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    • 81. 发明授权
    • Surgical suturing apparatus
    • 手术缝合装置
    • US08075572B2
    • 2011-12-13
    • US11796035
    • 2007-04-26
    • David StefanchikDavid B. Griffith
    • David StefanchikDavid B. Griffith
    • A61B17/04
    • A61B17/0469A61B17/0625A61B2017/047A61B2017/0609
    • A surgical suturing apparatus is described. The suturing apparatus has a needle having at least one pointed end, a channel for releasably receiving the needle, a needle positioning assembly having members for moving the needle and an actuation assembly for actuating the needle positioning assembly. The needle includes a first puncturing point at a proximal end thereof and an engagement section adjacent thereto, a distal end, which may have a second puncturing point, and another engagement section adjacent the distal end. A structure, such as an eye or a slot, is provided to secure a length of suture material to the needle. The members for moving the needle include an engagement member for releasably engaging one of the engagement sections of the needle to effect axial movement of the needle within the channel, a ramp member for effecting movement of the needle in the distal direction along the longitudinal axis of the channel and for urging the proximal end of the needle out of the channel, and a snare axially movable within the channel and having a portion releasably housed within the channel. The snare portion is configured for capturing the proximal engagement section of the needle to guide the needle in a proximal direction when the needle is out of the channel and to guide the return of the needle to the channel.
    • 描述了外科缝合装置。 缝合装置具有至少一个尖端的针,用于可释放地接收针的通道,具有用于移动针的构件的针定位组件和用于致动针定位组件的致动组件。 针包括在其近端处的第一穿刺点和与其相邻的接合部,可以具有第二穿刺点的远端和与远端相邻的另一接合部。 提供诸如眼睛或狭槽的结构以将一定数量的缝合材料固定到针上。 用于移动针的构件包括用于可释放地接合针的一个接合部分的接合构件,以实现针在通道内的轴向移动;斜面构件,用于沿着远端方向沿着纵向轴线 所述通道并且用于将所述针的近端推出所述通道,以及在所述通道内可轴向移动并具有可释放地容纳在所述通道内的部分的圈套。 所述圈套部分构造成用于捕获所述针的近侧接合部分,以在所述针离开所述通道时引导所述针沿近侧方向并引导所述针返回所述通道。
    • 84. 发明申请
    • SHAPE CONTROL ENDOSCOPE
    • 形状控制内窥镜
    • US20100217083A1
    • 2010-08-26
    • US12392472
    • 2009-02-25
    • David StefanchikJames T. SpiveyMichael J. Stokes
    • David StefanchikJames T. SpiveyMichael J. Stokes
    • A61B1/008
    • A61B1/0055A61B1/00078A61B1/008A61B1/01
    • Methods and devices are provided for controlling an endoscope in a body cavity. In one exemplary embodiment, a stiffening element for an endoscopic surgical system includes an elongate member having a diameter configured for insertion and use in a channel of an endoscope. The elongate member can be movable between an unlocked position in which the elongate member is freely movable to assume a desired configuration, and a locked position in which the elongate member is maintained in a desired configuration. In one embodiment, the elongate member is formed from a plurality of links that are pivotally coupled to one another. Methods for controlling a surgical device in a body cavity, as well as systems for use in endoscopic surgeries, are also provided herein.
