公开(公告)号：WO2006009998A3

公开(公告)日：2006-04-27

申请号：PCT/US2005021755

申请日：2005-06-21

Applicant: ETHICON ENDO SURGERY INC ,  GILL ROBERT P ,  HESS CHRISTOPHER J ,  WEISENBURGH WILLIAM B II ,  VOEGELE JAMES W ,  ISSA MUTA M

Inventor： GILL ROBERT P ,  HESS CHRISTOPHER J ,  WEISENBURGH WILLIAM B II ,  VOEGELE JAMES W ,  ISSA MUTA M

IPC: A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/068 ,  A61B17/08 ,  A61B17/11 ,  A61B17/115 ,  A61B17/22 ,  A61B17/28

CPC classification number: A61B17/0401 ,  A61B17/0482 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/11 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00004 ,  A61B2017/0412 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0427 ,  A61B2017/06176 ,  A61B2017/0647 ,  A61B2017/1103 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61B2017/22069 ,  A61B2017/2905 ,  A61B2017/2923

Abstract: The instrument (10) disclosed comprises a tube assembly (500) supporting an end effector that may be adapted for insertion into and through the urethra into the bladder lumen or into the bladder lumen through incisions in the abdomen and bladder wall and adapted for use in effecting the anastomosis of a patient's bladder and urethra following a prostatectomy. The instrument (10) may include an end effector having a positioner (400), an anchor driver (300) and anchor system (700) comprising a shaft (720) with a lodging structure (730), and/or a combined balloon harness (94) and catheter (96). The instrument (10) urges the bladder wall to the pelvic floor and drives an anchor (700) through the bladder wall into the pelvic floor, thereby connecting a balloon harness (94) within the bladder to the pelvic floor that presses the bladder wall against the pelvic floor; maintaining the balloon catheter (96) in place and draining the bladder during the time required for the tissues to effectively knit; and then deflating and withdrawing the balloon catheter (96) and disconnecting and withdrawing the balloon harness (94).

Abstract translation: 所公开的仪器（10）包括支撑末端执行器的管组件（500），所述末端执行器可以适于通过腹部和膀胱壁中的切口插入并穿过尿道进入膀胱腔或进入膀胱腔，并且适用于 在前列腺切除术后进行患者膀胱和尿道的吻合。 仪器（10）可以包括具有定位器（400）的终端执行器，锚定器驱动器（300）和锚定系统（700），其包括具有倒伏结构（730）的轴（720）和/或组合的气囊束 （94）和导管（96）。 仪器（10）将膀胱壁推送到盆底，并将锚固器（700）通过膀胱壁驱动进入盆底，从而将膀胱内的气球线束（94）连接到压迫膀胱壁的盆底，抵抗 盆底; 将球囊导管（96）保持就位并在组织有效编织所需的时间内排出膀胱; 然后使气囊导管（96）放气并取出，并且断开和取出气球线束（94）。

公开(公告)号：WO1997023169A1

公开(公告)日：1997-07-03

申请号：PCT/US1996020021

申请日：1996-12-19

Applicant: VIDACARE INTERNATIONAL, INC. ,  ISSA, Muta, M.

Inventor： VIDACARE INTERNATIONAL, INC.

IPC: A61B17/39

CPC classification number: A61B18/1206 ,  A61B18/1485 ,  A61B18/149 ,  A61B2017/00274 ,  A61B2018/00547

Abstract: An electrode assembly for a resectoscope (18) includes a cutting electrode (1) with a loop distal tip and a first power density. A coagulation electrode (2) has a loop distal tip and a second power density that is smaller than the first power density. A support frame is connected to the cutting and coagulation electrodes (1, 2) and to an energy source (24) to supply energy from the energy source (24) to the cutting and coagulation electrodes (1, 2). The coagulation electrode (2) provides tissue coagulation simultaneously while the cutting electrode (1) cuts tissue. A resectoscope (18) is disclosed which includes the electrode assembly. The resectoscope includes a sheath (14) with a sheath lumen (14a, 14b), a working element (15), and a visualization apparatus (16).

