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1. 发明申请

US20060206124A1 Anastomosis instrument and method for performing same 失效
公开(公告)号：US20060206124A1
公开(公告)日：2006-09-14
申请号：US11429583
申请日：2006-05-05
申请人： Keith Milliman , Kevin Sniffen , David Nicholas , Scott Manzo , Peter Hinchliffe
发明人： Keith Milliman , Kevin Sniffen , David Nicholas , Scott Manzo , Peter Hinchliffe
IPC分类号： A61B17/08
CPC分类号： A61B17/1285 , A61B17/0293 , A61B17/08 , A61B17/083 , A61B17/11 , A61B17/1152 , A61B17/122 , A61B2017/1107 , A61B2017/1135 , A61B2017/2916
摘要： A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends, a handle and a disposable loading unit removably mounted to the distal end of the housing. The loading unit includes upper and lower fastener support members having a passage defined therethrough for receiving an end of the second blood vessel and configured to releasably support a plurality of surgical fasteners. The loading unit also includes a retractable anvil located at a distal end of the loading unit, the anvil being movable relative to the fastener support member in response to actuation of the handle to simultaneously deform the of surgical fasteners.

2. 发明申请

US20050023325A1 Surgical Stapling Device for Performing Circular Anastomoses 有权
标题翻译：用于执行圆形吻合的外科手术装置
公开(公告)号：US20050023325A1
公开(公告)日：2005-02-03
申请号：US10472402
申请日：2002-04-03
申请人： Richard Gresham , Scott Manzo , Ernest Aranyi , Robert Geiste , Bruce Jankowski , Keith Milliman
发明人： Richard Gresham , Scott Manzo , Ernest Aranyi , Robert Geiste , Bruce Jankowski , Keith Milliman
IPC分类号： A61B17/00 , A61B17/115 , A61B17/34 , A61B17/04
CPC分类号： A61B17/1155 , A61B17/115 , A61B17/34 , A61B2017/00128 , A61B2017/07257 , A61B2017/2905
摘要： The present disclosure is directed to a surgical stapling device (10) for performing circular anastomoses. The surgical stapling device includes a handle portion (12), an elongated body portion (14) and a head portion (16) including an anvil assembly (30) and a shell assembly (31). The handle portion (12) includes a rotatable approximation knob (22) for approximating the anvil and shell assemblies (30,31) and a firing trigger (20) for actuating a firing mechanism for ejecting staples positioned within the shell assembly (31). The firing trigger (20) forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly (30) includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies (30,31). The head portion (16) also includes a retractable trocar assembly (240) which is slidably positioned within an anvil retainer (38) and is automatically advanced and retracted upon attachment and detachment of the anvil assembly (30) onto the anvil retainer (38). A lockout tube (270) is provided and is positioned about the anvil retainer (38) for releasably engaging an anvil assembly (30). The lockout tube (270) prevents inadvertent detachment of the anvil assembly (30) from the anvil retainer (38). The surgical stapling device (10) also includes a firing lockout assembly which prevents actuation of the firing trigger (20) until an anvil has been attached to the device and the anvil (129) has been approximated. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.
摘要翻译：本公开涉及用于执行圆形吻合的外科缝合装置（10）。外科缝合装置包括手柄部分（12），细长主体部分（14）和包括砧座组件（30）和壳体组件（31）的头部部分（16）。手柄部分（12）包括用于近似砧和壳组件（30,31）的可旋转近似旋钮（22）和用于致动用于排出位于壳体组件（31）内的缝钉）的击发机构的击发触发器（20）。击发触发器（20）形成设置成致动击发机构的两杆连杆的一个连杆。砧座组件（30）包括可倾斜的砧座，该砧座将在该装置点火之后自动倾斜并且使该砧座和壳体组件（30,31）不接近。所述头部部分（16）还包括可伸缩套管针组件（240），其可滑动地定位在砧座保持器（38）内，并且当所述砧座组件（30）附接和拆卸到所述砧座保持器（38）上时自动前进和缩回，。锁定管（270）被设置并且围绕砧座保持器（38）定位，以可释放地接合砧组件（30）。锁定管（270）防止砧组件（30）从砧座保持器（38）的意外脱离。外科缝合装置（10）还包括击发锁定组件，其防止击发触发器（20）的致动直到砧座已经附接到装置并且砧座（129）已被近似。还提供了一种触觉指示机构，用于通知外科医生该装置已经被点燃，并且通知外科医生砧座头未被近距离足以允许砧头倾斜的距离。

