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    System and method for treatment of tissue using the tissue as a fiducial
    1.
    发明授权
    System and method for treatment of tissue using the tissue as a fiducial 有权
    使用组织作为基准治疗组织的系统和方法

    公开(公告)号：US07833221B2

    公开(公告)日：2010-11-16

    申请号：US10971448

    申请日：2004-10-22

    申请人： James W. Voegele ,  Robert Perrin Gill

    发明人： James W. Voegele ,  Robert Perrin Gill

    IPC分类号： A61B18/12 ,  A61B8/00

    CPC分类号： A61B17/3421 ,  A61B34/20 ,  A61B90/11 ,  A61B90/36 ,  A61B90/361 ,  A61B90/50 ,  A61B2017/00477 ,  A61B2017/00699 ,  A61B2017/3405 ,  A61B2017/347 ,  A61B2017/3492 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2090/062 ,  A61B2090/378

    摘要： A method and system for treating tissue with a surgical device includes the steps of displaying an image created by collecting imaging data from an imaging device, selecting at least one tissue target from the image, collecting image data and tracking the tissue target during at least one respiration cycle, determining the dwell position of the tissue target, and displaying an image created from image data collected with the tissue target at the dwell position. The method may further include determining the position and orientation of the surgical device with respect to the dwell position and indicating the trajectory of the surgical device on the display screen. The method may further include the steps of monitoring the respiration cycle, indicating when the tissue target is approaching the dwell position, positioning the surgical device in the patient based upon the dwell position and trajectory and treating the tissue target.

    摘要翻译： 一种用于用外科手术装置处理组织的方法和系统包括以下步骤：显示通过从成像装置收集成像数据而产生的图像，从图像中选择至少一个组织靶，收集图像数据和在至少一个 呼吸周期，确定组织目标的停留位置，以及显示从在组织目标处收集的图像数据创建的图像。 该方法还可以包括确定手术装置相对于停留位置的位置和取向，并指示外科装置在显示屏上的轨迹。 该方法还可以包括以下步骤：监测呼吸周期，指示组织目标何时接近停留位置，基于驻留位置和轨迹以及处理组织靶，将外科装置定位在患者体内。

    Detachable end effectors
    5.
    发明授权
    Detachable end effectors 有权
    可拆卸的末端执行器

    公开(公告)号：US08377044B2

    公开(公告)日：2013-02-19

    申请号：US11693976

    申请日：2007-03-30

    申请人： Jonathan A. Coe ,  James W. Voegele ,  Gary L. Long ,  Andrew M. Zwolinski ,  Kyle P. Moore ,  Robert P. Gill

    发明人： Jonathan A. Coe ,  James W. Voegele ,  Gary L. Long ,  Andrew M. Zwolinski ,  Kyle P. Moore ,  Robert P. Gill

    IPC分类号： A61B17/00

    CPC分类号： A61B17/29 ,  A61B17/00 ,  A61B17/00234 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/2931

    摘要： Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft. For example, a surgeon can actuate an actuation mechanism on the proximal end of the shaft to mate one of the end effectors to the distal end of the shaft without assistance from other tools and devices. After use of the end effector, the end effector can be released and another end effector can be remotely attached to the distal end of the shaft.

    摘要翻译： 提供了用于使用可互换的末端执行器执行各种过程的方法和装置。 通常，所述方法和装置允许外科医生远程地和选择性地将各种可互换的手术端部执行器附接到位于患者体内的轴，从而允许外科医生执行各种程序，而不需要从患者身体移除轴。 在示例性实施例中，可以将多个端部执行器引入体腔中。 末端执行器可以彼此分离或分离，使得它们在体腔内浮动。 轴的远端可以定位在体腔内，并且其可以用于选择性地接合末端执行器中的一个。 特别地，该装置可以构造成允许每个端部执行器远离该轴远端附接和分离。 例如，外科医生可以致动在轴的近端上的致动机构，以便在其他工具和装置的帮助下将端部执行器中的一个配合到轴的远端。 在使用末端执行器之后，端部执行器可以被释放，而另一端部执行器可以远程连接到轴的远端。

