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    TUNNELING TOOL FOR IMPLANTABLE LEADS
    73.
    发明申请
    TUNNELING TOOL FOR IMPLANTABLE LEADS 审中-公开
    隧道掘进工具

    公开(公告)号：WO2012009175A1

    公开(公告)日：2012-01-19

    申请号：PCT/US2011/042926

    申请日：2011-07-05

    申请人： GREATBATCH LTD. ,  GEROY, Jesse

    发明人： GEROY, Jesse

    IPC分类号： A61N1/05

    CPC分类号： A61B17/320016 ,  A61B2017/00946 ,  A61B2017/320056 ,  A61N1/0553

    摘要： A tunneling tool for creating a pathway for implanting a therapy delivery element in a living body. The tunneling tool includes a malleable elongated shaft having a distal end. A sheath having a lumen is slidably positioned over a portion of the shaft. A primary handle secured to proximal end of the shaft permits a user to advance and manipulate the shaft and the sheath in the living body. A secondary handle with an opening is slidably positioned on the shaft between the primary handle and the sheath. The opening has a diameter less than an outside diameter of a proximal end of the sheath. A locking mechanism releasably engages the secondary handle to the primary handle. The sheath is retained in a desired location within the living body by securing the secondary handle relative to the living body as the primary handle is used to remove the shaft from the sheath.

    摘要翻译： 一种用于创建用于将治疗递送元件植入生物体中的通道的隧道工具。 隧道工具包括具有远端的可延展细长轴。 具有内腔的护套可滑动地定位在轴的一部分上。 固定到轴的近端的主把手允许使用者前进并操纵生物体中的轴和护套。 具有开口的辅助手柄可滑动地定位在主手柄和护套之间的轴上。 开口的直径小于护套近端的外径。 锁定机构将辅助手柄可释放地接合到主把手。 通过使用主手柄将护套从轴上取下来，通过固定副把手相对于生物体将护套保持在生物体内的所需位置。

    MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY
    76.
    发明申请
    MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY 审中-公开
    带电动执行器方向控制装置的电动驱动手术切割仪

    公开(公告)号：WO2011078960A1

    公开(公告)日：2011-06-30

    申请号：PCT/US2010/059141

    申请日：2010-12-06

    申请人： ETHICON ENDO-SURGERY, INC. ,  SWENSGARD, Brett, E. ,  SMITH, Bret, W. ,  LAURENT, Ryan, J.

    发明人： SWENSGARD, Brett, E. ,  SMITH, Bret, W. ,  LAURENT, Ryan, J.

    IPC分类号： A61B17/068 ,  A61B17/072 ,  H01H13/00 ,  A61B17/00

    CPC分类号： A61B17/320016 ,  A61B17/068 ,  A61B17/072 ,  A61B2017/00017 ,  H01H3/16 ,  H01H13/18 ,  Y10T74/18976

    摘要： A motor-driven surgical instrument having a control assembly for controlling a switch of the instrument. The surgical instrument may comprise a motor control circuit, a drive member, and a slider. The drive member comprises a first shoulder at a first position and a second shoulder at a second position. A first portion of the slider interfaces the drive member such that the slider is moveable in a direction of movement of the drive member when either the first shoulder or the second shoulder of the drive member engages the first portion of the slider. A second portion of the slider actuates a switch of the motor control circuit when the drive member moves the slider to a first position relative to the first switch. In various embodiments, the switches of the control circuit are not embodied as a part of an IC.

    摘要翻译： 一种具有用于控制仪器的开关的控制组件的电动手术器械。 外科器械可以包括马达控制电路，驱动构件和滑块。 驱动构件包括在第一位置处的第一肩部和在第二位置处的第二肩部。 滑动件的第一部分与驱动构件接合，使得当驱动构件的第一肩部或第二肩部接合滑块的第一部分时，滑动件可以在驱动构件的移动方向上移动。 当驱动构件将滑动件相对于第一开关移动到第一位置时，滑块的第二部分致动马达控制电路的开关。 在各种实施例中，控制电路的开关没有体现为IC的一部分。

    END EFFECTOR WITH REDUNDANT CLOSING MECHANISMS
    78.
    发明申请
    END EFFECTOR WITH REDUNDANT CLOSING MECHANISMS 审中-公开
    具有冗余关闭机制的终端效应

    公开(公告)号：WO2011060311A2

    公开(公告)日：2011-05-19

    申请号：PCT/US2010/056601

    申请日：2010-11-12

    申请人： INTUITIVE SURGICAL OPERATIONS, INC.

    发明人： BURBANK, William A.

    IPC分类号： A61B17/072

    CPC分类号： A61B17/072 ,  A61B17/07207 ,  A61B17/285 ,  A61B17/29 ,  A61B17/320016 ,  A61B34/30 ,  A61B34/37 ,  A61B34/71 ,  A61B50/10 ,  A61B50/13 ,  A61B50/15 ,  A61B2017/00398 ,  A61B2017/00477 ,  A61B2017/07214 ,  A61B2017/2932 ,  A61B2017/2933 ,  A61B2017/2938 ,  A61B2017/2946 ,  A61B2017/2947 ,  A61B2017/320052

    摘要： End effectors with redundant closing mechanisms, and related tools and methods are disclosed. The disclosed end effectors may be particularly beneficial when used for minimally invasive surgery. An example surgical tool comprises an elongate shaft having a proximal end and a distal end, a tool body disposed at the distal end of the shaft, a jaw movable relative to the tool body between a clamped configuration and an open configuration, a first actuation mechanism coupled with the jaw and operable to vary the position of the jaw relative to the tool body between the clamped configuration and the open configuration, and a second actuation mechanism coupled with the jaw. The second actuation mechanism has a first configuration where the jaw is held in the clamped configuration and a second configuration where the position of the jaw relative to the tool body is unconstrained by the second actuation mechanism.