3. 发明申请

US20060043148A1 Surgical stapling device for performing circular anastomoses 有权
标题翻译：用于执行圆形吻合的外科缝合装置
公开(公告)号：US20060043148A1
公开(公告)日：2006-03-02
申请号：US11208667
申请日：2005-08-22
申请人： Richard Gresham , Scott Manzo , Ernest Aranyi , Robert Geiste , Bruce Jankowski , Keith Milliman
发明人： Richard Gresham , Scott Manzo , Ernest Aranyi , Robert Geiste , Bruce Jankowski , Keith Milliman
IPC分类号： A61B17/04
CPC分类号： A61B17/1155 , A61B17/115 , A61B17/34 , A61B2017/00128 , A61B2017/07257 , A61B2017/2905
摘要： This application is directed to a surgical stapling device for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The handle portion includes a rotatable approximation knob for approximating the anvil and shell assemblies and a firing trigger for actuating a firing mechanism for ejecting staples positioned within the shell assembly. The firing trigger forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies. The head portion also includes a retractable trocar assembly which is slidably positioned within an anvil retainer and is automatically advanced and retracted upon attachment and detachment of the anvil assembly onto the anvil retainer. A lockout tube is provided and is positioned about an anvil retainer for releasably engaging an anvil assembly. The lockout tube prevents inadvertent detachment of the anvil assembly from the anvil retainer. The surgical stapling device also includes a firing lockout assembly which prevents actuation of the firing trigger until an anvil has been attached to the device and the anvil has been approximated. In one preferred embodiment, the firing lockout assembly includes a trigger lock and a safety bracket which prevents movement of the trigger lock from a locked to an unlocked position until an anvil has been attached to the device and approximated and returns the trigger lock to a locked position after the device has been fired. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.
摘要翻译：该应用涉及用于执行圆形吻合的外科缝合装置。外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。手柄部分包括用于近似砧座和壳体组件的可旋转近似旋钮，以及用于致动用于排出位于壳体组件内的缝钉的击发机构的击发触发器。击发触发器形成两个连杆的一个连杆，用于致动击发机构。砧座组件包括可倾斜的砧座，该砧座将在装置点火之后自动倾斜并且使砧座和壳体组件不接近。头部还包括可伸缩套管针组件，其可滑动地定位在砧座保持器内，并且在将砧组件附接和拆卸到砧座保持器上时自动前进和缩回。锁定管被设置并且围绕砧座保持器定位以可释放地接合砧座组件。锁定管防止砧组件从砧座保持器的意外脱离。外科缝合装置还包括击发锁定组件，其防止触发触发器的致动，直到砧已经附接到装置并且砧已被近似。在一个优选实施例中，击发锁定组件包括触发锁和安全支架，其防止触发锁从锁定位置移动到解锁位置，直到砧座已经附接到装置并近似并且将触发器锁定回锁定设备启动后的位置。还提供了一种触觉指示机构，用于通知外科医生该装置已经被点燃，并且通知外科医生砧座头未被近距离足以允许砧头倾斜的距离。

4. 发明授权

US09050120B2 Apparatus and method of user interface with alternate tool mode for robotic surgical tools 有权
标题翻译：用于机器人手术工具的替代工具模式的用户界面的装置和方法
公开(公告)号：US09050120B2
公开(公告)日：2015-06-09
申请号：US12028750
申请日：2008-02-08
申请人： Nitish Swarup , Scott Manzo
发明人： Nitish Swarup , Scott Manzo
IPC分类号： A61B19/00 , A61B18/14 , A61B17/00
CPC分类号： A61B34/37 , A61B18/1445 , A61B34/25 , A61B34/30 , A61B34/71 , A61B90/361 , A61B2017/00477 , A61B2034/305 , A61B2034/715 , A61B19/2203 , A61B2019/2223
摘要： In one implementation, a method is disclosed in which a lock sensing mode is entered for a robotic surgical instrument. In the lock sensing mode, the degrees of freedom of movement in the robotic surgical instrument are switchably reduced. Further in the lock sensing mode, one or more end effectors of the robotic surgical instrument are switchably clamped together in the robotic surgical instrument. An increased level of torque may also be applied to the end effectors to increase a gripping force applied by the one or more end effectors in response to the reduced degrees of freedom of movement in the robotic surgical instrument.
摘要翻译：在一个实施方式中，公开了一种方法，其中为机器人手术器械输入锁定感测模式。在锁定感测模式中，可以切换地减少机器人手术器械中的移动自由度。此外，在锁定感测模式中，机器人手术器械的一个或多个端部执行器可切换地夹在机器人手术器械中。还可以向端部执行器施加增加的扭矩水平，以响应于机器人手术器械中的减小的运动自由度增加由一个或多个端部执行器施加的夹紧力。

