公开(公告)号：US20060069346A1

公开(公告)日：2006-03-30

申请号：US11233993

申请日：2005-09-23

申请人： Kevin Smith ,  Matthew Palmer ,  Derek Deville ,  Sean McBrayer ,  Korey Kline

发明人： Kevin Smith ,  Matthew Palmer ,  Derek Deville ,  Sean McBrayer ,  Korey Kline

IPC分类号： A61M31/00

CPC分类号： A61M25/005 ,  A61M25/0053 ,  A61M2025/0064 ,  Y10T29/49826

摘要： A method and device for treating a Chronic Total Occlusion provides a controllable stiffness catheter with a shaft having a stiffness sheath and an access lumen. The device has a stiffness device in a stiff state below a given temperature and in a soft state above the temperature, a temperature-changing device in thermal contact with the stiffness device, the temperature-changing device changing a temperature of the stiffness device below and above the temperature, and a power controller electrically connected to the stiffness device and selectively supplying power to the temperature-changing device to change a stiffness of the stiffness device between the stiff and soft states. A guidewire is moved to a treatment site and the catheter moves along the guidewire up to CTO in its soft state. The catheter stiffens without straightening and, in the stiff state, the catheter or the guidewire is projecting through the CTO.

公开(公告)号：US20070270648A1

公开(公告)日：2007-11-22

申请号：US11804843

申请日：2007-05-21

申请人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

发明人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

IPC分类号： A61B1/00

CPC分类号： A61B1/31 ,  A61B1/00135

摘要： A torque-transmitting, variably-flexible insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A vacuum-activated device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A torque braid transmits torque from the proximal end toward the distal end. A method for transmitting torque and variably flexing the insertion device includes transmitting torque along the hollow body with the torque braid, applying suction to create a vacuum in the hollow body for placing the hollow body in the relatively stiff condition, and relieving the vacuum for placing the hollow body in the relatively flexible condition.

摘要翻译： 扭矩传递可变弹性插入装置包括具有近端的中空本体，其具有用于接收器械的入口和具有用于突出仪器的尖端的远端。 真空激活装置在相对柔性的状态和较硬的状态之间转换中空体。 扭矩编织物从近端向远端传递扭矩。 用于传递扭矩并且可变地弯曲插入装置的方法包括用扭矩编织物沿中空体传递扭矩，施加抽吸以在中空体中产生真空以将中空体放置在相对较硬的状态，并且释放用于放置的真空 中空体处于相对灵活的状态。

公开(公告)号：US07914445B2

公开(公告)日：2011-03-29

申请号：US12432351

申请日：2009-04-29

申请人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

发明人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

IPC分类号： A61B1/01 ,  A61B1/00 ,  A61M25/092

CPC分类号： A61B1/0055

摘要： A torque-transmitting, variably-flexible, corrugated insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A vacuum-activated device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A corrugated tube transmits torque from the proximal end toward the distal end. A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes providing a hollow body, transmitting torque along the hollow body with a corrugated tube, applying suction to create a vacuum in the hollow body for placing the hollow body in a relatively stiff condition, and relieving the vacuum for placing the hollow body in a relatively flexible condition.

公开(公告)号：US20070187453A1

公开(公告)日：2007-08-16

申请号：US11540255

申请日：2006-09-29

申请人： Kevin Smith ,  Matthew Palmer ,  Korey Kline ,  Derek Deville

发明人： Kevin Smith ,  Matthew Palmer ,  Korey Kline ,  Derek Deville

IPC分类号： A61B17/10

CPC分类号： A61B17/068 ,  A61B17/00234 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B2017/003 ,  A61B2017/00389 ,  A61B2017/07214 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2017/2931 ,  A61B2017/320052

摘要： A medical device includes a control handle, an end effector, and a passive articulating joint connecting the end effector to the handle. The handle has a stapling actuator, an articulation joint actuator different from the stapling actuator, and a body through which the stapling and articulation joint actuators traverse. The end effector has an anvil, a stapler cartridge with staples, and an anvil-cartridge control device connected thereto and to the stapling actuator and staples when the stapling actuator is actuated. The stapling actuator passes through the articulating joint and flexes correspondingly to articulation of the articulating joint. The articulation joint actuator, when unactuated, holds the articulation joint and, thereby, the end effector, in a substantially fixed articulation position, and, when actuated, releases the articulation joint into its freely articulating state to permit free articulation of the end effector dependent upon external forces acting upon the end effector.

