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公开(公告)号：US20110087269A1
公开(公告)日：2011-04-14
申请号：US12876300
申请日：2010-09-07
申请人： Michael J. Stokes , Kempton K. Carroll, II , Christopher J. Hess , William B. Weisenburgh, II , Sean P. Conlon
发明人： Michael J. Stokes , Kempton K. Carroll, II , Christopher J. Hess , William B. Weisenburgh, II , Sean P. Conlon
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/2908 , A61B2017/2912 , A61B2017/2919 , A61B2017/292 , A61B2017/2922 , A61B2017/3445
摘要： A medical device comprises a handle comprises an actuator. A shaft extends distally from the handle. A first shaft segment extends proximally from the handle and has a proximal end and a distal end. A second shaft segment has a proximal end and a distal end and is pivotably supported with respect to the distal end of the first shaft segment at a position offset from a longitudinal axis of the shaft in a first offset direction. A third shaft segment has a proximal end and a distal end and is pivotably supported with respect to the distal end of the second shaft segment at a position offset from the longitudinal axis of the shaft in a second offset direction different from the first offset direction. A first member extends through at least a portion of the first shaft segment and is operatively associated with the actuator. A second member extends through at least a portion of the second shaft segment. The second member has a proximal end pivotably supported with respect to the distal end of the first member and a distal end pivotably supported with respect to the third shaft segment. The actuator is operative to provide substantially simultaneous compound articulation of the second and third shaft segments.
摘要翻译： 一种医疗装置包括一个手柄，包括致动器。 轴从手柄向远侧延伸。 第一轴段从手柄向近侧延伸并且具有近端和远端。 第二轴段具有近端和远端，并且在第一偏移方向上偏离轴的纵向轴线的位置处相对于第一轴段的远端可枢转地支撑。 第三轴段具有近端和远端，并且在与第一偏移方向不同的第二偏移方向上偏离轴的纵向轴线的位置处相对于第二轴段的远端可枢转地支撑。 第一构件延伸穿过第一轴段的至少一部分并且与致动器可操作地相关联。 第二构件延伸穿过第二轴段的至少一部分。 第二构件具有相对于第一构件的远端可枢转地支撑的近端和相对于第三轴段可枢转地支撑的远端。 致动器可操作以提供第二和第三轴段的基本上同时的复合铰接。
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公开(公告)号：US09333001B2
公开(公告)日：2016-05-10
申请号：US12876300
申请日：2010-09-07
申请人： Michael J. Stokes , Kempton K. Carroll, II , Christopher J. Hess , William B. Weisenburgh, II , Sean P. Conlon
发明人： Michael J. Stokes , Kempton K. Carroll, II , Christopher J. Hess , William B. Weisenburgh, II , Sean P. Conlon
CPC分类号： A61B17/29 , A61B2017/2908 , A61B2017/2912 , A61B2017/2919 , A61B2017/292 , A61B2017/2922 , A61B2017/3445
摘要： A medical device comprises a handle comprises an actuator. A shaft extends distally from the handle. A first shaft segment extends proximally from the handle and has a proximal end and a distal end. A second shaft segment has a proximal end and a distal end and is pivotably supported with respect to the distal end of the first shaft segment at a position offset from a longitudinal axis of the shaft in a first offset direction. A third shaft segment has a proximal end and a distal end and is pivotably supported with respect to the distal end of the second shaft segment at a position offset from the longitudinal axis of the shaft in a second offset direction different from the first offset direction. A first member extends through at least a portion of the first shaft segment and is operatively associated with the actuator. A second member extends through at least a portion of the second shaft segment. The second member has a proximal end pivotably supported with respect to the distal end of the first member and a distal end pivotably supported with respect to the third shaft segment. The actuator is operative to provide substantially simultaneous compound articulation of the second and third shaft segments.
