of the tubular shaft member. The guard member may comprise a rigid distal section and a flexible proximal section that is more flexible than the rigid distal section. The elongate instrument may be sized for passage within the sheath channel. The elongate instrument may comprise a flexible tubular section and a rigid tip extending from a distal portion of the flexible tubular section.