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公开(公告)号：US08545450B2
公开(公告)日：2013-10-01
申请号：US11398985
申请日：2006-04-05
申请人： James W. Voegele , Robert P. Gill , Aaron C. Voegele , William B. Weisenburgh, II , Christopher J. Hess , William P. Geis
发明人： James W. Voegele , Robert P. Gill , Aaron C. Voegele , William B. Weisenburgh, II , Christopher J. Hess , William P. Geis
IPC分类号： A61M5/32
CPC分类号： A61B17/0218 , A61B1/32 , A61B17/0281 , A61B17/064 , A61B17/0644 , A61B17/115 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B17/3417 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B17/3476 , A61B17/4241 , A61B90/30 , A61B90/39 , A61B90/50 , A61B2017/00265 , A61B2017/00287 , A61B2017/00362 , A61B2017/00473 , A61B2017/00893 , A61B2017/0419 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0647 , A61B2017/2825 , A61B2017/2829 , A61B2017/2931 , A61B2017/306 , A61B2017/3405 , A61B2017/3437 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3466 , A61B2090/3908 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3987 , A61F2/0063 , A61F2002/0072
摘要： A surgical access device includes a base having two or more ports or apertures that provide for the insertion of surgical instruments. The multi-port insert may be used with a laparoscopic access device. The multi-port insert may also include one or more instrument supports that are attached to the base to fix the position of one or more surgical instruments inserted through the multi-port insert.
摘要翻译： 外科进入装置包括具有提供用于插入外科器械的两个或多个端口或孔的底座。 多端口插入件可以与腹腔镜访问装置一起使用。 多端口插入件还可以包括附接到基座以固定通过多端口插入件插入的一个或多个手术器械的位置的一个或多个器械支撑件。
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公开(公告)号：US08517995B2
公开(公告)日：2013-08-27
申请号：US12579625
申请日：2009-10-15
申请人： James W. Voegele , Robert P. Gill , Aaron C. Voegele , William B. Weisenburgh, II , Christopher J. Hess , William P. Geis
发明人： James W. Voegele , Robert P. Gill , Aaron C. Voegele , William B. Weisenburgh, II , Christopher J. Hess , William P. Geis
IPC分类号： A61M5/32
CPC分类号： A61B17/0218 , A61B1/32 , A61B17/0281 , A61B17/064 , A61B17/0644 , A61B17/115 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B17/3417 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B17/3476 , A61B17/4241 , A61B90/30 , A61B90/39 , A61B90/50 , A61B2017/00265 , A61B2017/00287 , A61B2017/00362 , A61B2017/00473 , A61B2017/00893 , A61B2017/0419 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0647 , A61B2017/2825 , A61B2017/2829 , A61B2017/2931 , A61B2017/306 , A61B2017/3405 , A61B2017/3437 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3466 , A61B2090/3908 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3987 , A61F2/0063 , A61F2002/0072
摘要： A surgical access device includes a base having two or more ports or apertures that provide for the insertion of surgical instruments. The multi-port insert may be used with a laparoscopic access device. The multi-port insert may also include one or more instrument supports that are attached to the base to fix the position of one or more surgical instruments inserted through the multi-port insert.
摘要翻译： 外科进入装置包括具有提供用于插入外科器械的两个或多个端口或孔的底座。 多端口插入件可以与腹腔镜访问装置一起使用。 多端口插入件还可以包括附接到基座以固定通过多端口插入件插入的一个或多个手术器械的位置的一个或多个器械支撑件。
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公开(公告)号：US07837612B2
公开(公告)日：2010-11-23
申请号：US11399181
申请日：2006-04-05
申请人： Robert P. Gill , Christopher J. Hess , William B. Weisenburgh, II , James W. Voegele , William P. Geis
发明人： Robert P. Gill , Christopher J. Hess , William B. Weisenburgh, II , James W. Voegele , William P. Geis
CPC分类号： A61B17/0218 , A61B1/32 , A61B17/0281 , A61B17/064 , A61B17/0644 , A61B17/115 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B17/3417 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B17/3476 , A61B17/4241 , A61B90/30 , A61B90/39 , A61B90/50 , A61B2017/00265 , A61B2017/00287 , A61B2017/00362 , A61B2017/00473 , A61B2017/00893 , A61B2017/0419 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0647 , A61B2017/2825 , A61B2017/2829 , A61B2017/2931 , A61B2017/306 , A61B2017/3405 , A61B2017/3437 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3466 , A61B2090/3908 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3987 , A61F2/0063 , A61F2002/0072
摘要： A tissue suspension device has an elongated spanning element with a first and a second end. A suspending element is attachable to the spanning element. A first supporting element is attached to the first end of the spanning element, and a second supporting element is attached to the second end of the spanning element. The tissue suspension device substantially spans the transverse width of the body cavity and suspends tissue within the body cavity. The first and second supporting elements are attachable to the body wall, which supports the weight of the suspended tissue.
