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61. 发明申请

US20100125168A1 METHODS AND DEVICES FOR ENDOSCOPE CONTROL IN A BODY CAVITY 审中-公开
标题翻译：身体内腔内控制的方法和装置
公开(公告)号：US20100125168A1
公开(公告)日：2010-05-20
申请号：US12271072
申请日：2008-11-14
申请人： David Stefanchik , James T. Spivey , Omar J. Vakharla
发明人： David Stefanchik , James T. Spivey , Omar J. Vakharla
IPC分类号： A61B1/01 , A61B1/00
CPC分类号： A61B1/0052 , A61B1/00073 , A61B1/00135 , A61B1/0056
摘要： Methods and devices are provided for controlling an endoscope in a body cavity. In one exemplary embodiment an endoscopic surgical system is provided that includes an endoscope and a steering tether coupled to at least a portion of the endoscope. The steering tether is configured to be manipulatable to effect directional movement of a distal end of the endoscope. The steering tether can include a loop formed on a distal end thereof such that a proximal portion of the steering tether can control the loop, which in turn controls the movement of the distal end of the endoscope. An overtube can optionally be included in the system. The overtube can be coupled to endoscope and adapted to receive at least a portion of the endoscope and the steering tether. In one embodiment, the endoscope includes an accessory mount extending over at least a portion of a length of the endoscope and the steering tether can be disposed on the accessory mount. Various methods for controlling movement of an endoscope in a body cavity are also provided.
摘要翻译：提供了用于控制体腔内窥镜的方法和装置。在一个示例性实施例中，提供内窥镜手术系统，其包括联接到内窥镜的至少一部分的内窥镜和转向系绳。转向系绳构造成可操纵以实现内窥镜远端的定向运动。转向系绳可以包括形成在其远端上的环，使得转向系绳的近端部分可以控制回路，其又控制内窥镜的远端的移动。可以可选地在系统中包括一个外套管。外套管可以联接到内窥镜并且适于接纳内窥镜和转向系绳的至少一部分。在一个实施例中，内窥镜包括在内窥镜的长度的至少一部分上延伸的附件安装件，并且转向系绳可以设置在附件安装件上。还提供了用于控制体腔内窥镜运动的各种方法。

62. 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。

63. 发明申请

US20100056861A1 ARTICULATING END CAP 有权
标题翻译：文字封面
公开(公告)号：US20100056861A1
公开(公告)日：2010-03-04
申请号：US12201812
申请日：2008-08-29
申请人： James T. Spivey
发明人： James T. Spivey
IPC分类号： A61B1/005 , A61B1/018
CPC分类号： A61B1/018 , A61B1/00087 , A61B1/00089 , A61B1/0052 , A61B1/2736 , A61B17/00234 , A61B2017/00296 , A61B2017/003 , A61B2017/00327
摘要： Various embodiments of a surgical device and methods of using the surgical device are disclosed. The surgical device may comprise a collar configured to fit over a distal face of an endoscope and rotate about a longitudinal axis of the endoscope. The surgical device may also comprise a flexible, elongate translating mechanism coupled to the collar and extending proximally from the collar. Applying a linear force to the translating mechanism may cause the translating mechanism to exert a rotational force on the collar. In addition, the surgical device may comprise a hollow cap coupled to a distal end of the collar. The cap may be pivotable relative to the collar in a plane parallel to the axis. In addition, the cap may have a first open end configured to face the endoscope and a second open end configured to face distally.
摘要翻译：公开了外科装置的各种实施例和使用手术装置的方法。手术装置可以包括被配置成装配在内窥镜的远侧面上并围绕内窥镜的纵向轴线旋转的轴环。手术装置还可以包括耦合到套环并从套环向近侧延伸的柔性的细长的平移机构。向平移机构施加线性力可能导致平移机构在轴环上施加旋转力。此外，手术装置可以包括联接到轴环的远端的中空帽。帽可以在平行于轴线的平面中相对于套环枢转。此外，盖可以具有构造成面向内窥镜的第一开口端和被配置为朝向远侧的第二开口端。

