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    • 52. 发明授权
    • Method for exchanging end effectors In Vivo
    • 交换终端效应器的方法体内
    • US09186203B2
    • 2015-11-17
    • US12576578
    • 2009-10-09
    • James T. SpiveyKevin M. HueyRudolph H. NobisSean P. Conlon
    • James T. SpiveyKevin M. HueyRudolph H. NobisSean P. Conlon
    • A61B17/00A61B18/14A61B17/29
    • A61B18/1442A61B17/29A61B2017/00296A61B2017/00473A61B2017/00477A61B2017/0053A61B2018/1495
    • A laparoscopic surgical method comprises obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle. The distal end of the first instrument is passed through a percutaneous incision. A surgical end effector is obtained having a distal end with operable jaws and a proximal end selectively attachable to and detachable from the distal end of the first instrument. A second instrument is obtained comprising a distal end and a proximal end connected to a second handle. The surgical end effector is loaded ex vivo on the distal end of the second instrument. The distal end of the second instrument with the loaded surgical end effector is passed through a second incision spaced from the percutaneous incision. The proximal end of the surgical end effector is attached in vivo to the distal end of the first instrument. Tissue is manipulated by actuating the handle of the first instrument to operate the jaws of the surgical end effector.
    • 腹腔镜手术方法包括获得包括细长轴的第一仪器,其具有远端和连接到第一手柄的近端。 第一台仪器的远端通过一个经皮切口。 获得外科末端执行器,其具有具有可操作的夹爪的远端和可选择性地附接到第一器械的远端并且可从第一器械的远端拆卸的近端。 获得包括连接到第二手柄的远端和近端的第二器械。 手术末端执行器离体装载在第二仪器的远端。 具有装载的外科末端执行器的第二器械的远端通过与经皮切口间隔开的第二切口。 手术末端执行器的近端在体内附着到第一器械的远端。 组织通过致动第一仪器的手柄来操纵手术末端执行器的钳口来操纵。
    • 56. 发明授权
    • Method of implanting a fluid injection port
    • 植入流体注射口的方法
    • US08585662B2
    • 2013-11-19
    • US13030176
    • 2011-02-18
    • Sean P. ConlonJoshua UthHow-Lun Chen
    • Sean P. ConlonJoshua UthHow-Lun Chen
    • A61M31/00A61M37/00
    • A61M39/0208A61F5/0056A61M39/04A61M2039/0205A61M2039/0223
    • A method for implanting an injection port within a patient. The method involves providing a port having a housing with a closed distal end, a open proximal end, a fluid reservoir therebetween, a needle penetrable septum attached to the housing about the opening, and at least one attachment mechanism mounted to the housing at a pivot point along an outer periphery of the housing. The attachment mechanism is an arcuate hook pivotable with respect to the housing, the arcuate hook having a length extending substantially at least 180° about the pivot point. The method further involves placing the distal end of the port adjacent tissue, and rotating the arcuate hook at least 180 degrees so that a free end of the hook extends into tissue and back out again.
    • 一种在患者体内植入注射口的方法。 该方法包括提供具有壳体的端口,该壳体具有闭合的远端,敞开的近端,在其间的流体储存器,围绕开口附接到壳体的针可穿透的隔膜,以及至少一个在枢轴处安装到壳体的附接机构 沿着壳体的外周指向。 附接机构是相对于壳体可枢转的弓形钩,弓形钩具有围绕枢轴点基本上至少180°延伸的长度。 该方法还包括将端口的远端邻近组织放置,并且将弓形钩旋转至少180度,使得钩的自由端延伸进入组织并再次退出。
    • 60. 发明授权
    • Manually articulating devices
    • 手动铰接装置
    • US08403926B2
    • 2013-03-26
    • US12133953
    • 2008-06-05
    • Rudolph H. NobisSean P. Conlon
    • Rudolph H. NobisSean P. Conlon
    • A61B18/14
    • A61B17/320016A61B18/1482A61B2018/1422A61B2018/1475A61B2018/1861
    • The device includes an elongate shaft having a distal end coupled to a proximal end of an articulation joint, and an actuation wire extending through the elongate shaft and the articulation joint. The device includes an end effector having a distal tip coupled to a distal end of the articulation joint and receiving therethrough a distal end of the actuation wire. The end effector includes a hook knife disposed adjacent the distal tip and having a proximal end connected to the distal end of the actuation wire. The actuation wire is translatable along a longitudinal axis of the elongate shaft to extend and retract the distal end of the hook knife relative to the distal tip of the end effector, and the articulation joint is laterally articulatable relative to the longitudinal axis of the elongate shaft to allow the end effector to be angularly oriented relative to the elongate shaft.
    • 该装置包括细长轴,其具有联接到关节运动关节的近端的远端以及延伸穿过细长轴和关节运动关节的致动线。 该装置包括末端执行器,其具有联接到关节运动关节的远端的远侧末端,并且通过其远离致动线的远端。 末端执行器包括设置在远侧末端附近并具有连接到致动线的远端的近端的钩刀。 驱动线可沿着细长轴的纵向轴线平移,以相对于末端执行器的远端延伸和缩回钩刀的远端,并且关节运动关节可相对于细长轴的纵向轴线横向铰接 以允许端部执行器相对于细长轴成角度地定向。