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11. 发明授权

US08172772B2 Specimen retrieval device 有权
标题翻译：标本检索装置
公开(公告)号：US08172772B2
公开(公告)日：2012-05-08
申请号：US12332938
申请日：2008-12-11
申请人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
发明人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
IPC分类号： A61B10/00 , A61B17/24 , A61B17/26
CPC分类号： A61B10/06 , A61B10/0096 , A61B10/0283
摘要： A surgical instrument can be used to capture and retrieve tissue, or other specimens, from within the body of a patient through a single trocar port. The surgical instrument can include a grasper, wherein the grasper can be configured to capture a specimen, and a specimen retrieval bag, wherein the specimen retrieval bag can be configured to at least partially surround, or encapsulate, the captured specimen when the specimen retrieval bag is in a deployed position. In certain embodiments, the retrieval bag can be inverted as it is moved between undeployed and deployed positions. In various embodiments, the surgical instrument can further include a snare operably engaged with the specimen retrieval bag, wherein the snare can be configured to at least partially close the bag. A vacuum can be placed in communication with the bag to reduce the size of the bag before it is removed from the surgical site.
摘要翻译：手术器械可用于通过单个套管针端口从患者体内捕获和回收组织或其他标本。手术器械可以包括抓取器，其中抓取器可以构造成捕获样本和样本取回袋，其中样本取回袋可被构造成至少部分地包围或封装所捕获的样本，当样本取回袋处于部署位置。在某些实施例中，当取出袋在未部署位置和展开位置之间移动时可以反转。在各种实施例中，手术器械还可以包括可操作地与样本回收袋接合的圈套，其中所述圈套可被构造成至少部分地封闭所述袋。可以将真空放置成与袋连通，以在袋从手术部位移除之前减小袋的尺寸。

12. 发明申请

US20100076488A1 METHODS AND DEVICES FOR DELIVERING AND APPLYING MULTIPLE SUTURE ANCHORS 有权
标题翻译：用于输送和应用多个固定锚杆的方法和装置
公开(公告)号：US20100076488A1
公开(公告)日：2010-03-25
申请号：US12237858
申请日：2008-09-25
申请人： James T. Spivey , Duane Linenkugel , Andrew M. Zwolinski , William D. Fox , Sean P. Conlon
发明人： James T. Spivey , Duane Linenkugel , Andrew M. Zwolinski , William D. Fox , Sean P. Conlon
IPC分类号： A61B17/04 , A61B17/10
CPC分类号： A61B17/0469 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464
摘要： Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels, with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures attached to the respective anchors.
摘要翻译：提供了用于部署和应用多个缝合锚的方法和装置。在一个实施例中，提供外科装置，其具有被配置为被引入到身体中的轴的轴，例如通过观察装置，并且将多个缝合锚定件输送到组织中，优选地不需要将轴从身体移除。所述轴可以具有多个通道，所述多个通道中的每一个被构造成座位多个缝线锚中的至少一个。每个锚固件可以可移除地安置在通道中，使得锚固件可以从装置移除，例如通过拉动附接到各个锚固件的缝合线。

13. 发明授权

US09089320B2 Methods and devices for delivering and applying multiple suture anchors 有权
标题翻译：用于交付和应用多个缝合锚的方法和装置
公开(公告)号：US09089320B2
公开(公告)日：2015-07-28
申请号：US12237858
申请日：2008-09-25
申请人： James T. Spivey , Duane Linenkugel , Andrew M. Zwolinski , William D. Fox , Sean P. Conlon
发明人： James T. Spivey , Duane Linenkugel , Andrew M. Zwolinski , William D. Fox , Sean P. Conlon
IPC分类号： A61B17/04 , A61B17/00
CPC分类号： A61B17/0469 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464
摘要： Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels, with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures attached to the respective anchors.
摘要翻译：提供了用于部署和应用多个缝合锚的方法和装置。在一个实施例中，提供外科装置，其具有被配置为被引入到身体中的轴的轴，例如通过观察装置，并且将多个缝合锚定件输送到组织中，优选地不需要将轴从身体移除。所述轴可以具有多个通道，所述多个通道中的每一个被构造成座位多个缝线锚中的至少一个。每个锚固件可以可移除地安置在通道中，使得锚固件可以从装置移除，例如通过拉动附接到各个锚固件的缝合线。