Abstract translation: 用于切除镜（18）的电极组件包括具有环状远端尖端和第一功率密度的切割电极（1）。 凝固电极（2）具有环路远端尖端和小于第一功率密度的第二功率密度。 支撑框架连接到切割和凝固电极（1,2）和能量源（24），以将来自能量源（24）的能量提供给切割和凝固电极（1,2）。 凝固电极（2）在切割电极（1）切割组织的同时提供组织凝固。 公开了一种包括电极组件的截面镜（18）。 该电视镜包括具有鞘腔（14a，14b）的护套（14），工作元件（15）和可视化装置（16）。

公开(公告)号：WO1996037156A1

公开(公告)日：1996-11-28

申请号：PCT/US1996007009

申请日：1996-05-15

Applicant: ISSA, Muta, M.

IPC: A61B17/32

CPC classification number: A61B18/1485 ,  A61B18/1206 ,  A61B18/148 ,  A61B18/149 ,  A61B2017/00274 ,  A61B2018/00547 ,  A61B2018/00607

Abstract: An electrode assembly for a resectoscope includes a cutting electrode (2) with a loop distal tip and a first power density. A coagulation electrode (1) has a loop distal tip and a second power density that is smaller than the first power density. A support frame (6) is connected to the cutting and coagulation electrodes (2, 1). The coagulation electrode (1) provides tissue coagulation simultaneously while the cutting electrode (2) cuts tissue. A resectoscope is disclosed which includes the electrode assembly. The resectoscope includes a sheath (14) with a sheath lumen, a working element (15), and a visualization element (6).

Abstract translation: 用于切除镜的电极组件包括具有环路远端的切割电极（2）和第一功率密度。 凝固电极（1）具有环路远端尖端和小于第一功率密度的第二功率密度。 支撑框架（6）连接到切割和凝固电极（2,1）。 凝固电极（1）在切割电极（2）切割组织时同时提供组织凝固。 公开了一种包括电极组件的截面镜。 所述截面镜包括具有鞘腔的护套（14），工作元件（15）和可视化元件（6）。

公开(公告)号：WO2006009998A2

公开(公告)日：2006-01-26

申请号：PCT/US2005/021755

申请日：2005-06-21

Applicant: ETHICON ENDO-SURGERY, INC. ,  GILL, Robert, P. ,  HESS, Christopher, J. ,  WEISENBURGH, William, B., II. ,  VOEGELE, James, W. ,  ISSA, Muta, M.

Inventor： GILL, Robert, P. ,  HESS, Christopher, J. ,  WEISENBURGH, William, B., II. ,  VOEGELE, James, W. ,  ISSA, Muta, M.

IPC: A61B17/08

CPC classification number: A61B17/0401 ,  A61B17/0482 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/11 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00004 ,  A61B2017/0412 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0427 ,  A61B2017/06176 ,  A61B2017/0647 ,  A61B2017/1103 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61B2017/22069 ,  A61B2017/2905 ,  A61B2017/2923

Abstract: The instrument disclosed comprises a tube assembly supporting an end effector that may be adapted for insertion into and through the urethra into the bladder lumen or into the bladder lumen through incisions in the abdomen and bladder wall and adapted for use in effecting the anastomosis of a patient's bladder and urethra following a prostatectomy. The instrument may include an end effector having a positioner, an anchor driver and anchor system comprising a shaft with a lodging structure, and/or a combined balloon harness and catheter. The instrument urges the bladder wall to the pelvic floor and drives an anchor through the bladder wall into the pelvic floor, thereby connecting a balloon harness within the bladder to the pelvic floor that presses the bladder wall against the pelvic floor; maintaining the balloon catheter in place and draining the bladder during the time required for the tissues to effectively knit; and then deflating and withdrawing the balloon catheter and disconnecting and withdrawing the balloon harness.

