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1.
公开(公告)号:US20130085509A1
公开(公告)日:2013-04-04
申请号:US13249714
申请日:2011-09-30
申请人: Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
发明人: Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
IPC分类号: A61B19/00
CPC分类号: A61B34/37 , A61B34/30 , A61B34/70 , A61B2017/00022 , A61B2017/00207
摘要: Methods and devices are provided for controlling movement of a distal end of a surgical instrument. In general, the methods and devices can allow for controlling movement of surgical tools, and in particular for causing mimicked motion between an external control unit and a surgical tool positioned within a patient's body. In one embodiment, a surgical system is provided having a master assembly including an input tool and a slave assembly including a surgical instrument. The master assembly and the slave assembly can be configured to be electronically coupled together such that movement of the master assembly can be electronically communicated to the slave assembly to cause mimicked movement of the slave assembly.
摘要翻译: 提供了用于控制手术器械的远端的运动的方法和装置。 通常,所述方法和装置可以允许控制手术工具的移动,并且特别是用于在外部控制单元和位于患者体内的手术工具之间引起模拟的运动。 在一个实施例中,提供具有主组件的外科系统,所述主组件包括输入工具和包括外科器械的从属组件。 主组件和从组件可以被配置为电子耦合在一起,使得主组件的运动可以电子地传递到从组件以引起从组件的模拟运动。
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2.
公开(公告)号:US09241770B2
公开(公告)日:2016-01-26
申请号:US13249714
申请日:2011-09-30
申请人: Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
发明人: Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
CPC分类号: A61B34/37 , A61B34/30 , A61B34/70 , A61B2017/00022 , A61B2017/00207
摘要: Methods and devices are provided for controlling movement of a distal end of a surgical instrument. In general, the methods and devices can allow for controlling movement of surgical tools, and in particular for causing mimicked motion between an external control unit and a surgical tool positioned within a patient's body. In one embodiment, a surgical system is provided having a master assembly including an input tool and a slave assembly including a surgical instrument. The master assembly and the slave assembly can be configured to be electronically coupled together such that movement of the master assembly can be electronically communicated to the slave assembly to cause mimicked movement of the slave assembly.
摘要翻译: 提供了用于控制手术器械的远端的运动的方法和装置。 通常,所述方法和装置可以允许控制手术工具的移动,并且特别是用于在外部控制单元和位于患者体内的手术工具之间引起模拟的运动。 在一个实施例中,提供具有主组件的外科系统,所述主组件包括输入工具和包括外科器械的从属组件。 主组件和从组件可以被配置为电子耦合在一起,使得主组件的运动可以电子地传递到从组件以引起从组件的模拟运动。
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公开(公告)号:US20090192344A1
公开(公告)日:2009-07-30
申请号:US12019461
申请日:2008-01-24
申请人: Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人: Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
CPC分类号: A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要: A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译: 手术套件可用于操纵患者身体内的组织以在身体内产生工作空间,以允许外科医生使用各种手术器械容易地进入身体内并进行工作。 手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。 该套件还可以包括具有磁体的手术器械,其可用于操纵植入物和与其接合的组织。 手术套件可以包括锚固件和悬挂器,其构造成在主体内的不同位置处接合组织,以及与锚固件和悬挂器接合的连接构件,使得连接构件可以被拉动以将锚移向吊架。 使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。
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公开(公告)号:US20100152539A1
公开(公告)日:2010-06-17
申请号:US12337340
申请日:2008-12-17
申请人: Ragae M. Ghabrial , Michael J. Stokes , Rudolph H. Nobis , Andrew M. Zwolinski , Michael P. Weir , David N. Plescia , Christle M. Cunningham , Omar J. Vakharia , William D. Fox , James T. Spivey
发明人: Ragae M. Ghabrial , Michael J. Stokes , Rudolph H. Nobis , Andrew M. Zwolinski , Michael P. Weir , David N. Plescia , Christle M. Cunningham , Omar J. Vakharia , William D. Fox , James T. Spivey
IPC分类号: A61B1/00
CPC分类号: A61B1/041 , A61B1/00029 , A61B1/00147 , A61B5/073 , A61B5/6882 , A61B34/73 , A61B2017/00283
摘要: A positionable imaging device includes a body defining a first end and a second end. The body is configured to be received within an internal body cavity. An imaging device is located at the first end of the body. A releasable fastener is coupled to the body to removably attach the imaging device to tissue within the internal body cavity. A release mechanism is coupled to the releasable fastener to detach the imaging device from the tissue.