摘要翻译： 一种医疗装置包括一个手柄，包括致动器。 轴从手柄向远侧延伸。 第一轴段从手柄向近侧延伸并且具有近端和远端。 第二轴段具有近端和远端，并且在第一偏移方向上偏离轴的纵向轴线的位置处相对于第一轴段的远端可枢转地支撑。 第三轴段具有近端和远端，并且在与第一偏移方向不同的第二偏移方向上偏离轴的纵向轴线的位置处相对于第二轴段的远端可枢转地支撑。 第一构件延伸穿过第一轴段的至少一部分并且与致动器可操作地相关联。 第二构件延伸穿过第二轴段的至少一部分。 第二构件具有相对于第一构件的远端可枢转地支撑的近端和相对于第三轴段可枢转地支撑的远端。 致动器可操作以提供第二和第三轴段的基本上同时的复合铰接。
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公开(公告)号：US20130303851A1
公开(公告)日：2013-11-14
申请号：US13470781
申请日：2012-05-14
申请人： David B. Griffith , Sean P. Conlon , William B. Weisenburgh, II , Christopher J. Hess , Kempton K. Carroll, II
发明人： David B. Griffith , Sean P. Conlon , William B. Weisenburgh, II , Christopher J. Hess , Kempton K. Carroll, II
IPC分类号： A61B1/00
CPC分类号： A61B17/3423 , A61B1/00154 , A61B1/00158 , A61B1/041 , A61B1/3132 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B2017/00283 , A61B2017/3445
摘要： A cannula assembly including a seal for an endoscopic internal magnetic camera tether. The seal may include stacked compliant membranes with an aperture in each membrane through which a camera tether may pass. The apertures may overlap. The at least one aperture may be arranged as a slit. Each of the apertures may comprise a wedge-shaped gap. The membranes may include engagement members that couple to engagement members on the cannula assembly. The cannula assembly may provide separate ports for the camera tethers and for a trocar or other endoscopic instrument passing through the cannula assembly. The cannula assembly also may include a rotating housing with two openings and a seal arranged in each opening. The cannula assembly may include a sleeve that encases a cannula tube. The sleeve may include a seal on its end and a channel on its periphery through which a camera tether may pass.
摘要翻译： 套管组件，其包括用于内窥镜内部磁性照相机系绳的密封件。 密封件可以包括具有每个膜中的孔的堆叠的柔顺膜，照相机系绳可以穿过该孔。 孔可以重叠。 该至少一个孔可以被布置成狭缝。 每个孔可以包括楔形间隙。 膜可以包括联接到套管组件上的接合构件的接合构件。 套管组件可以为照相机系绳提供分开的端口，以及针对通过插管组件的套管针或其他内窥镜器械。 插管组件还可以包括具有两个开口的旋转壳体和布置在每个开口中的密封件。 套管组件可以包括套管套管。 套筒可以包括其端部上的密封件和其周边上的通道，照相机系绳可以穿过该通道。
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公开(公告)号：US09427255B2
公开(公告)日：2016-08-30
申请号：US13470781
申请日：2012-05-14
申请人： David B. Griffith , Sean P. Conlon , William B. Weisenburgh, II , Christopher J. Hess , Kempton K. Carroll, II
发明人： David B. Griffith , Sean P. Conlon , William B. Weisenburgh, II , Christopher J. Hess , Kempton K. Carroll, II
CPC分类号： A61B17/3423 , A61B1/00154 , A61B1/00158 , A61B1/041 , A61B1/3132 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B2017/00283 , A61B2017/3445
摘要： A cannula assembly including a seal for an endoscopic internal magnetic camera tether. The seal may include stacked compliant membranes with an aperture in each membrane through which a camera tether may pass. The apertures may overlap. The at least one aperture may be arranged as a slit. Each of the apertures may comprise a wedge-shaped gap. The membranes may include engagement members that couple to engagement members on the cannula assembly. The cannula assembly may provide separate ports for the camera tethers and for a trocar or other endoscopic instrument passing through the cannula assembly. The cannula assembly also may include a rotating housing with two openings and a seal arranged in each opening. The cannula assembly may include a sleeve that encases a cannula tube. The sleeve may include a seal on its end and a channel on its periphery through which a camera tether may pass.
摘要翻译： 套管组件，其包括用于内窥镜内部磁性照相机系绳的密封件。 密封件可以包括具有每个膜中的孔的堆叠的柔顺膜，照相机系绳可以穿过该孔。 孔可以重叠。 该至少一个孔可以被布置成狭缝。 每个孔可以包括楔形间隙。 膜可以包括联接到套管组件上的接合构件的接合构件。 套管组件可以为照相机系绳提供分开的端口，以及针对通过插管组件的套管针或其他内窥镜器械。 插管组件还可以包括具有两个开口的旋转壳体和布置在每个开口中的密封件。 套管组件可以包括套管套管。 套筒可以包括其端部上的密封件和其周边上的通道，照相机系绳可以穿过该通道。
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公开(公告)号：US20130158348A1
公开(公告)日：2013-06-20
申请号：US13325791
申请日：2011-12-14
申请人： Rudolph H. Nobis , James T. Spivey , Alexander P. Kondor , Kempton K. Carroll, II , Christopher J. Hess , Sean P. Conlon , David B. Griffith
发明人： Rudolph H. Nobis , James T. Spivey , Alexander P. Kondor , Kempton K. Carroll, II , Christopher J. Hess , Sean P. Conlon , David B. Griffith
IPC分类号： A61B1/04
CPC分类号： A61B1/00158 , A61B1/00154 , A61B1/041 , A61B1/3132 , A61B17/3468 , A61B2017/00283
摘要： An introducer for an internal magnetic camera is provided. The introducer may be arranged to enable the camera to be placed inside of a body cavity through an otomy or incision and then oriented next to the tissue of the body cavity opposite an External Control Unit (“ECU”) outside of the body cavity. The camera may be retained in the introducer by a magnet or a magnetic material, by a selectively engageable retainer, or by covering the camera within a cavity. The camera may be retained in the introducer by a latch. The camera may include a keyed surface that only can align with a matching keyed surface on the retainer in a single orientation. The introducer may include a spring to eject the camera from the introducer when the retainer is disengaged.
