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    • 15. 发明授权
    • Surgical penetration instrument including an imaging element
    • 包括成像元件的手术穿透仪器
    • US5591192A
    • 1997-01-07
    • US384505
    • 1995-02-01
    • Salvatore PriviteraRichard F. SchwembergerRon Kolata
    • Salvatore PriviteraRichard F. SchwembergerRon Kolata
    • A61B1/05A61B1/313A61B17/34A61B19/00A61B1/00
    • A61B1/00087A61B1/05A61B1/3132A61B17/3417A61B2017/3456A61B2017/346A61B90/361
    • A surgical instrument for penetrating bodily tissue including an imaging element providing the capability for simultaneous visualization during penetration is disclosed. A transparent portion of the imaging element extends from the distal end of an elongated, substantially hollow shaft. The imaging element is shaped to enlarge an opening as the instrument is advanced into bodily tissue, and an endoscope can be inserted through the shaft adjacent the imaging element to visualize the penetration of tissue as the instrument is advanced. The imaging element may be substantially hollow, and have an annular interior region inside the shaft distal end. The endoscope can then be positioned to rest on the annular region to prevent glare from the reflection of light traveling from the endoscope to the window surface. The imaging element may also have a blade for facilitating the advance of the instrument through tissue. The blade not only has a sharp, linear cutting edge, but also a blunt edge for preventing inadvertent cutting of tissue. The blunt edge is preferably located near the tip and base of the imaging element. Additionally, the imaging element is generally conical and the penetrating surface has a region extending at an obtuse angle relative to the exterior surface of the conical element, and a second region extending generally parallel to the exterior surface of the conical element.
    • 公开了用于穿透身体组织的外科器械,其包括成像元件,其提供穿透期间同时可视化的能力。 成像元件的透明部分从细长的基本中空的轴的远端延伸。 成像元件成形为当器械前进到身体组织中时扩大开口,并且可以通过邻近成像元件的轴插入内窥镜,以在仪器前进时显现组织的穿透。 成像元件可以是大致中空的,并且在轴远端内部具有环形内部区域。 然后可以将内窥镜定位成搁置在环形区域上,以防止从内窥镜行进到窗表面的光的反射而产生眩光。 成像元件还可以具有用于促进器械通过组织前进的刀片。 刀片不仅具有锋利的线性切割边缘,而且还具有钝边以防止纸张的无意切割。 钝边优选位于成像元件的尖端和底部附近。 另外,成像元件通常是圆锥形的,并且穿透表面具有相对于锥形元件的外表面以钝角延伸的区域,以及大致平行于锥形元件的外表面延伸的第二区域。
    • 17. 发明申请
    • ROBOTIC TOOLKIT
    • 机器人工具
    • US20120323256A1
    • 2012-12-20
    • US13477761
    • 2012-05-22
    • Salvatore PriviteraMatthew MontiAdam HarpJason lain GlitheroWilliam J. AbnerJeffrey Stone
    • Salvatore PriviteraMatthew MontiAdam HarpJason lain GlitheroWilliam J. AbnerJeffrey Stone
    • A61B19/00
    • A61B18/02A61B18/1402A61B18/1445A61B34/30A61B2017/00477A61B2017/2945
    • A surgical instrument kit comprising: (a) a robotic arm comprising a first jaw including a first bipolar electrode and a second jaw including a second bipolar electrode, wherein at least one of first jaw and second jaw is repositionable with respect to the other jaw; (b) a first surgical tool head including a first electrical load in electrical communication with a first pair of electrical terminals, the first surgical tool head adapted to be removably coupled to the robotic arm; and, (c) a second surgical tool head including a second electrical load in electrical communication with a second pair of electrical terminals, the second surgical tool head adapted to be removably coupled to the robotic arm, where the first pair of electrical terminals of the first surgical tool head are adapted to engage the first bipolar electrode and the second bipolar electrode to establish electrical communication between the first bipolar electrode and a first of the first pair of electrical terminals and between the second bipolar electrode and a second of the first pair of electrical terminals, and where the second pair of electrical terminals of the second surgical tool head are adapted to engage the first bipolar electrode and the second bipolar electrode to establish electrical communication between the first bipolar electrode and a first of the second pair of electrical terminals and between the second bipolar electrode and a second of the second pair of electrical terminals.