摘要翻译: 可定位成像装置包括限定第一端和第二端的主体。 身体构造成被容纳在内部体腔内。 成像装置位于身体的第一端。 可拆卸紧固件联接到主体以将成像装置可移除地附接到内部体腔内的组织。 释放机构联接到可释放紧固件以将成像装置与组织分离。
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公开(公告)号:US07967741B2
公开(公告)日:2011-06-28
申请号:US11742948
申请日:2007-05-01
申请人: Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人: Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
CPC分类号: A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要: Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译: 提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。 在一个实施例中,提供锚定构件用于将装置或身体部分锚定到组织,例如体腔的内壁。 该装置可以是例如内窥镜装置,耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。 锚定构件可以包括或形成开口,通过该开口可以插入装置。 锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入,通过装置插入的工具和/或由装置或工具抓住的器官。
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公开(公告)号:US20080275297A1
公开(公告)日:2008-11-06
申请号:US11742948
申请日:2007-05-01
申请人: Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人: Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号: A61B1/00
CPC分类号: A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要: Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译: 提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。 在一个实施例中,提供锚定构件用于将装置或身体部分锚定到组织,例如体腔的内壁。 该装置可以是例如内窥镜装置,耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。 锚定构件可以包括或形成开口,通过该开口可以插入装置。 锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入,通过装置插入的工具和/或由装置或工具抓住的器官。
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公开(公告)号:US20130085341A1
公开(公告)日:2013-04-04
申请号:US13249896
申请日:2011-09-30
申请人: Rudolph H. Nobis , Robert M. Trusty , James T. Spivey , Christopher J. Hess , Per O. Park , Omar J. Vakharia
发明人: Rudolph H. Nobis , Robert M. Trusty , James T. Spivey , Christopher J. Hess , Per O. Park , Omar J. Vakharia
CPC分类号: A61B17/29 , A61B17/07207 , A61B2017/00473 , A61B2017/00477
摘要: Methods and devices are provided for manipulating tissue in a body cavity, i.e., in vivo. In general, the methods and devices allow an end effector to engage tissue, be detached from a shaft used to control the end effector to engage the tissue, and then be moved to another location in the body cavity by a separate component, such as an external control unit. In some embodiments the end effector can include one or more deployable hooks that allow the end effector to remain at a surgical site independent of any shafts or external control units. Still further, in other embodiments the end effector can include a transverse bore to allow a second shaft to connect to the end effector to manipulate the tissue. Additional exemplary devices, kits, and methods related to manipulating tissue in vivo are also provided.
摘要翻译: 提供了用于操作体腔中的组织,即体内的方法和装置。 通常,方法和装置允许端部执行器接合组织,从用于控制末端执行器的轴分离以接合组织,然后通过单独的部件移动到体腔中的另一位置,例如 外部控制单元。 在一些实施例中,末端执行器可以包括一个或多个可展开的钩,其允许端部执行器独立于任何轴或外部控制单元而保持在手术位置。 此外,在其他实施例中,端部执行器可以包括横向孔,以允许第二轴连接到末端执行器以操纵组织。 还提供了与在体内操作组织相关的附加的示例性装置,试剂盒和方法。
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公开(公告)号:US07857754B2
公开(公告)日:2010-12-28
申请号:US11128704
申请日:2005-05-13
IPC分类号: A61B1/00
CPC分类号: A61B1/005 , A61B1/00073 , A61B1/00135 , A61B1/0014 , A61B1/012 , A61B2017/00296
摘要: A medical apparatus and method useful for positioning a device, such as an endcap, on an end of an endoscope, is disclosed. The apparatus can exert a pulling force on the endoscope through the endcap while a pushing force is applied to the endcap. The apparatus can be used to press an endcap onto the distal end of an endoscope without grasping by hand a sheath in those applications where the endoscope is disposed in a sheath.
摘要翻译: 公开了一种用于将诸如端盖的装置定位在内窥镜的端部上的医疗装置和方法。 该装置可以通过端盖在内窥镜上施加拉力,同时向端盖施加推力。 该装置可用于在将内窥镜设置在护套中的那些应用中用手将护套按压到内窥镜的远端而不用手抓住。
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公开(公告)号:US07648457B2
公开(公告)日:2010-01-19
申请号:US11129592
申请日:2005-05-13
IPC分类号: A61B1/00
CPC分类号: A61B1/00135 , A61B1/00137 , A61B1/0014 , A61B1/012
摘要: A method for positioning a device, such as an endcap, on an endoscope is disclosed. The method can be used, for example, for facilitating pressing an endcap onto an endoscope, including in those applications where the endscope is disposed in a sheath and the endcap is positioned at the distal end of the sheath.
摘要翻译: 公开了一种用于将诸如端盖的装置定位在内窥镜上的方法。 该方法可以用于例如用于将端盖压入内窥镜,包括在内窥镜设置在护套中并且端盖位于护套的远端的那些应用中。
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公开(公告)号:US20080183035A1
公开(公告)日:2008-07-31
申请号:US11627542
申请日:2007-01-26
IPC分类号: A61B17/94
CPC分类号: A61B17/00234 , A61B1/00135 , A61B1/018 , A61B17/3421 , A61B2017/00292 , A61B2017/00296 , A61B2017/2923 , A61B2017/3445
摘要: Devices and methods useful for manipulating tools at a surgical site are disclosed. In one exemplary embodiment, an accessory device is provided and can include an insertion member and a control wire. The insertion member can have a lumen for receiving a tool therethrough, such as an endoscope. The control wire can be coupled to the insertion member and have a distal portion extending distally from the insertion member and be adapted to receive and to manipulate a tool extending through the insertion member. The control wire can have a wide variety of configurations, and in certain exemplary embodiments the control wire can be slidably received in one or more control wire lumens formed through the insertion member. In use, the control wire can be manipulated, for example by axially sliding the control wire in one or more control wire lumens to control a tool.
摘要翻译: 公开了用于在手术部位操作工具的装置和方法。 在一个示例性实施例中,提供附件装置并且可以包括插入构件和控制线。 插入构件可以具有用于容纳穿过其中的工具的内腔,诸如内窥镜。 控制线可以联接到插入构件并且具有从插入构件向远侧延伸的远侧部分,并且适于接收和操纵延伸穿过插入构件的工具。 控制线可以具有各种各样的配置,并且在某些示例性实施例中,控制线可以可滑动地容纳在通过插入构件形成的一个或多个控制线腔中。 在使用中,控制线可以被操纵,例如通过在一个或多个控制线腔内轴向滑动控制线来控制工具。
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