摘要翻译： 提供了一种用于内部磁性照相机的导引器。 导引器可以被布置成使照相机能够通过穿孔或切口放置在体腔内部，然后定向在与体腔外侧的外部控制单元（“ECU”）相对的体腔的组织旁边。 相机可以通过磁体或磁性材料，可选择性地接合的保持器或通过在空腔内覆盖照相机而保持在导引器中。 相机可以通过闩锁保持在导引器中。 相机可以包括键盘表面，其仅能够以单个取向与保持器上的匹配的键盘表面对准。 引导器可以包括弹簧，以在保持器脱离时从引导器弹出相机。
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公开(公告)号：US20120053402A1
公开(公告)日：2012-03-01
申请号：US12873829
申请日：2010-09-01
IPC分类号： A61B1/00
CPC分类号： A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/068 , A61B17/07207 , A61B17/29 , A61B17/320016 , A61B17/34 , A61B17/3474 , A61B50/30 , A61B50/33 , A61B90/361 , A61B2017/00283 , A61B2017/00362 , A61B2017/00473 , A61B2017/00876 , A61B2017/0688 , A61B2017/07271
摘要： A single port surgical method comprises inserting only a single trocar through the abdominal wall; inserting a camera into the abdominal cavity; magnetically anchoring the camera to the abdominal wall; obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle; passing the distal end of the first instrument through the abdominal wall independent of a trocar; attaching in vivo an end effector to the distal end of the first surgical instrument; obtaining a second instrument comprising an elongate shaft with a distal end with an end effector and a proximal end connected to a second handle; passing the distal end of the second instrument through the trocar; and manipulating tissue in the abdominal cavity with the first and second surgical instrument end effectors under visualization from the magnetically anchored camera.
摘要翻译： 单端口手术方法包括仅穿过单个套管针穿过腹壁; 将相机插入腹腔; 将相机磁性地固定在腹壁上; 获得包括细长轴的第一仪器，其具有连接到第一手柄的远端和近端; 使第一个器械的远端通过腹壁独立于套管针; 将末端执行器体内附接到第一外科器械的远端; 获得包括具有远端的细长轴的第二仪器，所述远端具有末端执行器，并且近端连接到第二手柄; 使第二台仪器的远端穿过套管针; 并且使用第一和第二外科器械终端执行器在磁力锚定相机可视化下操纵腹腔中的组织。
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公开(公告)号：US20120053406A1
公开(公告)日：2012-03-01
申请号：US12873845
申请日：2010-09-01
CPC分类号： A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/068 , A61B17/07207 , A61B17/29 , A61B17/320016 , A61B17/34 , A61B17/3474 , A61B50/30 , A61B50/33 , A61B90/361 , A61B2017/00283 , A61B2017/00362 , A61B2017/00473 , A61B2017/00876 , A61B2017/0688 , A61B2017/07271
摘要： A surgical kit comprises two percutaneous instruments each having an elongate shaft with a distal end and a proximal end connected to a handle; at least two end effectors attachable and detachable to the distal ends of the percutaneous instruments; a laparoscopic loader adapted to receive the end effectors; a trocar; and a laparoscopic surgical stapler. The surgical kit may further comprise laparoscopic energy based clamping and coagulating device and/or a laparoscopic suture device. Optionally, the surgical kit may further comprised a third percutaneous instrument having an elongate shaft with a distal end and a proximal end connected to a handle, and at least three end effectors attachable and detachable to the distal ends of the percutaneous instruments. The surgical kit may further comprise a magnetic camera and/or a magnetic external control unit adapted to anchor a magnetic camera. The components of the surgical kit may be contained in a sterile sealed package.