5. 发明申请

US20110276067A1 Method and Apparatus for Anastomosis Including Annular Joining Member 审中-公开
标题翻译：用于吻合的方法和装置，包括环形连接构件
公开(公告)号：US20110276067A1
公开(公告)日：2011-11-10
申请号：US13187021
申请日：2011-07-20
申请人： Scott Manzo
发明人： Scott Manzo
IPC分类号： A61B17/11
CPC分类号： A61B17/11 , A61B2017/081 , A61B2017/1103 , A61B2017/1135 , A61B2017/22054 , A61B2017/22069 , A61B2017/3486 , A61B2017/3488 , A61F2/064
摘要： Apparatus and methods for performing a surgical anastomotic procedure are disclosed herein. Apparatus according to the present disclosure include a tubular body having a distal end and a proximal end and defining a longitudinal axis, the tubular body including an expandable anchor provided near the distal end thereof and an expandable cuff provided near the distal end of the tubular body and proximal of the expandable anchor, and a joining member configured and adapted to be received about the expandable cuff of the tubular body, the joining member having an annular body portion including a pair of opposed terminal edges. The joining member has a retracted position in which the pair of opposed terminal edges overlap by a predetermined amount and an expanded position in which the pair of opposed terminal edges overlap by an amount less than the predetermined amount.
摘要翻译：本文公开了用于进行手术吻合手术的装置和方法。根据本公开的装置包括具有远端和近端并限定纵向轴线的管状体，所述管状体包括设置在其远端附近的可扩张锚固件，以及设置在管状体的远端附近的可膨胀箍和可伸缩锚的近侧，以及构造并适于围绕管状体的可膨胀箍接收的接合构件，所述接合构件具有包括一对相对端子边缘的环形主体部分。接合构件具有缩回位置，其中一对相对的端子边缘重叠预定量，并且扩展位置，其中该对相对的端子边缘重叠小于预定量的量。

6. 发明申请

US20090088775A1 METHODS OF USER INTERFACE WITH ALTERNATE TOOL MODE FOR ROBOTIC SURGICAL TOOLS 有权
标题翻译：用户界面与手术工具的替代工具模式的方法
公开(公告)号：US20090088775A1
公开(公告)日：2009-04-02
申请号：US12028755
申请日：2008-02-08
申请人： Nitish Swarup , Scott Manzo
发明人： Nitish Swarup , Scott Manzo
IPC分类号： A61B19/00 , G05B19/04
CPC分类号： A61B34/37 , A61B18/1445 , A61B34/25 , A61B34/30 , A61B34/71 , A61B90/361 , A61B2017/00477 , A61B2034/305 , A61B2034/715 , A61B19/2203 , A61B2019/2223
摘要： In one implementation, a method is disclosed in which a lock sensing mode is entered for a robotic surgical instrument. In the lock sensing mode, the degrees of freedom of movement in the robotic surgical instrument are switchably reduced. Further in the lock sensing mode, one or more end effectors of the robotic surgical instrument are switchably clamped together in the robotic surgical instrument. An increased level of torque may also be applied to the end effectors to increase a gripping force applied by the one or more end effectors in response to the reduced degrees of freedom of movement in the robotic surgical instrument.
摘要翻译：在一个实施方式中，公开了一种方法，其中为机器人手术器械输入锁定感测模式。在锁定感测模式中，可以切换地减少机器人手术器械中的移动自由度。此外，在锁定感测模式中，机器人手术器械的一个或多个端部执行器可切换地夹在机器人手术器械中。还可以向端部执行器施加增加的扭矩水平，以响应于机器人手术器械中的减小的运动自由度增加由一个或多个端部执行器施加的夹紧力。