Abstract translation: 所公开的仪器包括支撑末端执行器的管组件，其可以适于通过腹部和膀胱壁中的切口插入并穿过尿道进入膀胱腔或穿过尿囊，并适于用于实现患者的吻合 膀胱和尿道前列腺切除术后。 仪器可以包括具有定位器的端部执行器，锚定器驱动器和锚定系统，其包括具有倒伏结构的轴和/或组合的气囊线束和导管。 仪器将膀胱壁推向盆底，并将锚固体穿过膀胱壁推入骨盆底部，从而将囊内的气囊线束连接到盆底，将膀胱壁压靠在盆底; 在组织有效编织所需的时间内将气囊导管保持在适当位置并排空膀胱; 然后放气和取出气囊导管并断开和取出气球线束。

公开(公告)号：WO2007056051A3

公开(公告)日：2007-10-25

申请号：PCT/US2006042786

申请日：2006-11-02

Applicant: ETHICON ENDO SURGERY INC ,  WEISENBURGH WILLIA B ,  HESS CHRISTOPHER J ,  VOEGELE JAMES W ,  GILL ROBERT P ,  ISSA MUTA M

Inventor： WEISENBURGH WILLIA B ,  HESS CHRISTOPHER J ,  VOEGELE JAMES W ,  GILL ROBERT P ,  ISSA MUTA M

IPC: A61B17/08

CPC classification number: A61B17/1114 ,  A61B17/0401 ,  A61B17/08 ,  A61B17/10 ,  A61B17/11 ,  A61B17/115 ,  A61B2017/00274 ,  A61B2017/00367 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0437 ,  A61B2017/047 ,  A61B2017/1103 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61B2018/00547

Abstract: Disclosed is an instrument for use in a procedure to effect anastomosis of a patient's bladder and urethra following a prostatectomy having a tube assembly, and an end effector assembly operably supported by the tube assembly. The end effector assembly includes a positioner assembly, an anchor driver assembly and an anchor for insertion into and through the patient's bladder wall and pelvic floor and an anchor guide associated therewith. The end effector also includes a harness adapted to receive a balloon portion of a balloon catheter assembly.

Abstract translation: 公开了一种用于在具有管组件的前列腺切除术之后实现患者的膀胱和尿道的吻合的手术的器械以及由管组件可操作地支撑的端部执行器组件。 末端执行器组件包括定位器组件，锚定件驱动器组件和用于插入和穿过患者的膀胱壁和骨盆底以及与其相关联的锚定器引导件的锚定件。 端部执行器还包括适于接收气囊导管组件的气囊部分的安全带。

公开(公告)号：WO2007056051A2

公开(公告)日：2007-05-18

申请号：PCT/US2006/042786

申请日：2006-11-02

Applicant: ETHICON ENDO-SURGERY, INC. ,  WEISENBURGH, Willia, B. ,  HESS, Christopher, J. ,  VOEGELE, James, W. ,  GILL, Robert, P. ,  ISSA, Muta, M.

Inventor： WEISENBURGH, Willia, B. ,  HESS, Christopher, J. ,  VOEGELE, James, W. ,  GILL, Robert, P. ,  ISSA, Muta, M.

IPC: A61B17/08

CPC classification number: A61B17/1114 ,  A61B17/0401 ,  A61B17/08 ,  A61B17/10 ,  A61B17/11 ,  A61B17/115 ,  A61B2017/00274 ,  A61B2017/00367 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0437 ,  A61B2017/047 ,  A61B2017/1103 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61B2018/00547

Abstract: Disclosed is an instrument for use in a procedure to effect anastomosis of a patient's bladder and urethra following a prostatectomy having a tube assembly, and an end effector assembly operably supported by the tube assembly. The end effector assembly includes a positioner assembly, an anchor driver assembly and an anchor for insertion into and through the patient's bladder wall and pelvic floor and an anchor guide associated therewith. The end effector also includes a harness adapted to receive a balloon portion of a balloon catheter assembly.

Abstract translation: 公开了一种用于在具有管组件的前列腺切除术之后进行患者膀胱和尿道吻合的手术中的仪器，以及由管组件可操作地支撑的端部执行器组件。 末端执行器组件包括定位器组件，锚固器驱动器组件和用于插入患者的膀胱壁和骨盆底部和穿过患者的膀胱壁和骨盆底部的锚固件以及与其相关联的锚固引导件。 端部执行器还包括适于容纳球囊导管组件的球囊部分的线束。