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公开(公告)号：US20110087267A1
公开(公告)日：2011-04-14
申请号：US12576578
申请日：2009-10-09
CPC分类号： A61B18/1442 , A61B17/29 , A61B2017/00296 , A61B2017/00473 , A61B2017/00477 , A61B2017/0053 , A61B2018/1495
摘要： A laparoscopic surgical method comprises obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle. The distal end of the first instrument is passed through a percutaneous incision. A surgical end effector is obtained having a distal end with operable jaws and a proximal end selectively attachable to and detachable from the distal end of the first instrument. A second instrument is obtained comprising a distal end and a proximal end connected to a second handle. The surgical end effector is loaded ex vivo on the distal end of the second instrument. The distal end of the second instrument with the loaded surgical end effector is passed through a second incision spaced from the percutaneous incision. The proximal end of the surgical end effector is attached in vivo to the distal end of the first instrument. Tissue is manipulated by actuating the handle of the first instrument to operate the jaws of the surgical end effector.
摘要翻译： 腹腔镜手术方法包括获得包括细长轴的第一仪器，其具有远端和连接到第一手柄的近端。 第一台仪器的远端通过一个经皮切口。 获得外科末端执行器，其具有具有可操作的夹爪的远端和可选择性地附接到第一器械的远端并且可从第一器械的远端拆卸的近端。 获得包括连接到第二手柄的远端和近端的第二器械。 手术末端执行器离体装载在第二仪器的远端。 具有装载的外科末端执行器的第二器械的远端通过与经皮切口间隔开的第二切口。 手术末端执行器的近端在体内附着到第一器械的远端。 组织通过致动第一仪器的手柄来操纵手术末端执行器的钳口来操纵。
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公开(公告)号：US08062306B2
公开(公告)日：2011-11-22
申请号：US11610803
申请日：2006-12-14
IPC分类号： A61B17/32
CPC分类号： A61B17/29 , A61B10/06 , A61B17/2909 , A61B2017/2927 , A61B2017/2929 , A61B2017/2939
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译： 提供了用于控制手术装置的工作端的移动的方法和装置，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。 在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。
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公开(公告)号：US20090299143A1
公开(公告)日：2009-12-03
申请号：US12129880
申请日：2008-05-30
IPC分类号： A61B1/00
CPC分类号： A61B17/29 , A61B10/04 , A61B10/06 , A61B18/14 , A61B18/1482 , A61B2017/003 , A61B2017/00424 , A61B2017/00433 , A61B2017/00477 , A61B2017/2905 , A61B2017/2911 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2018/1407 , A61B2018/141 , A61B2034/305
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. A decoupling member can isolate the actuation of the end effector from the articulation of the end effector. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译： 提供了用于控制手术装置的工作端的移动的方法和装置，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。 解耦构件可以将端部执行器的致动与末端执行器的铰接隔离。 在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。
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公开(公告)号：US20110276041A1
公开(公告)日：2011-11-10
申请号：US13188512
申请日：2011-07-22
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B10/06 , A61B17/2909 , A61B2017/2927 , A61B2017/2929 , A61B2017/2939
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译： 提供了用于控制手术装置的工作端的移动的方法和装置，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。 在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。
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公开(公告)号：US5871490A
公开(公告)日：1999-02-16
申请号：US881978
申请日：1997-06-25
申请人： Dale R. Schulze , Sean P. Conlon , Saleem U. Qureshi , Rudolph H. Nobis , Bennie Thompson , Kip M. Rupp
发明人： Dale R. Schulze , Sean P. Conlon , Saleem U. Qureshi , Rudolph H. Nobis , Bennie Thompson , Kip M. Rupp
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/062 , A61B17/0625 , A61B17/12013 , A61B2017/00827 , A61B2017/0474 , A61B2017/0475 , A61B2017/0477 , A61B2017/0479 , A61B2017/2931
摘要： A suture cartridge assembly is disclosed. The assembly has a suture cartridge containing a slot for receiving a suture filament and a cartridge top for covering at least a portion of the filament. A grasping jaw faces the cartridge top, and it is movable from an open position spaced from the cartridge top to a closed position adjacent the cartridge top. The slot in the cartridge for receiving the filament facilitates the formation and placement of surgical knots made from the suture filament, particularly when knots are needed at remote surgical sites such as during minimally invasive surgery. The placement and deployment of the knot is further facilitated because the grasping jaw can grasp the filament or the tissue which is desired to be sutured when the jaw is moved from its open to closed positions. The ability to grasp the filament or tissue enables the surgeon to manipulate the filament or tissue during the procedure for deploying and placing the knot, further facilitating the ease with which the surgeon can deploy and place the knots in a minimally invasive procedure.