14. 发明申请

US20120065627A1 Non-Clumping Unit For Use With A Magnetic Surgical System 审中-公开
标题翻译：用于磁性手术系统的非结合单元
公开(公告)号：US20120065627A1
公开(公告)日：2012-03-15
申请号：US12879310
申请日：2010-09-10
申请人： Ragae M. Ghabrial , James T. Spivey , Christopher J. Hess , Sean P. Conlon
发明人： Ragae M. Ghabrial , James T. Spivey , Christopher J. Hess , Sean P. Conlon
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/0281 , A61B34/73 , A61B2017/00106 , A61B2017/00876 , A61B2018/00273 , A61B2034/302
摘要： A surgical device comprises an ex vivo magnet and an in vivo sled magnetically attracted to the ex vivo magnet. The sled can be positioned and anchored within a patient by moving the ex vivo magnet. The sled defines a longitudinal axis. An arm extends from the sled. The arm is moveable relative the sled between a retracted position and an extended position. The arm comprises an end effector. A locking mechanism operatively connected to the arm to lock the arm in the retracted and extended positions. The mechanism may include a rack that both rotates about a pinion and translates tangentially about the pinion.
摘要翻译：手术装置包括离体磁体和磁性吸引到体外磁体的体内滑板。可以通过移动离体磁体将雪橇定位并锚定在患者体内。滑雪板限定纵向轴线。手臂从雪橇延伸。臂可以在缩回位置和伸出位置之间相对于滑板移动。臂包括端部执行器。锁定机构，可操作地连接到臂上，以将臂锁定在缩回和伸出位置。该机构可以包括一个齿条，它们围绕小齿轮转动并围绕小齿轮相切地平移。

15. 发明申请

US20090177041A1 ARTICULATING SURGICAL DEVICE AND METHOD OF USE 有权
标题翻译：治疗手术装置及其使用方法
公开(公告)号：US20090177041A1
公开(公告)日：2009-07-09
申请号：US11971410
申请日：2008-01-09
申请人： David Stefanchik , Ragae M. Ghabrial , James T. Spivey
发明人： David Stefanchik , Ragae M. Ghabrial , James T. Spivey
IPC分类号： A61B1/005
CPC分类号： A61B17/3421 , A61B1/00073 , A61B1/0014 , A61B17/29 , A61B17/2909 , A61B2017/003 , A61B2017/00477 , A61B2017/3447
摘要： Various embodiments of an elongate surgical device configured to travel along a tortuous body lumen to a surgical site are provided herein. In one embodiment, the device can include a tensioning element extending through a channel formed along a length of the device and the tensioning element can translate an articulation force to the working end of the device. During such articulation of the device, a portion of the channel can be configured to allow the tensioning element to exit the channel and move away from a longitudinal axis of the device thereby optimizing a mechanical advantage relative to the distal end of the device and thus maximizing the force capable of being delivered thereto. Additionally, various embodiments of a method for articulating a working end of an elongate surgical device are provided herein.
摘要翻译：这里提供了构造成沿曲折的体腔行进到外科手术部位的细长手术装置的各种实施例。在一个实施例中，该装置可以包括延伸穿过沿着装置的长度形成的通道的张紧元件，并且张紧元件可以将铰接力平移到装置的工作端。在装置的这种关节过程中，通道的一部分可以构造成允许张紧元件离开通道并远离装置的纵向轴线移动，从而优化相对于装置的远端的机械优点，从而最大化能够传递给它的力。此外，本文提供了用于铰接细长外科手术装置的工作端的方法的各种实施例。