摘要翻译： 组织悬挂装置具有带有第一和第二端的伸长的跨越元件。 悬挂元件可附加到跨越元件。 第一支撑元件附接到跨越元件的第一端，并且第二支撑元件附接到跨越元件的第二端。 组织悬浮装置基本跨越体腔的横向宽度并将组织悬浮在体腔内。 第一和第二支撑元件可附接到体壁，其支撑悬挂组织的重量。
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公开(公告)号：US20100030032A1
公开(公告)日：2010-02-04
申请号：US12579625
申请日：2009-10-15
申请人： James W. Voegele , Robert P. Gill , Aaron C. Voegele , William R. Weisenburgh, II , Christopher J. Hess , William P. Geis
发明人： James W. Voegele , Robert P. Gill , Aaron C. Voegele , William R. Weisenburgh, II , Christopher J. Hess , William P. Geis
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B1/32 , A61B17/0281 , A61B17/064 , A61B17/0644 , A61B17/115 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/29 , A61B17/3417 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B17/3476 , A61B17/4241 , A61B90/30 , A61B90/39 , A61B90/50 , A61B2017/00265 , A61B2017/00287 , A61B2017/00362 , A61B2017/00473 , A61B2017/00893 , A61B2017/0419 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0647 , A61B2017/2825 , A61B2017/2829 , A61B2017/2931 , A61B2017/306 , A61B2017/3405 , A61B2017/3437 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3466 , A61B2090/3908 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3987 , A61F2/0063 , A61F2002/0072
摘要： A surgical access device includes a base having two or more ports or apertures that provide for the insertion of surgical instruments. The multi-port insert may be used with a laparoscopic access device. The multi-port insert may also include one or more instrument supports that are attached to the base to fix the position of one or more surgical instruments inserted through the multi-port insert.
摘要翻译： 外科进入装置包括具有提供用于插入外科器械的两个或多个端口或孔的底座。 多端口插入件可以与腹腔镜访问装置一起使用。 多端口插入件还可以包括附接到基座以固定通过多端口插入件插入的一个或多个手术器械的位置的一个或多个器械支撑件。
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公开(公告)号：US08641608B2
公开(公告)日：2014-02-04
申请号：US11979638
申请日：2007-11-06
申请人： James W. Voegele , Christopher J. Hess , William B. Weisenburgh, II , Robert P. Gill , Daniel W. Drew , Frank L. Lyman , Michael D. Cronin
发明人： James W. Voegele , Christopher J. Hess , William B. Weisenburgh, II , Robert P. Gill , Daniel W. Drew , Frank L. Lyman , Michael D. Cronin
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3498 , A61B2017/00265 , A61B2017/00438 , A61B2090/308 , A61B2217/005
摘要： A laparoscopic seal assembly includes a seal cap having a seal with an access opening. The seal cap also includes a manifold connection for attachment of a functional apparatus. The seal assembly further includes a retractor. The functional apparatus may be a finger mounted tether or an insufflations passageway. The functional apparatus may be combined or provided separately.
