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11. 发明申请

US20080275297A1 ENDOSCOPIC GUIDE DEVICE 有权
标题翻译：内窥镜指导装置
公开(公告)号：US20080275297A1
公开(公告)日：2008-11-06
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

12. 发明申请

US20120165793A1 Pill Catchers 审中-公开
标题翻译：药丸捕手
公开(公告)号：US20120165793A1
公开(公告)日：2012-06-28
申请号：US12976745
申请日：2010-12-22
申请人： Mark S. Ortiz , Christopher J. Hess , Jason L. Harris , James T. Spivey , Michael J. Stokes , Thomas E. Albrecht , James W. Voegele , William B. Weisenburgh, II , Rudolph H. Nobis , Mark S. Zeiner , Mark D. Overmyer , Darrel M. Powell , Joseph Bernard Kraimer , James Anthony Topich , Jeremy David Jarrett , Daniel James Prenger , Matthew D. Rohr Daniel
发明人： Mark S. Ortiz , Christopher J. Hess , Jason L. Harris , James T. Spivey , Michael J. Stokes , Thomas E. Albrecht , James W. Voegele , William B. Weisenburgh, II , Rudolph H. Nobis , Mark S. Zeiner , Mark D. Overmyer , Darrel M. Powell , Joseph Bernard Kraimer , James Anthony Topich , Jeremy David Jarrett , Daniel James Prenger , Matthew D. Rohr Daniel
IPC分类号： A61K9/22
CPC分类号： A61M31/002 , A61B1/041
摘要： Devices and related methods are provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as “catchers,” are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs.
摘要翻译：提供了设备和相关方法，用于将治疗剂控制递送到身体内的目标位置。更具体地，提供了用于控制经口给药的药丸通过身体的速率的方法和装置，以及用于控制体内在特定位置处的丸剂内的治疗剂的递送。提供了在本文中通常被称为“捕获器”的各种类型的装置，其可以在通过身体时主动地捕捉药丸。捕获器可以将药丸保持在体内的特定位置，直到发生预定事件，例如在丸中部分或完全施用治疗剂。然后，捕手可以在命令和/或发生预定事件时释放药片以允许药丸从身体中流出。在其他实施例中，提供了可以主动地接合捕获器并保持与捕获器接合的各种类型的药丸，直到发生预定事件。

13. 发明申请

US20100152539A1 POSITIONABLE IMAGING MEDICAL DEVICES 审中-公开
标题翻译：可定位成像医疗器械
公开(公告)号：US20100152539A1
公开(公告)日：2010-06-17
申请号：US12337340
申请日：2008-12-17
申请人： Ragae M. Ghabrial , Michael J. Stokes , Rudolph H. Nobis , Andrew M. Zwolinski , Michael P. Weir , David N. Plescia , Christle M. Cunningham , Omar J. Vakharia , William D. Fox , James T. Spivey
发明人： Ragae M. Ghabrial , Michael J. Stokes , Rudolph H. Nobis , Andrew M. Zwolinski , Michael P. Weir , David N. Plescia , Christle M. Cunningham , Omar J. Vakharia , William D. Fox , James T. Spivey
IPC分类号： A61B1/00
CPC分类号： A61B1/041 , A61B1/00029 , A61B1/00147 , A61B5/073 , A61B5/6882 , A61B34/73 , A61B2017/00283
摘要： A positionable imaging device includes a body defining a first end and a second end. The body is configured to be received within an internal body cavity. An imaging device is located at the first end of the body. A releasable fastener is coupled to the body to removably attach the imaging device to tissue within the internal body cavity. A release mechanism is coupled to the releasable fastener to detach the imaging device from the tissue.
摘要翻译：可定位成像装置包括限定第一端和第二端的主体。身体构造成被容纳在内部体腔内。成像装置位于身体的第一端。可拆卸紧固件联接到主体以将成像装置可移除地附接到内部体腔内的组织。释放机构联接到可释放紧固件以将成像装置与组织分离。

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

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。

16. 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。

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

US08603078B2 Methods and devices for guiding and supporting surgical instruments 有权
标题翻译：引导和支持手术器械的方法和装置
公开(公告)号：US08603078B2
公开(公告)日：2013-12-10
申请号：US12903330
申请日：2010-10-13
申请人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
发明人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B90/11 , A61B2017/3407
摘要： Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
摘要翻译：提供的方法和装置用于允许外科手术器械由外科支撑系统支撑，所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。提供了一种手术支撑系统，其包括限定枢轴点的引导端口，手术器械可以通过该枢转点枢转。引导端口以及枢轴点可以位于仪器前进的组织表面上方的距离处。还提供了用于允许体腔内注射而不在其中引入注射液的方法和装置。提供了一种机械吹气装置，其包括可膨胀的远端构件，其构造成选择性地膨胀和展开以机械地灌注体腔。机械吹气装置可以可选地与外科支架系统一起使用。

20. 发明申请

US20120199632A1 ROBOTICALLY-CONTROLLED SURGICAL INSTRUMENT WITH SELECTIVELY ARTICULATABLE END EFFECTOR 有权
标题翻译：具有可选择性终止效应的机器人控制的手术仪器
公开(公告)号：US20120199632A1
公开(公告)日：2012-08-09
申请号：US13369594
申请日：2012-02-09
申请人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV , Jerome R. Morgan
发明人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV , Jerome R. Morgan
IPC分类号： A61B17/068 , A61B19/00
CPC分类号： A61B34/30 , A61B1/0052 , A61B1/0058 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B17/320016 , A61B17/32053 , A61B34/71 , A61B50/30 , A61B50/36 , A61B90/37 , A61B2017/00057 , A61B2017/00199 , A61B2017/0023 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00367 , A61B2017/0042 , A61B2017/00473 , A61B2017/00477 , A61B2017/00685 , A61B2017/00734 , A61B2017/0688 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2937 , A61B2017/2946 , A61B2017/2947 , A61B2017/320052 , A61B2034/306 , A61B2090/0811 , A61B2090/372
摘要： Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting.
摘要翻译：提供了用于通过机器人系统来控制手术装置的工作端的移动的装置和系统。在一个实施例中，系统和装置被提供用于移动外科紧固装置的远端上的末端执行器。运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。

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