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41. 发明授权

US07771416B2 Control mechanism for flexible endoscopic device and method of use 有权
标题翻译：柔性内窥镜装置的控制机构及使用方法
公开(公告)号：US07771416B2
公开(公告)日：2010-08-10
申请号：US11762855
申请日：2007-06-14
申请人： James T. Spivey , Omar J. Vakharia
发明人： James T. Spivey , Omar J. Vakharia
IPC分类号： A61B17/00
CPC分类号： A61B1/0052 , A61B1/00133 , A61B17/00234 , A61B2017/00278 , A61B2017/003 , A61B2017/0034 , A61B2017/2901 , A61B2017/2902 , A61M25/0136 , A61M25/0138 , A61M25/0147
摘要： Control devices and methods are provided for controlling tension applied to a tensioning element extending through a flexible shaft, such as on an endoscopic device. In one exemplary embodiment, the methods and devices are configured to allow free movement and optionally provide slack to a control mechanism on an endoscopic device during insertion to allow free flexion of the shaft of the device, and to tension the control mechanism when desired to actuate, articulate, or otherwise control the working end or other portion of the device disposed within a patient's body.
摘要翻译：提供控制装置和方法，用于控制施加到延伸穿过诸如内窥镜装置上的柔性轴的张紧元件的张力。在一个示例性实施例中，所述方法和装置被配置为允许自由运动并且可选地在插入期间在内窥镜装置上的控制机构松弛以允许装置的轴的自由弯曲，并且当需要致动时张紧控制机构，铰接或以其他方式控制设置在患者身体内的装置的工作端或其他部分。

42. 发明申请

US20100081877A1 OVERTUBE WITH EXPANDABLE TIP 有权
标题翻译： OVERTUBE具有可扩展的提示
公开(公告)号：US20100081877A1
公开(公告)日：2010-04-01
申请号：US12243334
申请日：2008-10-01
申请人： Omar J. Vakharia
发明人： Omar J. Vakharia
IPC分类号： A61B1/00
CPC分类号： A61B1/3132 , A61B1/00135
摘要： An endoscopic overtube with articulating fingers extending from the distal end. The articulating fingers form an opening that may be expanded by a balloon. When positioned in a puncture site in a tissue wall, the articulating fingers dilate and enlarge the puncture site to allow for the body of the overtube to pass through the puncture site. In various embodiments, the fingers may further comprise cutting elements to assist in the dilation of the puncture site.
摘要翻译：具有从远端延伸的铰接指状件的内窥镜外套管。铰接指状物形成可以被气球膨胀的开口。当定位在组织壁中的穿刺部位时，关节指状物扩张和扩大穿刺部位，以允许外套管的身体穿过穿刺部位。在各种实施例中，手指还可以包括切割元件以辅助穿刺部位的扩张。

43. 发明授权

US07527620B2 Medical instrument having a medical guidewire 有权
标题翻译：具有医疗导线的医疗器械
公开(公告)号：US07527620B2
公开(公告)日：2009-05-05
申请号：US11128036
申请日：2005-05-12
申请人： Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
发明人： Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
IPC分类号： A61M25/00
CPC分类号： A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要： A first medical instrument includes a flexible catheter and a medical guidewire extendable beyond a distal end of the catheter. The medical guidewire has first and second segments, wherein the bending moment of inertia of the first segment is less than the bending moment of inertia of the second segment. A second medical instrument includes a flexible catheter, a mechanized guidewire assembly, and a medical guidewire extendable beyond a distal end of the catheter. The medical guidewire has an exterior surface including a repetitive series of spaced-apart surface elevation features. One example of surface elevation features is external threads. The spaced-apart surface elevation features are adapted for operable engagement with the mechanized guidewire drive assembly.
摘要翻译：第一医疗器械包括柔性导管和可延伸超过导管远端的医疗导丝。医疗用导线具有第一和第二部分，其中第一部分的弯曲转动惯量小于第二部分的弯曲转动惯量。第二医疗器械包括柔性导管，机械化导丝组件和可延伸超过导管远端的医疗导丝。医疗导丝具有包括重复的一系列间隔开的表面高度特征的外表面。表面高程特征的一个例子是外部线程。间隔开的表面高度特征适于与机械化的导丝驱动组件可操作地接合。