摘要翻译： 腹腔镜密封组件包括具有与入口的密封件的密封帽。 密封盖还包括用于附接功能装置的歧管连接件。 密封组件还包括牵开器。 功能装置可以是手指安装的系绳或吹入通道。 功能装置可以单独组合或提供。
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6.发明授权Method and instrument for effecting anastomosis of respective tissues defining two body lumens 有权用于影响限定两个体腔的各个组织的吻合的方法和仪器公开(公告)号：US07500980B2
公开(公告)日：2009-03-10
申请号：US11094606
申请日：2005-03-30
申请人： Robert P. Gill , Christopher J. Hess , William B. Weisenburgh, II , James W. Voegele , Muta M. Issa
发明人： Robert P. Gill , Christopher J. Hess , William B. Weisenburgh, II , James W. Voegele , Muta M. Issa
IPC分类号： A61B17/08
CPC分类号： A61B17/0401 , A61B17/0482 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/11 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/0412 , A61B2017/0417 , A61B2017/0419 , A61B2017/0427 , A61B2017/06176 , A61B2017/0647 , A61B2017/1103 , A61B2017/1135 , A61B2017/1139 , A61B2017/22069 , A61B2017/2905 , A61B2017/2923
摘要： The instrument disclosed may comprise a tube assembly further comprising substantially coaxially situated and relatively longitudinally movable tubes, supporting and operating an end effector that may be adapted for insertion into and through the urethra, and adapted for use in effecting the anastomosis of a patient's bladder and urethra following a prostatectomy. In alternative embodiments the tube assembly may comprise a rod and two tubes, three tubes, a rod and three tubes, or four tubes. The method disclosed may comprise inserting an instrument having an end effector into the bladder lumen, and using the end effector to urge the bladder wall to the pelvic floor and drive an anchor through the bladder wall and into the pelvic floor.
摘要翻译： 所公开的仪器可以包括管组件，其还包括基本上同轴位置并且相对纵向移动的管，其支撑和操作端部执行器，所述末端执行器可以适于插入并穿过尿道，并适于用于实现患者膀胱的吻合， 经过前列腺切除术后的尿道。 在替代实施例中，管组件可以包括杆和两个管，三个管，杆和三个管，或四个管。 所公开的方法可以包括将具有末端执行器的器具插入膀胱腔内，并且使用末端执行器将膀胱壁推动到盆底并驱动锚通过膀胱壁并进入盆底。
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7.发明授权Method and instrument for effecting anastomosis of respective tissues defining two body lumens 有权用于影响限定两个体腔的各个组织的吻合的方法和仪器公开(公告)号：US07497854B2
公开(公告)日：2009-03-03
申请号：US11094110
申请日：2005-03-30
IPC分类号： A61M27/00
CPC分类号： A61B17/0401 , A61B17/0482 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/11 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/0412 , A61B2017/0417 , A61B2017/0419 , A61B2017/0427 , A61B2017/06176 , A61B2017/0647 , A61B2017/1103 , A61B2017/1135 , A61B2017/1139 , A61B2017/22069 , A61B2017/2905 , A61B2017/2923
摘要： The method disclosed may be used following a prostatectomy may comprise inserting an instrument having an end effector into the bladder lumen via the urethra; using the end effector to urge the bladder wall to the pelvic floor and drive an anchor through the bladder wall into the pelvic floor, thereby connecting a balloon harness within the bladder to the pelvic floor; withdrawing the end effector; inserting and inflating a balloon catheter within the balloon harness, thereby pressing the bladder wall surrounding the bladder opening against the pelvic floor; maintaining the balloon catheter in place and draining the bladder during the time required for the tissues to effectively knit; and then deflating and withdrawing the balloon catheter and disconnecting and withdrawing the balloon harness. The instrument may comprise one or more tubes that support an end effector comprising a positioner and an anchor driver.
摘要翻译： 可以在前列腺切除术之后使用所公开的方法，其可以包括通过尿道将具有端部执行器的器械插入膀胱腔内; 使用末端执行器将膀胱壁推动到盆底，并将锚固件穿过膀胱壁进入盆底，从而将膀胱内的气囊线束连接到盆底; 撤回末端执行器; 将球囊导管插入和充气在球囊束内，从而将围绕膀胱开口的膀胱壁压靠在盆底; 在组织有效编织所需的时间内将气囊导管保持在适当位置并排空膀胱; 然后放气和取出气囊导管并断开和取出气球线束。 仪器可以包括一个或多个支撑包括定位器和锚定器驱动器的末端执行器的管。
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8.发明授权Method and instrument for effecting anastomosis of respective tissues defining two body lumens 有权用于影响限定两个体腔的各个组织的吻合的方法和仪器公开(公告)号：US07713278B2
公开(公告)日：2010-05-11
申请号：US11094585
申请日：2005-03-30
申请人： Christopher J. Hess , Robert P. Gill , William B. Weisenburgh, II , James W. Voegele , Muta M. Issa
发明人： Christopher J. Hess , Robert P. Gill , William B. Weisenburgh, II , James W. Voegele , Muta M. Issa
IPC分类号： A61B17/08
CPC分类号： A61B17/0401 , A61B17/0482 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/11 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/0412 , A61B2017/0417 , A61B2017/0419 , A61B2017/0427 , A61B2017/06176 , A61B2017/0647 , A61B2017/1103 , A61B2017/1135 , A61B2017/1139 , A61B2017/22069 , A61B2017/2905 , A61B2017/2923
摘要： The method disclosed may be used following a prostatectomy, and may comprise inserting an instrument into the bladder lumen through incisions in the abdomen and bladder wall; using an end effector thereon to urge the bladder wall to the pelvic floor and align the openings of the bladder and urethra, and drive an anchor through the bladder wall into the pelvic floor, thereby connecting a balloon harness to the pelvic floor; inflating a balloon within the harness, which holds the bladder wall surrounding the bladder opening against the pelvic floor; maintaining the balloon in place and draining the bladder via a catheter during the time required for the tissues to effectively knit; and then deflating the balloon, disconnecting the harness, and withdrawing the instrument. The instrument may comprise one or more tubes that support an end effector comprising a positioner, an anchor driver, a harness, a balloon and a catheter.