16. 发明授权

US08287469B2 Articulating surgical device and method of use 有权
标题翻译：铰接手术装置及其使用方法
公开(公告)号：US08287469B2
公开(公告)日：2012-10-16
申请号：US11971410
申请日：2008-01-09
申请人： David Stefanchik , Ragae M. Ghabrial , James T. Spivey
发明人： David Stefanchik , Ragae M. Ghabrial , James T. Spivey
IPC分类号： A61B5/00
CPC分类号： A61B17/3421 , A61B1/00073 , A61B1/0014 , A61B17/29 , A61B17/2909 , A61B2017/003 , A61B2017/00477 , A61B2017/3447
摘要： Various embodiments of an elongate surgical device configured to travel along a tortuous body lumen to a surgical site are provided herein. In one embodiment, the device can include a tensioning element extending through a channel formed along a length of the device and the tensioning element can translate an articulation force to the working end of the device. During such articulation of the device, a portion of the channel can be configured to allow the tensioning element to exit the channel and move away from a longitudinal axis of the device thereby optimizing a mechanical advantage relative to the distal end of the device and thus maximizing the force capable of being delivered thereto. Additionally, various embodiments of a method for articulating a working end of an elongate surgical device are provided herein.
摘要翻译：这里提供了构造成沿曲折的体腔行进到外科手术部位的细长手术装置的各种实施例。在一个实施例中，该装置可以包括延伸穿过沿着装置的长度形成的通道的张紧元件，并且张紧元件可以将铰接力平移到装置的工作端。在装置的这种关节过程中，通道的一部分可以构造成允许张紧元件离开通道并远离装置的纵向轴线移动，从而优化相对于装置的远端的机械优点，从而最大化能够传递给它的力。此外，本文提供了用于铰接细长外科手术装置的工作端的方法的各种实施例。

17. 发明申请

US20120053402A1 MINIMALLY INVASIVE SURGERY 审中-公开
标题翻译：微创手术
公开(公告)号：US20120053402A1
公开(公告)日：2012-03-01
申请号：US12873829
申请日：2010-09-01
申请人： Sean P. Conlon , Kempton K. Carroll, II , James T. Spivey , Ragae M. Ghabrial
发明人： Sean P. Conlon , Kempton K. Carroll, II , James T. Spivey , Ragae M. Ghabrial
IPC分类号： A61B1/00
CPC分类号： A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/068 , A61B17/07207 , A61B17/29 , A61B17/320016 , A61B17/34 , A61B17/3474 , A61B50/30 , A61B50/33 , A61B90/361 , A61B2017/00283 , A61B2017/00362 , A61B2017/00473 , A61B2017/00876 , A61B2017/0688 , A61B2017/07271
摘要： A single port surgical method comprises inserting only a single trocar through the abdominal wall; inserting a camera into the abdominal cavity; magnetically anchoring the camera to the abdominal wall; obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle; passing the distal end of the first instrument through the abdominal wall independent of a trocar; attaching in vivo an end effector to the distal end of the first surgical instrument; obtaining a second instrument comprising an elongate shaft with a distal end with an end effector and a proximal end connected to a second handle; passing the distal end of the second instrument through the trocar; and manipulating tissue in the abdominal cavity with the first and second surgical instrument end effectors under visualization from the magnetically anchored camera.
摘要翻译：单端口手术方法包括仅穿过单个套管针穿过腹壁; 将相机插入腹腔; 将相机磁性地固定在腹壁上; 获得包括细长轴的第一仪器，其具有连接到第一手柄的远端和近端; 使第一个器械的远端通过腹壁独立于套管针; 将末端执行器体内附接到第一外科器械的远端; 获得包括具有远端的细长轴的第二仪器，所述远端具有末端执行器，并且近端连接到第二手柄; 使第二台仪器的远端穿过套管针; 并且使用第一和第二外科器械终端执行器在磁力锚定相机可视化下操纵腹腔中的组织。