摘要翻译： 医疗装置包括控制手柄，末端执行器和将端部执行器连接到手柄的被动铰接接头。 手柄具有装订致动器，与装订致动器不同的关节运动执行器，以及装订和关节运动关节致动器穿过的主体。 末端执行器具有砧座，具有订书钉的订书机盒和连接到其上的砧座控制装置，并且当装订致动器被致动时，钉砧致动器和订书钉。 缝合致动器穿过铰接接头并相应于铰接接头的铰接而弯曲。 当未致动时，关节运动关节致动器将关节运动关节保持在基本上固定的关节位置，并且在致动时将关节运动关节释放到其自由关节状态，以允许末端执行器依赖的自由关节 外力作用在末端执行器上。

公开(公告)号：US20070073341A1

公开(公告)日：2007-03-29

申请号：US11541105

申请日：2006-09-29

申请人： Kevin Smith ,  Matthew Palmer ,  Korey Kline ,  Derek Deville

发明人： Kevin Smith ,  Matthew Palmer ,  Korey Kline ,  Derek Deville

IPC分类号： A61B17/08

CPC分类号： A61B17/068 ,  A61B17/00234 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B2017/003 ,  A61B2017/00389 ,  A61B2017/07214 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2017/2931 ,  A61B2017/320052

摘要： A method for operating a surgical end effector, includes articulatingly connecting a control handle to the end effector and positioning an articulation joint actuator of the handle to selectively connect with an articulation lock of the end effector such that, when unactuated, the articulation joint actuator automatically connects with the articulation lock to lock the articulation lock and temporarily prevent further articulating motion of the end effector and, when actuated, the articulation joint actuator is removed from the articulation lock to unlock the articulation lock and, thereby, permit articulating motion of the end effector dependent upon external forces acting upon the end effector. The articulation joint actuator is actuated to unlock the articulation lock and the end effector is contacted with the environment to passively articulate the end effector into a desired articulated position. Removal of actuation locks the articulation lock and retains the end effector in the desired articulated position.

摘要翻译： 一种用于操作外科末端执行器的方法，包括将控制手柄铰接地连接到末端执行器并且定位手柄的关节运动关节致动器以选择性地与末端执行器的关节运动锁连接，使得当未致动时，关节运动关节致动器自动 与关节锁连接以锁定关节锁，并暂时防止末端执行器的进一步的关节运动，并且当致动时，关节运动关节致动器从关节运动锁移除，以解锁关节运动锁，从而允许关节运动的终点 取决于作用在末端执行器上的外力的效应。 铰接关节致动器被致动以解锁铰接锁，并且末端执行器与环境接触以将末端执行器被动地铰接到期望的铰接位置。 移除致动锁定关节锁，并将末端执行器保持在所需的铰接位置。

公开(公告)号：US08556804B2

公开(公告)日：2013-10-15

申请号：US11804843

申请日：2007-05-21

申请人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

发明人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

IPC分类号： A61B1/00

CPC分类号： A61B1/31 ,  A61B1/00135

摘要： A torque-transmitting, variably-flexible insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A vacuum-activated device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A torque braid transmits torque from the proximal end toward the distal end. A method for transmitting torque and variably flexing the insertion device includes transmitting torque along the hollow body with the torque braid, applying suction to create a vacuum in the hollow body for placing the hollow body in the relatively stiff condition, and relieving the vacuum for placing the hollow body in the relatively flexible condition.

摘要翻译： 扭矩传递可变弹性插入装置包括具有近端的中空本体，其具有用于接收器械的入口和具有用于突出仪器的尖端的远端。 真空激活装置在相对柔性的状态和较硬的状态之间转换中空体。 扭矩编织物从近端向远端传递扭矩。 用于传递扭矩并且可变地弯曲插入装置的方法包括用扭矩编织物沿中空体传递扭矩，施加抽吸以在中空体中产生真空以将中空体放置在相对较硬的状态，并且释放用于放置的真空 中空体处于相对灵活的状态。

公开(公告)号：US20090209815A1

公开(公告)日：2009-08-20

申请号：US12432351

申请日：2009-04-29

申请人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

发明人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

IPC分类号： A61B1/01 ,  A61B1/00

CPC分类号： A61B1/0055

摘要： A torque-transmitting, variably-flexible, corrugated insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A vacuum-activated device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A corrugated tube transmits torque from the proximal end toward the distal end. A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes providing a hollow body, transmitting torque along the hollow body with a corrugated tube, applying suction to create a vacuum in the hollow body for placing the hollow body in a relatively stiff condition, and relieving the vacuum for placing the hollow body in a relatively flexible condition.