    • 一种手术器械套件,其包括:(a)机器人手臂,包括第一钳口,所述第一钳口包括第一双极电极和包括第二双极电极的第二钳口,其中,所述第一钳口和所述第二钳口中的至少一个可相对于所述另一钳口重新定位; (b)第一手术工具头,其包括与第一对电端子电连通的第一电负载,所述第一手术工具头适于可移除地联接到所述机器臂; 和(c)第二手术工具头,其包括与第二对电端子电连通的第二电负载,所述第二外科手术工具头适于可拆卸地联接到所述机械手臂,其中所述第一对电端子 第一手术工具头适于接合第一双极电极和第二双极电极,以在第一双极电极和第一对电端子中的第一对之间以及第二双极电极与第一对电极之间的第二对之间建立电连通 电端子,并且其中第二手术工具头的第二对电端子适于接合第一双极电极和第二双极电极,以建立第一双极电极和第二对电端子之间的电连通, 在第二双极电极和第二对电端子之间的第二双极电极之间 ls。
    • 19. 发明申请
    • APPARATUS AND METHODS FOR OCCLUDING AN ANATOMICAL STRUCTURE
    • 用于消除解剖结构的装置和方法
    • US20120035631A1
    • 2012-02-09
    • US13010509
    • 2011-01-20
    • James David Hughett, SR.Salvatore PriviteraMichael D. Hooven
    • James David Hughett, SR.Salvatore PriviteraMichael D. Hooven
    • A61B17/122
    • A61B17/12022A61B17/08A61B17/1227A61B17/1285A61B2017/1205
    • Apparatus and methods are disclosed for occluding an anatomical structure including an occlusion apparatus having first and second beams and at least one connector for connecting the respective ends of the beams together. The occlusion apparatus may be adapted for use in a deployment device having a pair of jaws and optionally having a respective pair of shuttle bodies for releasably connecting an occlusion apparatus to the jaws while in an open position and for releasing the occlusion device from the jaws while in a closed position. A system for occluding an anatomical structure is also disclosed that includes an occlusion apparatus and a deployment device for holding the occlusion apparatus in an open position for locating the occlusion device adjacent the anatomical structure to be occluded and then moving the occlusion apparatus to a closed position and locking the occlusion apparatus in the closed position.
    • 公开了用于闭塞解剖结构的装置和方法,所述解剖结构包括具有第一和第二梁的闭塞装置和用于将梁的相应端部连接在一起的至少一个连接器。 闭塞装置可以适用于具有一对钳口的展开装置,并且可选地具有相应的一对梭体,用于在处于打开位置时将闭塞装置可释放地连接到钳口,并且用于将咬合装置从夹爪释放,同时 处于关闭状态。 还公开了一种用于闭塞解剖结构的系统,其包括闭塞装置和用于将闭塞装置保持在打开位置的展开装置,用于将闭塞装置邻近待闭塞的解剖结构定位,然后将闭塞装置移动到闭合位置 并将闭塞装置锁定在关闭位置。
    • 20. 发明申请
    • IMPLANTABLE TISSUE MARKER ELECTRODE
    • 可植入组织标记电极
    • US20100114287A1
    • 2010-05-06
    • US12609219
    • 2009-10-30
    • Salvatore PriviteraJames R. EdgertonDavid J. DrachmanR. Scott RobinsonKenneth Lance Miller
    • Salvatore PriviteraJames R. EdgertonDavid J. DrachmanR. Scott RobinsonKenneth Lance Miller
    • A61N1/05A61B5/042
    • A61N1/0587A61B90/39A61B2090/3904A61B2090/3908A61B2090/3987
    • The present application discloses a tissue marker that may be permanently applied to cardiac (or other) tissue by means such as, but not limited to, a minimally-invasive procedure to allow for pre- and post-op lesion site testing, with the marker also preferably being radiopaque to facilitate post-op imaging. More specifically, the marker may preferably comprise or include an electrode as part of an integrated assembly. The marker may be mounted on the tissue with a suitable tissue retention member for securing the marker in place. The disclosed examples include one or more tissue retention members, and in an exemplary embodiment comprises a pair of clips for securing the assembly to a target tissue. Each retention member or clip has a conductive lead with an electrically conductive surface in the form of a patch associated therewith. Each clip is preferably associated with a discrete electrically conductive area on the surface of the patch so that the assembly may function as a bi-polar electrode, with a voltage applied between the discrete conductive areas.
    • 本申请公开了一种组织标记物,其可以通过诸如但不限于使用标记物进行术前和术后病变部位测试的微创程序永久地施用于心脏(或其它组织) 也优选不透射线以促进术后成像。 更具体地,标记可优选地包括或包括作为集成组件的一部分的电极。 标记可以用合适的组织保持构件安装在组织上,用于将标记固定在适当位置。 所公开的示例包括一个或多个组织保持构件,并且在示例性实施例中包括用于将组件固定到靶组织的一对夹子。 每个保持构件或夹子具有导电引线,导电引线具有与其相关联的贴片形式的导电表面。 每个夹子优选地与贴片表面上的分立的导电区域相关联,使得组件可以用作双极性电极,其中施加在离散导电区域之间的电压。