64. 发明申请

US20090299385A1 SURGICAL FASTENING DEVICE 有权
标题翻译：外科手术装置
公开(公告)号：US20090299385A1
公开(公告)日：2009-12-03
申请号：US12130023
申请日：2008-05-30
申请人： David Stefanchik , James T. Spivey
发明人： David Stefanchik , James T. Spivey
IPC分类号： A61B17/04
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B17/12009 , A61B2017/0649
摘要： Various embodiments are directed to a surgical device comprising an end effector. The end effector may comprise a first jaw member defining a first groove and a second jaw member defining a second groove. The first jaw member and the second jaw member may be selectively pivotable between an open position and a closed position. Also, the first groove and the second groove align to form a combined helical groove when the first jaw member and the second jaw member are in the closed position. In addition, the first jaw member may define a wire opening aligned with the first groove.
摘要翻译：各种实施例涉及包括末端执行器的手术装置。端部执行器可以包括限定第一凹槽的第一钳口构件和限定第二凹槽的第二钳口构件。第一钳口构件和第二钳口构件可以在打开位置和关闭位置之间选择性地枢转。此外，当第一钳口构件和第二钳口构件处于关闭位置时，第一槽和第二槽对准以形成组合的螺旋槽。此外，第一钳口构件可以限定与第一凹槽对准的线开口。

65. 发明申请

US20090275980A1 METHOD AND APPARATUS FOR THE FORMATION OF TISSUE FOLDS 审中-公开
标题翻译：组织形成的方法和装置
公开(公告)号：US20090275980A1
公开(公告)日：2009-11-05
申请号：US12113633
申请日：2008-05-01
申请人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Wayne Young , James T. Spivey
发明人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Wayne Young , James T. Spivey
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0417 , A61F5/0086
摘要： A suture anchoring device includes a fastener body composed of a tube and a spool is mounted within the tube for rotation relative to the tube. Suture material is wrapped about the spool such that pulling of the suture material causes rotation of the spool within the tube. A one-way locking mechanism allows the spool to rotate freely in a first direction and prevents rotation in an opposite direction. A method for creating a tissue fold includes deploying a first suture anchoring device within the tissue with suture material extending proximally from the first suture anchoring device, deploying a second suture anchoring device within the tissue with a distal portion of the suture material extending between the first suture anchoring device and a proximal portion of the suture material extending proximally from the second suture anchoring device, and applying tension to the suture material to draw portions of the tissue together to form a tissue fold.
摘要翻译：缝合线锚定装置包括由管组成的紧固件主体，并且线轴安装在管内以相对于管旋转。缝线材料缠绕在线轴上，使得缝合材料的拉动导致线轴在管内旋转。单向锁定机构允许线轴在第一方向上自由旋转并且防止沿相反方向旋转。用于产生组织折叠的方法包括使用从第一缝合线锚定装置向近侧延伸的缝合材料在组织内展开第一缝合线锚定装置，在组织内部展开第二缝合线锚固装置，其中缝合材料的远端部分在第一缝合线锚定装置和缝合材料的近端部分从第二缝合线锚定装置向近侧延伸，并且向缝合材料施加张力以将组织的部分拉到一起以形成组织折叠。