18. 发明申请

US20120053406A1 MINIMALLY INVASIVE SURGERY 审中-公开
标题翻译：微小的入侵手术
公开(公告)号：US20120053406A1
公开(公告)日：2012-03-01
申请号：US12873845
申请日：2010-09-01
申请人： Sean P. Conlon , Kempton K. Carroll, II , James T. Spivey , Ragae M. Ghabrial
发明人： Sean P. Conlon , Kempton K. Carroll, II , James T. Spivey , Ragae M. Ghabrial
IPC分类号： A61B1/04 , A61B19/00 , A61B17/10 , A61M25/00 , A61B18/18
CPC分类号： A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/068 , A61B17/07207 , A61B17/29 , A61B17/320016 , A61B17/34 , A61B17/3474 , A61B50/30 , A61B50/33 , A61B90/361 , A61B2017/00283 , A61B2017/00362 , A61B2017/00473 , A61B2017/00876 , A61B2017/0688 , A61B2017/07271
摘要： A surgical kit comprises two percutaneous instruments each having an elongate shaft with a distal end and a proximal end connected to a handle; at least two end effectors attachable and detachable to the distal ends of the percutaneous instruments; a laparoscopic loader adapted to receive the end effectors; a trocar; and a laparoscopic surgical stapler. The surgical kit may further comprise laparoscopic energy based clamping and coagulating device and/or a laparoscopic suture device. Optionally, the surgical kit may further comprised a third percutaneous instrument having an elongate shaft with a distal end and a proximal end connected to a handle, and at least three end effectors attachable and detachable to the distal ends of the percutaneous instruments. The surgical kit may further comprise a magnetic camera and/or a magnetic external control unit adapted to anchor a magnetic camera. The components of the surgical kit may be contained in a sterile sealed package.
摘要翻译：手术套件包括两个经皮器械，每个具有细长轴，其具有远端和近端连接到手柄; 至少两个末端执行器可附接和可拆卸到经皮器械的远端; 一种适于接收末端执行器的腹腔镜装载器; 套管针和腹腔镜手术吻合器。手术套件还可以包括基于腹腔镜能量的夹紧和凝固装置和/或腹腔镜缝合装置。任选地，手术套件还可以包括第三经皮器械，其具有细长轴，其具有连接到手柄的远端和近端，以及可附接和可拆卸到经皮器械的远端的至少三个末端执行器。手术套件还可以包括适于锚定磁性相机的磁性相机和/或磁性外部控制单元。手术套件的组件可以包含在无菌密封包装中。

19. 发明授权

US07857754B2 Apparatus useful for positioning a device on an endoscope 有权
标题翻译：用于将装置定位在内窥镜上的装置
公开(公告)号：US07857754B2
公开(公告)日：2010-12-28
申请号：US11128704
申请日：2005-05-13
申请人： James T. Spivey , David Stefanchik , Omar J. Vakharia , Rick D. Applegate
发明人： James T. Spivey , David Stefanchik , Omar J. Vakharia , Rick D. Applegate
IPC分类号： A61B1/00
CPC分类号： A61B1/005 , A61B1/00073 , A61B1/00135 , A61B1/0014 , A61B1/012 , A61B2017/00296
摘要： A medical apparatus and method useful for positioning a device, such as an endcap, on an end of an endoscope, is disclosed. The apparatus can exert a pulling force on the endoscope through the endcap while a pushing force is applied to the endcap. The apparatus can be used to press an endcap onto the distal end of an endoscope without grasping by hand a sheath in those applications where the endoscope is disposed in a sheath.
摘要翻译：公开了一种用于将诸如端盖的装置定位在内窥镜的端部上的医疗装置和方法。该装置可以通过端盖在内窥镜上施加拉力，同时向端盖施加推力。该装置可用于在将内窥镜设置在护套中的那些应用中用手将护套按压到内窥镜的远端而不用手抓住。

20. 发明申请

US20100057085A1 SURGICAL GRASPING DEVICE 有权
标题翻译：外科手术装置
公开(公告)号：US20100057085A1
公开(公告)日：2010-03-04
申请号：US12203330
申请日：2008-09-03
申请人： Matthew D. Holcomb , James T. Spivey , Omar J. Vakharia , Frederick Q. Johnson , Surag S. Mantri , Hoang V. Nguyen , Steven P. Woodard
发明人： Matthew D. Holcomb , James T. Spivey , Omar J. Vakharia , Frederick Q. Johnson , Surag S. Mantri , Hoang V. Nguyen , Steven P. Woodard
IPC分类号： A61B18/04
CPC分类号： A61B18/1445 , A61B18/1492 , A61B2017/2934 , A61B2017/2936 , A61B2017/2939 , A61B2017/2944
摘要： A surgical device comprising a clevis defining a longitudinal axis and a jaw comprising a first member and a second member. A slider is slidably engaged to the clevis, the slider comprising a pin. The pin is receiveably engaged in the first slot and the jaw is selectively moveable between a first position and a second position through longitudinal movement of the slider. In various embodiments, the first and second members are movable between an angular open position, a parallel open position, and a parallel closed position.
摘要翻译：一种手术装置，包括限定纵向轴线的U形夹和包括第一构件和第二构件的钳口。滑块可滑动地接合到U形夹上，滑块包括销。销可接收地接合在第一槽中，并且通过滑块的纵向移动，夹爪可选择性地在第一位置和第二位置之间移动。在各种实施例中，第一和第二构件可在角度打开位置，平行打开位置和平行关闭位置之间移动。

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