摘要翻译： 手术套件包括两个经皮器械，每个具有细长轴，其具有远端和近端连接到手柄; 至少两个末端执行器可附接和可拆卸到经皮器械的远端; 一种适于接收末端执行器的腹腔镜装载器; 套管针 和腹腔镜手术吻合器。 手术套件还可以包括基于腹腔镜能量的夹紧和凝固装置和/或腹腔镜缝合装置。 任选地，手术套件还可以包括第三经皮器械，其具有细长轴，其具有连接到手柄的远端和近端，以及可附接和可拆卸到经皮器械的远端的至少三个末端执行器。 手术套件还可以包括适于锚定磁性相机的磁性相机和/或磁性外部控制单元。 手术套件的组件可以包含在无菌密封包装中。
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公开(公告)号：US08480689B2
公开(公告)日：2013-07-09
申请号：US12202740
申请日：2008-09-02
IPC分类号： A61B17/08
CPC分类号： A61B17/06066 , A61B17/0625 , A61B2017/00867
摘要： A surgical suturing device has a grasper device that is translatable within an outer lumen where a first end of a needle is grasped with the grasper device. The needle may be resilient to a curved resting state. The grasper device translates proximally relative to the outer lumen such that the needle is translated into the outer lumen, wherein the outer lumen tends to straighten the needle from the curved resting state. The grasper device may be translated distally relative to the outer lumen such that a second end of the needle extends distally from the outer lumen and pierces the tissue. The needle may return to the curved resting state as it exits the outer lumen. When a second end of the needle emerges from the tissue, the second end of the needle may be grasped with the grasper device.
摘要翻译： 手术缝合装置具有可在外腔内平移的抓持装置，其中针的第一端用抓紧装置抓住。 针可能是弯曲的静止状态的弹性。 抓紧装置相对于外腔向近侧平移，使得针被平移到外腔中，其中外腔容易使针从弯曲的静止状态伸直。 抓紧装置可以相对于外腔向远侧平移，使得针的第二端从外腔向远侧延伸并刺穿组织。 当针头离开外腔时，针可能返回到弯曲的静止状态。 当针的第二端从组织出来时，针的第二端可以用抓紧装置抓住。
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公开(公告)号：US08361112B2
公开(公告)日：2013-01-29
申请号：US12163255
申请日：2008-06-27
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0034 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/06052
摘要： A surgical instrument may comprise a shaft having proximal and distal ends defining an axis therebetween. The shaft may be flexible and sized for insertion into the working channel of a flexible endoscope. The shaft may be configured to be used in conjunction with various suture anchor applicators. One suture anchor applicator may have a first tube with a first channel and a tissue penetrating tip. The first channel may be adapted to retain a second tube. The second tube may have a second channel and a blunt tip. The second channel may be adapted to retain at least one suture anchor and may include an exit port adapted for ejecting suture anchors. An alternative suture anchor applicator may comprise a first tube and a second tube with a tissue penetrating tip. The second channel is adapted to retain at least one suture anchor.
摘要翻译： 外科器械可以包括具有限定其间的轴线的近端和远端的轴。 轴可以是柔性的并且尺寸适于插入到柔性内窥镜的工作通道中。 轴可以被配置为与各种缝合锚固施加器结合使用。 一个缝合锚定施加器可以具有带有第一通道和组织穿透尖端的第一管。 第一通道可适于保持第二管。 第二管可以具有第二通道和钝头。 第二通道可以适于保持至少一个缝合锚，并且可以包括适于弹出缝线锚的出口。 替代的缝合锚定施加器可以包括第一管和具有组织穿透尖端的第二管。 第二通道适于保持至少一个缝合锚。
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公开(公告)号：US20100057108A1
公开(公告)日：2010-03-04
申请号：US12202740
申请日：2008-09-02
IPC分类号： A61B17/04
CPC分类号： A61B17/06066 , A61B17/0625 , A61B2017/00867
摘要： Methods of using a surgical suturing device are disclosed. The methods may contemplate a surgical suturing device comprising a grasper device that is translatable within an outer lumen. The methods may comprise grasping a first end of a needle with the grasper device. The needle may be resilient to a curved resting state. The methods may also comprise translating the grasper device proximally relative to the outer lumen such that the needle is translated into the outer lumen, wherein the outer lumen tends to straighten the needle from the curved resting state and moving the outer lumen distally towards tissue. The grasper device may be translated distally relative to the outer lumen such that a second end of the needle extends distally from the outer lumen and pierces the tissue. The needle may return to the curved resting state as it exits the outer lumen. The methods may also comprise releasing the first end of the needle from the grasper device. When a second end of the needle emerges from the tissue, the second end of the needle may be grasped with the grasper device.
摘要翻译： 公开了使用外科缝合装置的方法。 该方法可以考虑一种外科缝合装置，其包括可在外腔内平移的抓紧装置。 该方法可以包括用抓紧装置抓住针的第一端。 针可能是弯曲的静止状态的弹性。 所述方法还可以包括相对于外腔向近侧平移抓紧装置，使得针被平移到外腔中，其中外腔倾向于使针从弯曲的静止状态伸直并且使外腔向组织移动。 抓紧装置可以相对于外腔向远侧平移，使得针的第二端从外腔向远侧延伸并刺穿组织。 当针头离开外腔时，针可能返回到弯曲的静止状态。 所述方法还可以包括从抓取装置释放针头的第一端。 当针的第二端从组织出来时，针的第二端可以用抓紧装置抓住。
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