7. 发明申请

US20060111731A1 Anastomosis instrument and method for performing same 失效
公开(公告)号：US20060111731A1
公开(公告)日：2006-05-25
申请号：US11300101
申请日：2005-12-13
申请人： Scott Manzo
发明人： Scott Manzo
IPC分类号： A61B17/10
CPC分类号： A61B17/11 , A61B17/08 , A61B17/1152 , A61B2017/00778 , A61B2017/1107 , A61B2017/1135
摘要： A surgical instrument for creating an anastomosis includes a housing, a handle extending from the housing and a fastener support member extending distally from the housing. The fastener support member is configured and dimensioned to releasably support a plurality of surgical fasteners. The instrument further includes a tissue retaining mechanism which is selectively movable from a first position relative to the fastener support member to a second position in closer proximity with the fastener support member such that tissue disposed adjacent to the fastener support member is retained thereagainst. Upon actuation of the handle, a fastener firing mechanism simultaneously deforms the plurality of surgical fasteners to complete the anastomosis.

8. 发明申请

US20050165426A1 Method and apparatus for anastomosis including annular joining member 失效
标题翻译：用于吻合的方法和装置，包括环形连接构件
公开(公告)号：US20050165426A1
公开(公告)日：2005-07-28
申请号：US10516437
申请日：2003-04-16
申请人： Scott Manzo
发明人： Scott Manzo
IPC分类号： A61B17/08 , A61B17/11 , A61B17/22 , A61B17/34
CPC分类号： A61B17/11 , A61B2017/1103 , A61B2017/1135 , A61B2017/22069 , A61B2017/3486 , A61B2017/3488
摘要： Apparatus method for performing surgical anastomotic procedures are disclosed herein. The apparatus for performing the surgical anastomotic procedure includes a tubular sleeve defining an axial lumen therethrough, a positioning tube defining an axial lumen therethrough, an expansion assembly having a tubular body and an expandable tip operatively coupled to a distal end thereof, and an anchoring assembly. The positioning tube is preferably configured and adapted to be slidably received within the axial lumen of the tubular sleeve.
摘要翻译：本文公开了用于进行手术吻合手术的装置方法。用于执行外科吻合手术的装置包括限定穿过其中的轴向腔的管状套筒，限定穿过其中的轴向腔的定位管，具有管状体的膨胀组件和可操作地联接到其远端的可膨胀尖端，以及锚固组件。定位管优选地构造和适于可滑动地容纳在管状套筒的轴向内腔中。

9. 发明申请

US20050090809A1 Surgical tool having positively positionable tendon-actuated multi-disk wrist joint 有权
标题翻译：手术工具具有积极定位的肌腱致动多盘腕关节
公开(公告)号：US20050090809A1
公开(公告)日：2005-04-28
申请号：US10980119
申请日：2004-11-01
申请人： Thomas Cooper , Daniel Wallace , Stacey Chang , S. Christopher Anderson , Dustin Williams , Scott Manzo
发明人： Thomas Cooper , Daniel Wallace , Stacey Chang , S. Christopher Anderson , Dustin Williams , Scott Manzo
IPC分类号： A61B1/00 , A61B17/00 , A61B17/28 , A61B17/32 , A61B19/00
CPC分类号： A61B17/00234 , A61B1/0055 , A61B1/0057 , A61B1/008 , A61B34/30 , A61B34/71 , A61B34/72 , A61B2017/00314 , A61B2017/0069 , A61B2017/2908 , A61B2017/2929 , A61B2017/2936 , A61B2034/304 , A61B2034/305 , A61B2034/306
摘要： The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. A positively positionable multi-disk wrist mechanism includes a plurality of disks or vertebrae stacked in series. Each vertebra is configured to rotate in pitch or in yaw with respect to each neighboring vertebra. Actuation cables are used to manipulate and control movement of the vertebrae. In specific embodiments, some of the cables are distal cables that extend from a proximal vertebra through one or more intermediate vertebrae to a distal vertebra, while the remaining cables are medial cables that extend from the proximal vertebra to one or more of the intermediate vertebrae. The cables are actuated by a pivoted plate cable actuator mechanism. In specific embodiments, the actuator mechanism includes a plurality of small radius holes or grooves for receiving the medial cables and a plurality of large radius holes or grooves for receiving the distal cables. The holes or grooves restrain the medial cables to a small radius of motion and the distal cables to a large radius of motion, so that the medial cables to the medial vertebra move only a fraction of the amount as the distal cables to the distal vertebra, so as to achieve precise control and manipulation of the vertebrae.
摘要翻译：本发明涉及一种具有手腕机构的工具，其提供俯仰和偏转旋转，使得该工具在滚动，俯仰和偏转中没有奇异性。可靠地定位的多盘腕式机构包括多个堆叠在一起的盘或椎骨。每个椎骨被配置为相对于每个相邻的椎骨以俯仰或偏航方式旋转。驱动电缆用于操纵和控制椎骨的运动。在具体实施例中，一些电缆是从近端椎骨通过一个或多个中间椎骨延伸到远端椎骨的远端电缆，而其余电缆是从近端椎骨延伸到一个或多个中间椎骨的内侧电缆。电缆由枢轴板电缆致动器机构致动。在具体实施例中，致动器机构包括用于接纳中间电缆的多个小半径孔或槽，以及用于接收远端电缆的多个大半径孔或槽。孔或凹槽将内侧电缆限制在较小的运动半径和远端电缆到大的运动半径，使得到内侧椎骨的内侧电缆仅将远端电缆的一部分量移动到远端椎骨，以便精确控制和操纵椎骨。