    摘要翻译： 具有冗余闭合机构的结束执行器以及相关的工具和方法被公开。 所公开的末端效应器在用于微创手术时可能是特别有益的。 示例性手术工具包括具有近端和远端的细长轴，设置在所述轴的远端的工具主体，在夹紧构型和打开构型之间可相对于工具主体移动的钳口，第一致动机构 与钳口耦合并且可操作以在钳位构造和打开构型之间改变钳口相对于工具主体的位置，以及与钳口连接的第二致动机构。 第二致动机构具有第一构造，其中夹爪保持在夹紧构型中，并且第二构造使得夹爪相对于工具主体的位置不被第二致动机构约束。

    COMPARTMENT SYNDROME TREATMENT METHOD AND SURGICAL INSTRUMENT FOR SAME
    79.
    发明申请
    COMPARTMENT SYNDROME TREATMENT METHOD AND SURGICAL INSTRUMENT FOR SAME 审中-公开
    室内综合治疗方法和手术仪器

    公开(公告)号：WO2011053422A1

    公开(公告)日：2011-05-05

    申请号：PCT/US2010/050473

    申请日：2010-09-28

    申请人： COOK INCORPORATED ,  MESSMER, Sarah

    发明人： MESSMER, Sarah

    IPC分类号： A61B17/32 ,  A61B17/29 ,  A61B17/3209 ,  A61B19/00

    CPC分类号： A61B17/320016 ,  A61B17/320036 ,  A61B17/3209 ,  A61B2017/2927 ,  A61B2090/3925

    摘要： A subcutaneous fasciotomy is performed to relieve pressure due to compartment syndrome. A small incision is made in a patient's skin. A surgical instrument is advanced through the entry location, and moved between the skin and the fascia of the patient to a remote location, with a cutter of the instrument in a stowed configuration. After reaching the remote location, the cutter is deployed to pierce an initial opening in the fascia at the remote location. The fascia is maintained adjacent a blade of the cutter via a notch shape that traps the fascia. The instrument is then withdrawn back toward the entry location with the blade incising the fascia to relieve pressure in the muscle compartment. The surgical instrument is then removed through the entry incision.

    摘要翻译： 进行皮下筋膜切开术以减轻由室间综合征引起的压力。 在患者的皮肤上进行小切口。 手术器械通过进入位置前进，并且在患者的皮肤和筋膜之间移动到远程位置，仪器的切割器处于收起的构型。 在到达远程位置之后，切割器被部署以在远处的筋膜上穿透初始开口。 筋膜通过捕获筋膜的凹口形状保持在切割器的刀片附近。 然后将器械退回到进入位置，刀片切割筋膜以减轻肌肉隔离层中的压力。 然后通过入口切口取出手术器械。

    DEBRIDEMENT CUTTING HEADS, METHODS, AND SYSTEMS EMPLOYING REDUCED PRESSURE
    80.
    发明申请
    DEBRIDEMENT CUTTING HEADS, METHODS, AND SYSTEMS EMPLOYING REDUCED PRESSURE 审中-公开
    采用降低压力的解除切割头，方法和系统

    公开(公告)号：WO2011047140A1

    公开(公告)日：2011-04-21

    申请号：PCT/US2010/052650

    申请日：2010-10-14

    申请人： KCI LICENSING, INC. ,  HEATON, Keith Patrick ,  SEALY, James Joseph

    发明人： HEATON, Keith Patrick ,  SEALY, James Joseph

    IPC分类号： A61B17/3205 ,  A61B17/30 ,  A61B17/32 ,  A61B17/00 ,  A61M1/00

    CPC分类号： A61B17/3205 ,  A61B17/320016 ,  A61B2017/00761 ,  A61B2017/308 ,  A61B2017/32004 ,  A61B2217/005 ,  A61B2217/007

    摘要： Apparatuses, systems, and methods involve using reduced pressure to position a portion of tissue in a cutting head and cutting the tissue to debride a tissue site. A cutting head includes a debridement conduit having a distal end and a proximal end. A portion of the debridement conduit adjacent to the distal end comprises a tissue treatment area. The cutting head also includes an opening to the tissue treatment area formed at the distal end of the debridement conduit. The tissue treatment area is adapted to receive the portion of tissue through the opening under reduced pressure. The cutting head also includes a selectively moveable cutting member associated with the debridement conduit at the tissue treatment area. The cutting member is for cutting the portion of tissue from the tissue site while the portion of tissue resides in the debridement conduit. Other methods, systems, and apparatuses are disclosed.

    摘要翻译： 装置，系统和方法涉及使用减压来定位切割头中的一部分组织并切割组织以清除组织部位。 切割头包括具有远端和近端的清创导管。 与远端相邻的清创导管的一部分包括组织处理区域。 切割头还包括形成在清创管道的远端处的组织处理区域的开口。 组织处理区域适于在减压下通过开口接收组织的该部分。 切割头还包括与组织处理区域处的清创导管相关联的选择性可移动切割构件。 切割构件用于从组织部位切割组织的部分，同时组织的该部分位于清创导管中。 公开了其它方法，系统和装置。