摘要翻译： 扭矩传递的，可变弹性的波纹插入装置包括具有近端的中空本体，所述近端具有用于接纳器械的入口和具有用于突出仪器的尖端的远端。 真空激活装置在相对柔性的状态和较硬的状态之间转换中空体。 波纹管从近端向远端传递扭矩。 用于传递扭矩并可变地弯曲用于接收仪器的插入装置的方法包括提供中空体，沿着中空体传递扭矩用波纹管，施加抽吸以在中空体中产生真空以将中空体放置在相对 刚性状态，并且减轻用于将中空体置于相对柔性状态的真空。

公开(公告)号：US20080287739A1

公开(公告)日：2008-11-20

申请号：US12121132

申请日：2008-05-15

申请人： Kevin Smith ,  Matthew Palmer ,  Derek Deville ,  Korey Kline ,  Carlos Rivera

发明人： Kevin Smith ,  Matthew Palmer ,  Derek Deville ,  Korey Kline ,  Carlos Rivera

IPC分类号： A61B1/00

CPC分类号： A61M25/0105 ,  A61B1/31 ,  A61M2025/09116 ,  B25B13/44 ,  B25B13/5041 ,  B25B25/00 ,  Y10T279/17521 ,  Y10T279/17564 ,  Y10T279/17581 ,  Y10T279/17589 ,  Y10T279/17666 ,  Y10T279/17743 ,  Y10T279/17811

摘要： A torque-transmitting, locking instrument holder, includes a hollow body having a proximal end for receiving an instrument, a distal end for protrusion of the instrument, and a handle to be gripped by an operator. A device is provided for locking the handle to and unlocking the handle from the instrument at least partly disposed within the hollow body. A method for operating the instrument holder includes providing a hollow body having a proximal end for receiving an instrument, a distal end for protrusion of the instrument, and a handle to be gripped by an operator. The instrument is placed at least partly within the hollow body and the handle is locked to and unlocked from the instrument.

摘要翻译： 扭矩传递锁定器具保持器包括具有用于接收器械的近端的中空体，用于突出仪器的远端和由操作者握持的手柄。 提供了一种装置，用于将手柄锁定到手柄上并将其从该器械上解锁，至少部分地设置在该中空体内。 用于操作仪器保持器的方法包括提供具有用于接收仪器的近端的中空体，用于突出仪器的远端以及由操作者抓握的手柄。 该仪器至少部分地放置在中空体内，手柄被锁定并从仪器上解锁。

公开(公告)号：US20070208364A1

公开(公告)日：2007-09-06

申请号：US11367607

申请日：2006-03-02

申请人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

发明人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Matthew Palmer

IPC分类号： A61M29/00

CPC分类号： A61M29/00 ,  A61B1/00078 ,  A61B1/005 ,  A61B1/0055

摘要： A variably flexible insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. Tendons within the hollow body maintain the hollow body in the relatively flexible and relatively stiff conditions. A method for variably flexing an insertion device for receiving an instrument, includes providing a hollow body having inner and outer sleeves defining a space therebetween in which tendons are disposed. Suction is applied to create a vacuum in the space for frictionally locking the tendons in place between the sleeves in a relatively stiff condition of the hollow body. The vacuum is relieved to release the tendons in a relatively flexible condition of the hollow body.

摘要翻译： 可变弹性插入装置包括具有近端的中空本体，其具有用于容纳器械的入口和具有用于突出仪器的尖端的远端。 一种装置在相对柔性的状态和较硬的状态之间转变中空体。 中空体内的肌腱将中空体保持在相对柔韧和相对僵硬的状态。 一种用于可变地弯曲用于接收器械的插入装置的方法，包括提供具有限定其间布置有腱的空间的内部和外部套筒的中空本体。 施加抽吸以在空间中产生真空，以在中空体的相对刚硬的状态下将钢筋摩擦锁定在套筒之间的适当位置。 真空被释放以在中空体的相对柔性的状态下释放腱。

公开(公告)号：US09814372B2

公开(公告)日：2017-11-14

申请号：US11823247

申请日：2007-06-27

申请人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Thomas Bales ,  Matthew Palmer ,  Carlos Rivera

发明人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Thomas Bales ,  Matthew Palmer ,  Carlos Rivera

IPC分类号： A61B1/00 ,  A61B1/005 ,  A61B1/31 ,  A61B1/015

CPC分类号： A61B1/0052 ,  A61B1/00154 ,  A61B1/0055 ,  A61B1/015 ,  A61B1/31

摘要： A torque-transmitting, variably-flexible, locking insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument, a distal end with a tip for protrusion of the instrument, and a handle to be gripped by an operator. A device locks the handle to and unlocks the handle from the instrument, which is at least partly disposed within the hollow body. A device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A method for operating a torque-transmitting, locking insertion device includes placing the instrument at least partly within the hollow body and locking the handle to and unlocking the handle from the instrument. The hollow body is transitioned between a relatively flexible condition and a relatively stiff condition.