10. 发明授权

US06817974B2 Surgical tool having positively positionable tendon-actuated multi-disk wrist joint 有权
标题翻译：手术工具具有积极定位的肌腱致动多盘腕关节
公开(公告)号：US06817974B2
公开(公告)日：2004-11-16
申请号：US10187248
申请日：2002-06-28
申请人： Thomas G. Cooper , Daniel T. Wallace , Stacey Chang , S. Christopher Anderson , Dustin Williams , Scott Manzo
发明人： Thomas G. Cooper , Daniel T. Wallace , Stacey Chang , S. Christopher Anderson , Dustin Williams , Scott Manzo
IPC分类号： A61B100
CPC分类号： A61B17/00234 , A61B1/0055 , A61B1/0057 , A61B1/008 , A61B34/30 , A61B34/71 , A61B34/72 , A61B2017/00314 , A61B2017/0069 , A61B2017/2908 , A61B2017/2929 , A61B2017/2936 , A61B2034/304 , A61B2034/305 , A61B2034/306
摘要： The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. A positively positionable multi-disk wrist mechanism includes a plurality of disks or vertebrae stacked in series. Each vertebra is configured to rotate in pitch or in yaw with respect to each neighboring vertebra. Actuation cables are used to manipulate and control movement of the vertebrae. In specific embodiments, some of the cables are distal cables that extend from a proximal vertebra through one or more intermediate vertebrae to a distal vertebra, while the remaining cables are medial cables that extend from the proximal vertebra to one or more of the intermediate vertebrae. The cables are actuated by a pivoted plate cable actuator mechanism. In specific embodiments, the actuator mechanism includes a plurality of small radius holes or grooves for receiving the medial cables and a plurality of large radius holes or grooves for receiving the distal cables. The holes or grooves restrain the medial cables to a small radius of motion and the distal cables to a large radius of motion, so that the medial cables to the medial vertebra move only a fraction of the amount as the distal cables to the distal vertebra, so as to achieve precise control and manipulation of the vertebrae.
摘要翻译：本发明涉及一种具有手腕机构的工具，其提供俯仰和偏转旋转，使得该工具在滚动，俯仰和偏转中没有奇异性。可靠地定位的多盘腕式机构包括多个堆叠在一起的盘或椎骨。每个椎骨被配置为相对于每个相邻的椎骨以俯仰或偏航方式旋转。驱动电缆用于操纵和控制椎骨的运动。在具体实施例中，一些电缆是从近端椎骨通过一个或多个中间椎骨延伸到远端椎骨的远端电缆，而其余电缆是从近端椎骨延伸到一个或多个中间椎骨的内侧电缆。电缆由枢轴板电缆致动器机构致动。在具体实施例中，致动器机构包括用于接纳中间电缆的多个小半径孔或槽，以及用于接收远端电缆的多个大半径孔或槽。孔或凹槽将内侧电缆限制在较小的运动半径和远端电缆到大的运动半径，使得到内侧椎骨的内侧电缆仅将远端电缆的一部分量移动到远端椎骨，以便精确控制和操纵椎骨。

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