摘要翻译： 所公开的方法可以在前列腺切除术之后使用，并且可以包括通过腹部和膀胱壁中的切口将器械插入膀胱腔内; 使用其上的端部执行器将膀胱壁推动到骨盆底部并对准膀胱和尿道的开口，并且将锚定件穿过膀胱壁驱动到骨盆底部，从而将气囊束连接到盆底; 使线束内的气囊膨胀，其将围绕膀胱开口的膀胱壁抵靠在盆底上; 在组织有效编织所需的时间期间通过导管将气囊保持在适当位置并排出膀胱; 然后放气气球，断开线束并取出仪器。 仪器可以包括一个或多个支撑包括定位器，锚定器驱动器，线束，球囊和导管的末端执行器的管。
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公开(公告)号：US20110306842A9
公开(公告)日：2011-12-15
申请号：US11979638
申请日：2007-11-06
申请人： James W. Voegele , Christopher J. Hess , William B. Weisenburgh, II , Robert P. Gill , Daniel W. Drew , Frank L. Lyman , Michael D. Cronin
发明人： James W. Voegele , Christopher J. Hess , William B. Weisenburgh, II , Robert P. Gill , Daniel W. Drew , Frank L. Lyman , Michael D. Cronin
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3498 , A61B2017/00265 , A61B2017/00438 , A61B2090/308 , A61B2217/005
摘要： A laparoscopic seal assembly includes a seal cap having a seal with an access opening. The seal cap also includes a manifold connection for attachment of a functional apparatus. The seal assembly further includes a retractor.
摘要翻译： 腹腔镜密封组件包括具有与入口的密封件的密封帽。 密封盖还包括用于附接功能装置的歧管连接件。 密封组件还包括牵开器。
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公开(公告)号：US07824421B2
公开(公告)日：2010-11-02
申请号：US11268137
申请日：2005-11-07
申请人： William B. Weisenburgh, II , Christopher J. Hess , James W. Voegele , Robert P. Gill , Muta M. Issa
发明人： William B. Weisenburgh, II , Christopher J. Hess , James W. Voegele , Robert P. Gill , Muta M. Issa
IPC分类号： A61B17/08
CPC分类号： A61B17/1114 , A61B17/0401 , A61B17/08 , A61B17/10 , A61B17/11 , A61B17/115 , A61B2017/00274 , A61B2017/00367 , A61B2017/0409 , A61B2017/0412 , A61B2017/0437 , A61B2017/047 , A61B2017/1103 , A61B2017/1135 , A61B2017/1139 , A61B2018/00547
摘要： Disclosed is an instrument for use in a procedure to effect anastomosis of a patient's bladder and urethra following a prostatectomy having a tube assembly, and an end effector assembly operably supported by the tube assembly, where the end effector assembly includes an anchor for insertion into and through the patient's bladder wall and pelvic floor and an anchor guide associated therewith.
摘要翻译： 公开了一种用于在具有管组件的前列腺切除术之后进行患者膀胱和尿道吻合的手术中的仪器，以及由管组件可操作地支撑的端部执行器组件，其中末端执行器组件包括用于插入和 通过患者的膀胱壁和盆底以及与之相关联的锚定导向件。
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