66. 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。

67. 发明申请

US20090131751A1 Anal surgical instrument guides 审中-公开
标题翻译：肛门手术器械指南
公开(公告)号：US20090131751A1
公开(公告)日：2009-05-21
申请号：US11986084
申请日：2007-11-20
申请人： James T. Spivey , William B. Weisenburgh, II
发明人： James T. Spivey , William B. Weisenburgh, II
IPC分类号： A61B1/01
CPC分类号： A61B17/3421 , A61B1/00137 , A61B1/00154 , A61B1/018 , A61B1/31 , A61B17/3417 , A61B17/3462 , A61B2017/00278 , A61B2017/3407 , A61B2017/3445 , A61B2017/3447 , A61B2017/3452 , A61B2017/3454 , A61B2017/3466
摘要： A surgical instrument guide configured to be at least partially inserted into a natural orifice of a patient to allow a surgeon to access a tissue treatment region with multiple surgical instruments during the course of a minimally invasive surgical procedure. In various embodiments, the surgical instruments can be inserted at various angles with respect to the tissue treatment region to provide the surgeon with better access to the surgical site during an operation. In at least one embodiment, the surgical instrument guide may include a body portion having a first port and a second port defined therein. In such embodiments, the first and second ports may each be configured to receive a surgical instrument therethrough. Additionally, in various embodiments, at least one of the first and second ports can be configured to allow for pivotal movement of the surgical instrument within the body of the surgical instrument guide.
摘要翻译：一种外科器械引导件，其构造成至少部分地插入患者的天然孔中，以允许外科医生在微创手术过程中使用多个手术器械进入组织治疗区域。在各种实施例中，可以相对于组织治疗区域以各种角度插入手术器械，以在手术期间使外科医生更好地进入手术部位。在至少一个实施例中，手术器械引导件可以包括主体部分，其具有限定在其中的第一端口和第二端口。在这样的实施例中，第一和第二端口可以各自构造成接收通过其中的外科器械。另外，在各种实施例中，第一和第二端口中的至少一个可以构造成允许手术器械在外科器械引导件的主体内的枢转运动。

68. 发明申请

US20080221619A1 Surgical suture anchors and deployment device 有权
标题翻译：外科缝合锚和部署装置
公开(公告)号：US20080221619A1
公开(公告)日：2008-09-11
申请号：US11715710
申请日：2007-03-08
申请人： James T. Spivey , David Stefanchik , Christopher Paul Swain
发明人： James T. Spivey , David Stefanchik , Christopher Paul Swain
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0406 , A61B2017/0409 , A61B2017/0414 , A61B2017/0445 , A61B2017/0446 , A61B2017/0488 , Y10T24/3916
摘要： A suture anchor is provided which includes a hollow member having an outer surface defining an enclosure therein, the member having a longitudinal axis and a slot through a portion of the outer surface in a direction transverse to the longitudinal axis, the slot providing an opening into the enclosure. The suture anchor further includes a one-way valve positioned within the enclosure at the slot to allow entry of a suture through the slot into the enclosure and to prevent the exit of the suture from the enclosure. A device is provided for deploying the suture anchor. The deployment device includes an elongate hollow member having a suture anchor release zone positioned at the distal end thereof, a launch bar having at least a portion thereof positioned in the release zone, wherein the launch bar is movable within the release zone between a resting position and a launching position and is operatively connected to an actuation member positioned proximally to the elongate member. The hollow elongate member defines a housing for receiving a plurality of suture anchors in tandem along the longitudinal axis of the hollow member, wherein each of the suture anchors is configured for release from the release zone when such suture anchor is positioned within the release zone upon movement of the launch bar from the resting position to the launching position.
摘要翻译：提供了缝合锚，其包括具有限定其中的外壳的外表面的中空构件，所述构件具有纵向轴线和穿过外表面的横向于纵向轴线的一部分的狭槽，所述狭槽提供开口外壳。缝合锚还包括位于外壳内的单向阀，该单向阀位于狭槽处，以允许缝线通过狭槽进入外壳并防止缝合线从外壳排出。提供了用于展开缝线锚的装置。展开装置包括细长的中空构件，其具有位于其远端处的缝合线锚释放区，发射杆至少有一部分位于释放区中，其中发射杆可在释放区域内在静止位置和发射位置，并且可操作地连接到位于细长构件的近侧的致动构件。中空细长构件限定了用于沿着中空构件的纵向轴线串联地接收多个缝合锚的壳体，其中每个缝合线锚构件被构造成当这种缝合锚固件位于释放区域内时从释放区域释放，发射杆从静止位置移动到发射位置。