摘要翻译： 公开了一种缝合筒组件。 组件具有缝合筒，其包含用于接收缝合线丝的狭槽和用于覆盖长丝的至少一部分的药筒顶部。 抓取爪面向盒顶，并且其可从与盒顶部间隔开的打开位置移动到与盒顶部相邻的关闭位置。 用于接收细丝的盒中的槽有助于形成和放置由缝合线制成的手术结，特别是当在远程手术部位需要结时，例如在微创手术期间。 进一步促进结的放置和部署，因为当钳口从其打开位置移动到关闭位置时，抓持钳可以抓住期望被缝合的细丝或组织。 掌握细丝或组织的能力使得外科医生能够在用于部署和放置结的过程中操纵细丝或组织，进一步促进外科医生能够部署的容易程度，并将结放置在微创程序中。
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公开(公告)号：US08771260B2
公开(公告)日：2014-07-08
申请号：US12129880
申请日：2008-05-30
CPC分类号： A61B17/29 , A61B10/04 , A61B10/06 , A61B18/14 , A61B18/1482 , A61B2017/003 , A61B2017/00424 , A61B2017/00433 , A61B2017/00477 , A61B2017/2905 , A61B2017/2911 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2018/1407 , A61B2018/141 , A61B2034/305
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. A decoupling member can isolate the actuation of the end effector from the articulation of the end effector. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译： 提供了用于控制手术装置的工作端的移动的方法和装置，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。 解耦构件可以将端部执行器的致动与末端执行器的铰接隔离。 在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。
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7.发明申请公开(公告)号：US20110295337A1
公开(公告)日：2011-12-01
申请号：US13105262
申请日：2011-05-11
申请人： Thomas E. Albrecht , Jeffrey L. Aldridge , Edward G. Chekan , Sean P. Conlon , Michael S. Cropper , Daniel F. Dlugos, JR. , Jason L. Harris , Christopher J. Hess , Kevin L. Houser , John V. Hunt , Gary L. Long , Prasanna Malaviya , Amy L. Marcotte , Rudolph H. Nobis , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , David N. Plescia , Galen C. Robertson , Randy J. Seeley , Frederick E. Shelton, IV , Michael J. Stokes , Foster B. Stulen , Richard W. Timm , James W. Voegele , William B. Weisenburgh, II , James A. Woodard, JR. , David C. Yates , Andrew M. Zwolinski
发明人： Thomas E. Albrecht , Jeffrey L. Aldridge , Edward G. Chekan , Sean P. Conlon , Michael S. Cropper , Daniel F. Dlugos, JR. , Jason L. Harris , Christopher J. Hess , Kevin L. Houser , John V. Hunt , Gary L. Long , Prasanna Malaviya , Amy L. Marcotte , Rudolph H. Nobis , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , David N. Plescia , Galen C. Robertson , Randy J. Seeley , Frederick E. Shelton, IV , Michael J. Stokes , Foster B. Stulen , Richard W. Timm , James W. Voegele , William B. Weisenburgh, II , James A. Woodard, JR. , David C. Yates , Andrew M. Zwolinski
IPC分类号： A61N1/36
CPC分类号： A61N1/00 , A61F5/0026 , A61N1/0509 , A61N1/327 , A61N1/36007
摘要： A method for regulating hormone production comprises placing at least one electrode in a gastrointestinal tract of a patient and recording an electrical signal during a preselected event produced by the gastrointestinal tract. The method further involves the steps of storing the electrical signal, and playing back the electrical signal by activating the electrode during the absence of the preselected event.