44. 发明申请

US20090062795A1 ELECTRICAL ABLATION SURGICAL INSTRUMENTS 审中-公开
标题翻译：电动手术器械
公开(公告)号：US20090062795A1
公开(公告)日：2009-03-05
申请号：US12109699
申请日：2008-04-25
申请人： Omar J. Vakharia , Kurt R. Bally , Gary L. Long
发明人： Omar J. Vakharia , Kurt R. Bally , Gary L. Long
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B18/1445 , A61B18/1477 , A61B18/148 , A61B2018/00333 , A61B2018/00398 , A61B2018/1266 , A61B2018/1425 , A61B2018/1475 , A61L2202/24
摘要： An electrical ablation device includes an elongated flexible member having a proximal end and a distal end. A clamp jaw portion is located at the distal end of the elongated flexible member. The clamp jaw portion is operatively movable from an open position to a closed position. A blunt dissection portion is formed on the clamp jaw portion. The clamp jaw portion is adapted to couple to an electrical waveform generator and to receive an electrical waveform.
摘要翻译：电消融装置包括具有近端和远端的细长柔性构件。钳夹部分位于细长柔性构件的远端。钳夹部分可操作地从打开位置移动到关闭位置。在钳夹部上形成钝平的解剖部。钳夹部分适于耦合到电波形发生器并接收电波形。

45. 发明申请

US20080183035A1 Endoscopic Accessory Control Mechanism 有权
标题翻译：内镜附件控制机制
公开(公告)号：US20080183035A1
公开(公告)日：2008-07-31
申请号：US11627542
申请日：2007-01-26
申请人： Omar J. Vakharia , David Stefanchik , James T. Spivey
发明人： Omar J. Vakharia , David Stefanchik , James T. Spivey
IPC分类号： A61B17/94
CPC分类号： A61B17/00234 , A61B1/00135 , A61B1/018 , A61B17/3421 , A61B2017/00292 , A61B2017/00296 , A61B2017/2923 , A61B2017/3445
摘要： Devices and methods useful for manipulating tools at a surgical site are disclosed. In one exemplary embodiment, an accessory device is provided and can include an insertion member and a control wire. The insertion member can have a lumen for receiving a tool therethrough, such as an endoscope. The control wire can be coupled to the insertion member and have a distal portion extending distally from the insertion member and be adapted to receive and to manipulate a tool extending through the insertion member. The control wire can have a wide variety of configurations, and in certain exemplary embodiments the control wire can be slidably received in one or more control wire lumens formed through the insertion member. In use, the control wire can be manipulated, for example by axially sliding the control wire in one or more control wire lumens to control a tool.
摘要翻译：公开了用于在手术部位操作工具的装置和方法。在一个示例性实施例中，提供附件装置并且可以包括插入构件和控制线。插入构件可以具有用于容纳穿过其中的工具的内腔，诸如内窥镜。控制线可以联接到插入构件并且具有从插入构件向远侧延伸的远侧部分，并且适于接收和操纵延伸穿过插入构件的工具。控制线可以具有各种各样的配置，并且在某些示例性实施例中，控制线可以可滑动地容纳在通过插入构件形成的一个或多个控制线腔中。在使用中，控制线可以被操纵，例如通过在一个或多个控制线腔内轴向滑动控制线来控制工具。

46. 发明授权

US09241770B2 Methods and devices for remotely controlling movement of surgical tools 有权
标题翻译：用于远程控制手术工具运动的方法和装置
公开(公告)号：US09241770B2
公开(公告)日：2016-01-26
申请号：US13249714
申请日：2011-09-30
申请人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
发明人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
IPC分类号： A61B19/00 , A61B17/00
CPC分类号： A61B34/37 , A61B34/30 , A61B34/70 , A61B2017/00022 , A61B2017/00207
摘要： Methods and devices are provided for controlling movement of a distal end of a surgical instrument. In general, the methods and devices can allow for controlling movement of surgical tools, and in particular for causing mimicked motion between an external control unit and a surgical tool positioned within a patient's body. In one embodiment, a surgical system is provided having a master assembly including an input tool and a slave assembly including a surgical instrument. The master assembly and the slave assembly can be configured to be electronically coupled together such that movement of the master assembly can be electronically communicated to the slave assembly to cause mimicked movement of the slave assembly.
摘要翻译：提供了用于控制手术器械的远端的运动的方法和装置。通常，所述方法和装置可以允许控制手术工具的移动，并且特别是用于在外部控制单元和位于患者体内的手术工具之间引起模拟的运动。在一个实施例中，提供具有主组件的外科系统，所述主组件包括输入工具和包括外科器械的从属组件。主组件和从组件可以被配置为电子耦合在一起，使得主组件的运动可以电子地传递到从组件以引起从组件的模拟运动。