    SURGICAL INSTRUMENT WITH SELECTIVELY RIGIDIZABLE FEATURES
    6.
    发明申请
    SURGICAL INSTRUMENT WITH SELECTIVELY RIGIDIZABLE FEATURES 审中-公开
    具有特殊可重复特征的手术器械

    公开(公告)号：US20120191076A1

    公开(公告)日：2012-07-26

    申请号：US13013147

    申请日：2011-01-25

    申请人： James W. Voegele ,  Aaron C. Voegele

    发明人： James W. Voegele ,  Aaron C. Voegele

    IPC分类号： A61B17/00 ,  F01B29/10

    CPC分类号： A61B17/07207 ,  A61B17/1152 ,  A61B17/34 ,  A61B2017/003 ,  A61B2017/00539 ,  A61B2017/00862

    摘要： Mechanisms for altering the shape of a cell or chamber of a shaft or an actuation drive of an instrument are provided. The mechanisms may selectively rigidize the shaft of surgical or diagnostic instruments. The shaft assembly includes a shaft operatively connectable to a control member, at least one cell or a set of cells defined within the shaft, a shape altering material contained within the cell or cells, and, an activation link operatively connectable to a source of activation energy for delivering activation energy to each cell for activating the shape altering material to selectively rigidize or unrigidize the shaft. An actuator for producing work is also provided that includes an element within a housing that defines a cell or a set of cells. The shape altering material is contained within the cells, and a source of activation energy operatively connected to each cell for activating the shape altering material to expand or contract the cell. The element is operatively connectable to a driving member of an instrument such that the change in the cell is translated to the driving member to facilitate the production of work.

    摘要翻译： 提供了用于改变轴的电池或室的形状或仪器的致动驱动的机构。 这些机构可以选择性地将外科手术或诊断仪器的轴刚性化。 轴组件包括可操作地连接到控制构件的轴，在轴内限定的至少一个单元或一组单元，容纳在单元或单元内的形状改变材料，以及可操作地连接到激活源的激活连接 用于将活化能递送到每个电池用于激活形状改变材料以选择性地使轴固定或脱离刚性的能量。 还提供了一种用于生产作业的致动器，其包括限定一个单元或一组单元的壳体内的元件。 形状改变材料包含在细胞内，活化能源可操作地连接到每个细胞，用于激活形状改变材料以扩展或收缩细胞。 元件可操作地连接到仪器的驱动构件，使得电池的变化被转换为驱动构件以便于工作的产生。

    Rotational control for a hand assisted laparoscopic seal assembly
    7.
    发明授权
    Rotational control for a hand assisted laparoscopic seal assembly 有权
    手动辅助腹腔镜密封组件的旋转控制

    公开(公告)号：US08118735B2

    公开(公告)日：2012-02-21

    申请号：US11902945

    申请日：2007-09-26

    申请人： James W. Voegele

    发明人： James W. Voegele

    IPC分类号： A61B1/00

    CPC分类号： A61B17/3423 ,  A61B17/0293 ,  A61B17/3462 ,  A61B2017/00477

    摘要： A seal assembly for permitting hand assisted laparoscopic procedures includes a seal cap having a seal positioned within a housing. The housing includes a lower seal ring having a track which supports an upper seal ring for relative rotational motion, wherein the seal is supported between the upper seal ring and the lower seal ring for rotation between an open orientation and a closed orientation. The upper seal ring includes a first ring member and a second ring member oriented for movement relative thereto, wherein a latching mechanism is positioned between the first ring member and the second ring member for selectively controlling movement of the first ring member relative to the second ring member. The seal assembly also includes a rotational control mechanism controlling motion of the upper seal ring relative to the lower seal ring.

    摘要翻译： 用于允许手辅助腹腔镜手术的密封组件包括具有位于壳体内的密封件的密封帽。 壳体包括下密封环，下密封环具有支撑用于相对旋转运动的上密封环的轨道，其中密封件被支撑在上密封环和下密封环之间，用于在打开定向和闭合取向之间旋转。 上密封环包括第一环构件和定向成相对于其移动的第二环构件，其中闭锁机构定位在第一环构件和第二环构件之间，用于选择性地控制第一环构件相对于第二环的运动 会员。 密封组件还包括控制上密封环相对于下密封环的运动的旋转控制机构。