摘要翻译： 用于调节激素产生的方法包括将至少一个电极放置在患者的胃肠道中，并在由胃肠道产生的预选事件期间记录电信号。 该方法还包括存储电信号的步骤，以及在没有预选事件期间激活电极来播放电信号。
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公开(公告)号：US20080147113A1
公开(公告)日：2008-06-19
申请号：US11610803
申请日：2006-12-14
IPC分类号： A61B17/285
CPC分类号： A61B17/29 , A61B10/06 , A61B17/2909 , A61B2017/2927 , A61B2017/2929 , A61B2017/2939
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译： 提供了用于控制手术装置的工作端的移动的方法和装置，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。 在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。
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公开(公告)号：US09295485B2
公开(公告)日：2016-03-29
申请号：US12576565
申请日：2009-10-09
IPC分类号： A61B17/00 , A61B17/3201 , A61B17/29 , A61B17/32 , A61B18/14
CPC分类号： A61B17/00234 , A61B17/29 , A61B17/320092 , A61B17/3201 , A61B18/1442 , A61B2017/00238 , A61B2017/00296 , A61B2017/00464 , A61B2017/00473 , A61B2017/00477 , A61B2018/1495
摘要： A surgical device for use in combination with a percutaneous elongate shaft defining a longitudinal axis. The shaft comprises a distal end and a proximal end, the distal end comprising an attachment mechanism. A surgical end effector is selectively attachable in vivo and detachable in vivo to the attachment mechanism of the percutaneous elongate shaft. A percutaneous elongate loader comprises an articulating distal end. The distal end comprises a tube with an opening at the distal tip, the tube being dimensioned to receive the surgical end effector. The distal end further comprises an engagement feature capable of frictionally holding the surgical end effector in the tube during in vivo attachment to and in vivo detachment from the percutaneous elongate shaft.
摘要翻译： 一种与限定纵向轴线的经皮细长轴组合使用的手术装置。 轴包括远端和近端，远端包括附接机构。 手术末端执行器可选择性地附接到体内并且可在体内可拆卸到经皮细长轴的附接机构。 经皮细长装载器包括铰接的远端。 远端包括在远侧末端具有开口的管，该管的尺寸被设计成接纳外科末端执行器。 远端还包括接合特征，该接合特征能够在体内附着到经皮细长轴和体内脱离经皮细长轴的过程中摩擦地保持管中的外科末端执行器。
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公开(公告)号：US09186203B2
公开(公告)日：2015-11-17
申请号：US12576578
申请日：2009-10-09
CPC分类号： A61B18/1442 , A61B17/29 , A61B2017/00296 , A61B2017/00473 , A61B2017/00477 , A61B2017/0053 , A61B2018/1495
摘要： A laparoscopic surgical method comprises obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle. The distal end of the first instrument is passed through a percutaneous incision. A surgical end effector is obtained having a distal end with operable jaws and a proximal end selectively attachable to and detachable from the distal end of the first instrument. A second instrument is obtained comprising a distal end and a proximal end connected to a second handle. The surgical end effector is loaded ex vivo on the distal end of the second instrument. The distal end of the second instrument with the loaded surgical end effector is passed through a second incision spaced from the percutaneous incision. The proximal end of the surgical end effector is attached in vivo to the distal end of the first instrument. Tissue is manipulated by actuating the handle of the first instrument to operate the jaws of the surgical end effector.
摘要翻译： 腹腔镜手术方法包括获得包括细长轴的第一仪器，其具有远端和连接到第一手柄的近端。 第一台仪器的远端通过一个经皮切口。 获得外科末端执行器，其具有具有可操作的夹爪的远端和可选择性地附接到第一器械的远端并且可从第一器械的远端拆卸的近端。 获得包括连接到第二手柄的远端和近端的第二器械。 手术末端执行器离体装载在第二仪器的远端。 具有装载的外科末端执行器的第二器械的远端通过与经皮切口间隔开的第二切口。 手术末端执行器的近端在体内附着到第一器械的远端。 组织通过致动第一仪器的手柄来操纵手术末端执行器的钳口来操纵。
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