47. 发明授权

US09179927B2 Surgical methods using a surgical device having a fixed angular orientation 有权
标题翻译：使用具有固定角度取向的手术装置的外科手术方法
公开(公告)号：US09179927B2
公开(公告)日：2015-11-10
申请号：US13309902
申请日：2011-12-02
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
IPC分类号： A61B17/29 , A61B19/00
CPC分类号： A61B17/2909 , A61B34/71 , A61B90/50 , A61B2017/291 , A61B2017/2927 , A61B2017/2946 , A61B2017/2947 , A61B2034/305
摘要： Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed.
摘要翻译：本文公开的手术装置通常包括体内肘关节，以便于端部执行器的平移运动，同时允许手术装置的主体部分和套管针或工作通道，装置通过该套管针或工作通道保持在固定的角度定向相对给病人这允许使用单个切口或接入装置有效地使用多个这样的装置。这样的装置还通常提供具有六个自由度的末端执行器运动，同时保持使用者和末端执行器之间的机械联动，同时模仿和/或镜像自然使用者的运动。还公开了与这种装置有关的各种方法。

48. 发明申请

US20130144274A1 SURGICAL METHODS USING A SURGICAL DEVICE HAVING A FIXED ANGULAR ORIENTATION 有权
标题翻译：使用具有固定角度方向的外科手术的手术方法
公开(公告)号：US20130144274A1
公开(公告)日：2013-06-06
申请号：US13309902
申请日：2011-12-02
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
IPC分类号： A61B17/00
CPC分类号： A61B17/2909 , A61B34/71 , A61B90/50 , A61B2017/291 , A61B2017/2927 , A61B2017/2946 , A61B2017/2947 , A61B2034/305
摘要： Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed.
摘要翻译：本文公开的手术装置通常包括体内肘关节，以便于端部执行器的平移运动，同时允许手术装置的主体部分和套管针或工作通道，装置通过该套管针或工作通道保持在固定的角度定向相对给病人这允许使用单个切口或接入装置有效地使用多个这样的装置。这样的装置还通常提供具有六个自由度的末端执行器运动，同时保持使用者和末端执行器之间的机械联动，同时模仿和/或镜像自然使用者的运动。还公开了与这种装置有关的各种方法。

49. 发明授权

US08409200B2 Surgical grasping device 有权
标题翻译：手术夹具
公开(公告)号：US08409200B2
公开(公告)日：2013-04-02
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： A61B18/18
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。

50. 发明申请

US20110112434A1 KITS AND PROCEDURES FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY 审中-公开
标题翻译：自然手术治疗内镜手术的手套和手术
公开(公告)号：US20110112434A1
公开(公告)日：2011-05-12
申请号：US12614143
申请日：2009-11-06
申请人： Ragae M. Ghabrial , James T. Spivey , Kurt R. Bally , Duane A. Linenkugel , Gregory J. Bakos , Kempton K. Carroll, II , Omar J. Vakharia , Robert M. Trusty
发明人： Ragae M. Ghabrial , James T. Spivey , Kurt R. Bally , Duane A. Linenkugel , Gregory J. Bakos , Kempton K. Carroll, II , Omar J. Vakharia , Robert M. Trusty
IPC分类号： A61B17/94 , A61B1/00 , A61B17/06 , A61B17/295 , A61B17/32 , A61B18/14 , A61B17/10 , A61B10/04
CPC分类号： A61B17/3478 , A61B1/00135 , A61B1/00154 , A61B1/018 , A61B17/1285 , A61B17/320016 , A61B17/32056 , A61B17/3421 , A61B17/3423 , A61B18/1442 , A61B2017/00278 , A61B2017/00287 , A61B2017/003 , A61B2017/00336 , A61B2017/00358 , A61B2017/0412 , A61B2017/0417 , A61B2017/0437 , A61B2017/0438 , A61B2017/0464 , A61B2017/2905 , A61B2017/2908 , A61B2017/2927 , A61B2017/2936 , A61B2017/2939 , A61B2017/3445 , A61M25/0084 , A61M25/0102 , A61M25/0133 , A61M25/0136 , A61M25/10 , A61M29/02 , A61M2025/0681 , A61M2025/1093
摘要： Various surgical devices, kits, and/or methods are provided herein that may be useful in performing a surgical procedure through a natural orifice. Such a surgical procedure may utilize one or more devices, kits, and/or methods to create an access port to a body cavity of a patient, to perform a specific surgical procedure, and to close the access port. In various embodiments, the specific surgical procedure may comprise a sleeve gastrectomy, a ventral hernia repair, a hybrid transgastric cholecystectomy, and/or a hybrid transgastric appendectomy.
摘要翻译：本文提供的各种手术装置，试剂盒和/或方法可用于通过天然孔进行外科手术。这种外科手术可以利用一个或多个装置，套件和/或方法来创建到患者的体腔的进入端口，以执行特定的外科手术并且关闭进入端口。在各种实施例中，具体的外科手术可以包括套管胃切除术，腹侧疝修补术，混合性经胃胆囊切除术和/或混合性经胃阑尾切除术。

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