69. 发明申请

US20080132758A1 Independent Articulating Accessory Channel 有权
标题翻译：独立配套通道
公开(公告)号：US20080132758A1
公开(公告)日：2008-06-05
申请号：US11566954
申请日：2006-12-05
申请人： David Stefanchik , James T. Spivey
发明人： David Stefanchik , James T. Spivey
IPC分类号： A61B1/01
CPC分类号： A61B1/018 , A61B1/00073 , A61B1/00135 , A61B1/0014 , A61B1/00154
摘要： Devices and methods useful for delivering tools and/or materials to a surgical site are disclosed. In one embodiment, an accessory device for an endoscope is provided and can include an elongate sheath and an accessory channel. The elongate sheath can be adapted to receive an endoscope therein, and it can include a mating element extending longitudinally between proximal and distal ends thereof. The accessory channel can be adapted to receive a tool therethrough and it can also have a mating element extending between proximal and distal ends thereof and adapted to slidably mate to the mating element formed on the elongate sheath. In certain exemplary embodiments, a distal portion of the accessory channel can be adapted to derail from at least a distal portion of the elongate sheath while a proximal portion of the accessory channel remains mated to a proximal portion of the elongate sheath. In use, the elongate sheath and the accessory channel can each provide a pathway for delivering tools and/or materials to a surgical site. The distal ends of elongate sheath and the accessory channel can be detached and positioned independently of one another to afford improved positioning or placement of the tools and/or materials received therethrough.
摘要翻译：公开了用于将工具和/或材料递送到手术部位的装置和方法。在一个实施例中，提供了一种用于内窥镜的附件装置，并且可以包括细长护套和附件通道。细长护套可以适于在其中容纳内窥镜，并且其可以包括在其近端和远端之间纵向延伸的配合元件。附件通道可以适于接收穿过其中的工具，并且其还可以具有在其近端和远端之间延伸并且适于滑动地配合到形成在细长护套上的配合元件的配合元件。在某些示例性实施例中，附件通道的远侧部分可以适于从细长护套的至少远侧部分脱轨，而附件通道的近侧部分保持配合到细长护套的近端部分。在使用中，细长护套和附件通道可以各自提供用于将工具和/或材料递送到手术部位的路径。细长护套的远端和附件通道可以彼此独立地拆卸和定位，以提供通过其接收的工具和/或材料的改进的定位或放置。

70. 发明申请

US20080064920A1 Medical drive system for providing motion to at least a portion of a medical apparatus 审中-公开
标题翻译：用于向医疗设备的至少一部分提供运动的医疗驱动系统
公开(公告)号：US20080064920A1
公开(公告)日：2008-03-13
申请号：US11518606
申请日：2006-09-08
申请人： Gregory J. Bakos , James T. Spivey , Gary L. Long
发明人： Gregory J. Bakos , James T. Spivey , Gary L. Long
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/00133 , A61M25/0113 , A61M25/09041
摘要： Several medical drive systems each include a drive system assembly adapted to engage and move at least a portion of a medical apparatus. The medical drive system assemblies each are variously described in expressions such as an assembly adapted to engagingly slide onto a catheter, an assembly adapted to surroundingly attach to a catheter, an assembly adapted to engagingly slide onto a working channel entrance of an endoscope wherein the medical apparatus is insertable into the working channel entrance, an assembly including a spur gear and a nut gear wherein the nut gear includes external teeth engaged by the spur gear, an assembly insertable into a working channel of a flexible insertion tube of an endoscope, and/or an assembly including a drive shaft and a nut gear fixedly attached thereto wherein the drive shaft has at least a hollow portion and the medical apparatus is positionable in the hollow portion.
摘要翻译：几个医疗驱动系统各自包括适于接合和移动医疗设备的至少一部分的驱动系统组件。医疗驱动系统组件各自以表达方式进行各种描述，例如适于啮合地滑动到导管上的组件，适于围绕附接到导管的组件，适于啮合地滑动到内窥镜的工作通道入口上的组件，其中医疗装置可插入工作通道入口，包括正齿轮和螺母齿轮的组件，其中螺母齿轮包括由正齿轮啮合的外齿，可插入到内窥镜的柔性插入管的工作通道中的组件和/ 或包括固定地附接到其上的驱动轴和螺母齿轮的组件，其中所述驱动轴至少具有中空部分，并且所述医疗装置可定位在所述中空部分中。

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