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公开(公告)号：US07815652B2
公开(公告)日：2010-10-19
申请号：US11385505
申请日：2006-03-21
CPC分类号： A61B17/064 , A61B17/068 , A61B2017/0649
摘要： A surgical fastener including a filament formed into a generally helical shape around a fastener axis and having a plurality of coils. The proximal end of the filament has an engagement member and the distal end of the filament has a penetrating tip. The engagement member may be driven to rotate the penetrating tip about the fastener axis such that the coils screw into tissue held in the path of the penetrating tip.
摘要翻译： 一种外科紧固件，其包括围绕紧固件轴线形成为大致螺旋状并且具有多个线圈的细丝。 细丝的近端具有接合构件，并且细丝的远端具有穿透尖端。 可以驱动接合构件以使穿透尖端围绕紧固件轴线旋转，使得线圈螺旋到保持在穿透尖端的路径中的组织中。
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公开(公告)号：US08216255B2
公开(公告)日：2012-07-10
申请号：US10867497
申请日：2004-06-14
申请人： Kevin W. Smith , Jeffrey David Messerly , Barry Thomas Jamison , Peter K. Kratsch , Carlos Rivera , Jose Luis Francese , Kristin Nicole Werner Dawson , Chester O. Baxter, III , Juergen A. Kortenbach
发明人： Kevin W. Smith , Jeffrey David Messerly , Barry Thomas Jamison , Peter K. Kratsch , Carlos Rivera , Jose Luis Francese , Kristin Nicole Werner Dawson , Chester O. Baxter, III , Juergen A. Kortenbach
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。
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3.发明授权Methods and devices for accessing a body cavity using a surgical access device with modular seal components 有权使用具有模块化密封部件的手术进入装置进入体腔的方法和装置公开(公告)号：US09078695B2
公开(公告)日：2015-07-14
申请号：US12479395
申请日：2009-06-05
申请人： Christopher J. Hess , Kyle P. Moore , Daniel H. Duke , Daniel J. Mumaw , Katherine J. Schmid , Michael S. Cropper , Jeffrey David Messerly , William Bruce Weisenburgh, II , Jerome R. Morgan , Michael D. Cronin , Denzel Z. Herrera-Davis , Gregory W. Johnson , Kevin L. Houser , Frederick E. Shelton, IV
发明人： Christopher J. Hess , Kyle P. Moore , Daniel H. Duke , Daniel J. Mumaw , Katherine J. Schmid , Michael S. Cropper , Jeffrey David Messerly , William Bruce Weisenburgh, II , Jerome R. Morgan , Michael D. Cronin , Denzel Z. Herrera-Davis , Gregory W. Johnson , Kevin L. Houser , Frederick E. Shelton, IV
CPC分类号： A61B17/3423 , A61B17/3462 , A61B2017/00287 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466 , A61B2017/3484 , A61B2017/3488
摘要： Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can include a hollow tubular member and a modular seal member. The modular seal member can be configured to radially span a lumen of the tubular member and can be removably and replaceably matable to a portion of the tubular member. The access device can also include a plurality of access ports, each of which can be configured to mate with the modular seal member at a respective desired location.
摘要翻译： 提供了用于提供通过组织进入外科手术部位的方法和装置。 在一个实施例中，外科进入装置可以包括中空管状构件和模块化密封构件。 模块化密封构件可以构造成径向跨越管状构件的内腔，并且可拆卸地且可更换地配合到管状构件的一部分。 接入设备还可以包括多个接入端口，每个接入端口可被配置为在相应的期望位置处与模块化密封构件配合。
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公开(公告)号：US08419766B2
公开(公告)日：2013-04-16
申请号：US12638408
申请日：2009-12-15
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B2017/00526 , A61B2017/294 , Y10T29/49826
摘要： The present invention provides a flexible actuator, and methods for manufacturing and using a flexible actuator, for transmitting high loads from a user to an end effector. In one exemplary embodiment, the flexible actuator can extend from a handle of a medical device to an end effector located on a distal end of the device. The actuator can include a head formed on a terminal end thereof with at least one planar surface that is approximately coplanar with an outer surface of the flexible actuator. In use, the actuator can be coupled to a medical device having an end effector located on a distal end thereof. Tension applied to the actuator can be effective to actuate the end effector.
摘要翻译： 本发明提供了一种柔性致动器，以及用于制造和使用柔性致动器的方法，用于将高负载从使用者传递到末端执行器。 在一个示例性实施例中，柔性致动器可以从医疗装置的手柄延伸到位于装置的远端上的末端执行器。 致动器可以包括在其末端上形成有与柔性致动器的外表面大致共面的至少一个平面的头部。 在使用中，致动器可以联接到具有位于其远端上的末端执行器的医疗装置。 施加到致动器的张力可以有效地致动末端执行器。
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公开(公告)号：US20100088877A1
公开(公告)日：2010-04-15
申请号：US12638408
申请日：2009-12-15
IPC分类号： B23P11/00
CPC分类号： A61B17/29 , A61B2017/00526 , A61B2017/294 , Y10T29/49826
摘要： The present invention provides a flexible actuator, and methods for manufacturing and using a flexible actuator, for transmitting high loads from a user to an end effector. In one exemplary embodiment, the flexible actuator can extend from a handle of a medical device to an end effector located on a distal end of the device. The actuator can include a head formed on a terminal end thereof with at least one planar surface that is approximately coplanar with an outer surface of the flexible actuator. In use, the actuator can be coupled to a medical device having an end effector located on a distal end thereof. Tension applied to the actuator can be effective to actuate the end effector.
摘要翻译： 本发明提供了一种柔性致动器，以及用于制造和使用柔性致动器的方法，用于将高负载从使用者传递到末端执行器。 在一个示例性实施例中，柔性致动器可以从医疗装置的手柄延伸到位于装置的远端上的末端执行器。 致动器可以包括在其末端上形成有与柔性致动器的外表面大致共面的至少一个平面的头部。 在使用中，致动器可以联接到具有位于其远端上的末端执行器的医疗装置。 施加到致动器的张力可以有效地致动末端执行器。
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公开(公告)号：US08179074B2
公开(公告)日：2012-05-15
申请号：US12581464
申请日：2009-10-19
IPC分类号： B25J5/00
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US20100042141A1
公开(公告)日：2010-02-18
申请号：US12581464
申请日：2009-10-19
IPC分类号： A61B17/94
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US07605559B2
公开(公告)日：2009-10-20
申请号：US12331110
申请日：2008-12-09
IPC分类号： B25J15/02
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US20090088603A1
公开(公告)日：2009-04-02
申请号：US12331110
申请日：2008-12-09
IPC分类号： A61B1/005
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US07479752B2
公开(公告)日：2009-01-20
申请号：US11425525
申请日：2006-06-21
IPC分类号： G05B19/04
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
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