    • 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,用于内窥镜手术系统的加强元件包括细长构件,该细长构件具有被构造用于在内窥镜的通道中插入和使用的直径。 细长构件可以在其中细长构件可自由移动以呈现期望构造的解锁位置和锁定位置之间移动,在该位置中细长构件保持在期望的构型。 在一个实施例中,细长构件由彼此枢转地联接的多个连杆形成。 本文还提供了用于控制体腔内的手术装置的方法以及用于内窥镜手术的系统。
    • 86. 发明申请
    • RIGIDIZABLE SURGICAL INSTRUMENT
    • 可手动外科仪器
    • US20100076451A1
    • 2010-03-25
    • US12234425
    • 2008-09-19
    • Andrew M. ZwolinskiDavid B. GriffithDavid Stefanchik
    • Andrew M. ZwolinskiDavid B. GriffithDavid Stefanchik
    • A61B17/94
    • A61B1/005A61B1/00078A61B2017/00287A61B2017/003A61B2017/00336A61B2017/2901A61B2017/2905
    • A rigidizable surgical instrument comprises a rigidizable member, a first collapsible arm, a second collapsible arm, and a specimen retrieval bag for retrieving biological materials. The collapsible arms may be located at the distal end of the rigidizable member. The specimen retrieval bag may have an open end and a closed end, and may be configured to be retained upon the collapsible arms. The rigidizable member may include a rigidizing component to rigidize the rigidizable member when the state-change material or a stiffening element is in a rigid state. The rigidizable member may be rendered substantially rigid when the rigidizing component is actuated and the rigidizable member may be rendered substantially flexible when the rigidizing component is deactuated. A rigidizing mechanism for actuating the rigidizing component may include a vacuum. Various end-effectors may be provided in addition to the specimen retrieval bag.
    • 一种可硬化的手术器械包括可固化构件,第一可折叠臂,第二可折叠臂和用于回收生物材料的检体取出袋。 可折叠臂可以位于可固化构件的远端。 样本回收袋可以具有开口端和封闭端,并且可以被配置为保持在可折叠臂上。 刚性化构件可以包括刚性组件,以在状态变化材料或加强元件处于刚性状态时使刚性化刚性化构件。 当刚性组件被致动时,刚性化构件可以变得基本上刚性,并且当刚性化构件停用时,可固化构件可以变得基本上柔性。 用于致动刚性组分的刚性机构可以包括真空。 除了样本取出袋之外,还可以提供各种终端效应器。
    • 87. 发明申请
    • Endoscopic Tissue Resection Device
    • 内镜组织切除装置
    • US20080234693A1
    • 2008-09-25
    • US11689125
    • 2007-03-21
    • David Stefanchik
    • David Stefanchik
    • A61B17/94
    • A61B17/32056A61B18/1492A61B34/70A61B2017/00296A61B2017/003A61B2017/22074A61B2017/22078A61B2017/2929A61B2017/3445
    • Devices and methods useful for manipulating tools at a surgical site are disclosed. The disclosed devices and methods can be useful, for example, for orbiting the distal end of one tool around the distal end of another tool, such as in an endoscopic resection procedure, and/or for rotating a tool or an end effector. In one exemplary embodiment, an endoscopic device is provided and can include an elongate shaft having a first lumen and a second lumen formed therein, each of the first and the second lumens adapted to receive a tool therethrough. A rotatable element can be disposed at a distal end of the elongate shaft, the rotatable element having a lumen formed therein that is associated with the first lumen of the elongate shaft and also having a tool guide that is adapted to receive a tool and that is associated with the second lumen of the elongate shaft. The rotatable element can be configured to rotate on a longitudinal axis thereof such that the tool guide orbits the longitudinal axis of the rotatable element.
    • 公开了用于在手术部位操作工具的装置和方法。 所公开的装置和方法可以是有用的,例如,例如在一个工具的远端围绕另一个工具的远端(例如在内窥镜切除过程中)和/或用于旋转工具或端部执行器。 在一个示例性实施例中,提供内窥镜装置,并且可以包括具有形成在其中的第一腔和第二腔的细长轴,第一和第二腔中的每一个适于接收穿过其中的工具。 可旋转元件可以设置在细长轴的远端处,可旋转元件具有形成在其中的内腔,其与细长轴的第一内腔相关联并且还具有适于接纳工具的工具引导件, 与细长轴的第二内腔相关联。 可旋转元件可以被构造成在其纵向轴线上旋转,使得工具引导件绕可旋转元件的纵向轴线运动。