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1. 发明申请

WO2008051785A2 STERILE TRANSCOLONIC ACCESS DEVICE 审中-公开
公开(公告)号：WO2008051785A2
公开(公告)日：2008-05-02
申请号：PCT/US2007/081741
申请日：2007-10-18
申请人： ETHICON ENDO-SURGERY, INC , ORTIZ, Mark S. , GHABRIAL, Ragae , FOX, William D.
发明人： ORTIZ, Mark S. , GHABRIAL, Ragae , FOX, William D.
IPC分类号： A61B17/00 , A61B17/32 , A61M25/00
CPC分类号： A61B17/00234 , A61B1/00137 , A61B2017/00278 , A61B2017/306
摘要： Devices and methods useful for translumenally accessing a body cavity are disclosed. In one embodiment, a translumenal access device adapted to be inserted through a body lumen is provided and can include an inner shaft having an opening at its distal end and adapted to be positioned adjacent to an inner wall of a body lumen. The inner shaft can include one or more sealing mechanisms, such as one or more seals with suction ports formed thereon for isolating a portion of a body lumen. The isolated portion may be sterilized and serve as an access point or otomy site for penetrating the wall of the body lumen to access a body cavity.
摘要翻译：公开了用于经心脏进入体腔的装置和方法。在一个实施例中，提供适于插入通过体腔的经腔进入装置，并且可以包括内轴，其在其远端具有开口并适于邻近体腔的内壁定位。内轴可以包括一个或多个密封机构，例如一个或多个密封件，其上形成有用于隔离身体内腔的一部分的吸入口。隔离部分可以被灭菌并且用作穿透体腔的壁以进入体腔的接入点或穿孔部位。

2. 发明申请

WO2009058953A3 ENDOSCOPIC OVERTUBES 审中-公开
标题翻译：内窥镜超声
公开(公告)号：WO2009058953A3
公开(公告)日：2009-08-13
申请号：PCT/US2008081717
申请日：2008-10-30
申请人： ETHICON ENDO SURGERY INC , BAKOS GREGORY J , GHABRIAL RAGAE , STEFANCHIK DAVID , VAKHARIA OMAR J
发明人： BAKOS GREGORY J , GHABRIAL RAGAE , STEFANCHIK DAVID , VAKHARIA OMAR J
IPC分类号： A61B1/01
CPC分类号： A61B1/00078 , A61B1/00135 , A61B1/0052
摘要： An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a substantially flexible helically wound continuous member forming a series of helical coils that define a hollow passage sized to receive a portion of the endoscopic surgical instrument therethrough. The coils may be configured to selectively interlock with each other to stiffen the overtube. An actuation system may be employed to steer the overtube and selectively stiffen it. Some embodiments include a second substantially flexible helically wound member that may be selectively wound between the first substantially flexible helically wound member or segments thereof.
摘要翻译：用于内镜手术器械的外套管。在各种实施例中，外套管可以包括形成一系列螺旋线圈的基本上柔性的螺旋形缠绕的连续构件，所述螺旋线圈限定了尺寸适于容纳内窥镜手术器械的一部分的中空通道。线圈可以被配置为选择性地互锁以加强外套管。可以使用致动系统来引导外套管并选择性地加强它。一些实施例包括可以选择性地卷绕在第一基本上柔性的螺旋形缠绕构件或其段之间的第二基本柔性的螺旋缠绕构件。

3. 发明申请

WO2009067649A2 BIPOLAR FORCEPS HAVING A CUTTING ELEMENT 审中-公开
标题翻译：具有切割元件的双极性力
公开(公告)号：WO2009067649A2
公开(公告)日：2009-05-28
申请号：PCT/US2008/084311
申请日：2008-11-21
申请人： ETHICON ENDO-SURGERY, INC. , GHABRIAL, Ragae M. , VAKHARIA, Omar J. , LONG, Gary L. , BALLY, Kurt R. , ZWOLINSKI, Andrew M.
发明人： GHABRIAL, Ragae M. , VAKHARIA, Omar J. , LONG, Gary L. , BALLY, Kurt R. , ZWOLINSKI, Andrew M.
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/1412 , A61B2018/1455
摘要： In various surgical techniques, a bipolar forceps can be used to seal a vessel in two locations such that the vessel can be incised at a location positioned intermediate the two seal locations. The bipolar forceps can include a cutting element which can be configured to incise the vessel. In various embodiments, the cutting element can include a sharp edge which can be moved relative to the vessel. In at least one embodiment, the cutting element can be electrically connected to a source of energy. The bipolar forceps can include first and second electrodes positioned within first and second jaw members, respectively, wherein at least one of the jaw members can include a substantially tapered profile and can be configured to pull the vessel away from the surrounding soft tissue. Such jaw members can include ridges, teeth, and/or a textured outer surface configured to grip the soft tissue and/or vessel. A bipolar forceps including a first electrode, a second electrode, and a conductor operably connected to an electrical source, wherein the conductor can be selectively placed in electrical communication with the first electrode when the first electrode is moved between open and closed positions. The conductor can include a contact end which is not in contact with the first electrode when the first electrode is in its open position. In such an open position, the first electrode may not be in electrical communication with the electrical source and, as a result, current may not flow through the first electrode. The first electrode can be moved into its closed position such that the first electrode is in contact with the contact end of the wire. In such a closed position, the first electrode may be in electrical communication with the electrical source allowing current to flow through the first electrode.
摘要翻译：在各种手术技术中，可以使用双极镊子将容器密封在两个位置，使得容器可以在位于两个密封位置之间的位置切开。双极镊子可以包括切割元件，该切割元件可配置成切割血管。在各种实施例中，切割元件可以包括相对于容器移动的尖锐边缘。在至少一个实施例中，切割元件可以电连接到能量源。双极镊子可以包括分别位于第一和第二钳口构件内的第一和第二电极，其中至少一个钳口构件可以包括基本上锥形的轮廓，并且可以构造成将容器拉离周围的软组织。这种钳口构件可以包括构造成夹持软组织和/或血管的脊，齿和/或织构化的外表面。一种双极钳，包括可操作地连接到电源的第一电极，第二电极和导体，其中当第一电极在打开位置和闭合位置之间移动时，导体可以选择性地与第一电极电连通。导体可以包括当第一电极处于其打开位置时不与第一电极接触的接触端。在这样的打开位置，第一电极可能不与电源电连通，结果电流可能不流过第一电极。第一电极可以移动到其闭合位置，使得第一电极与导线的接触端接触。在这种闭合位置，第一电极可以与电源电连通，允许电流流过第一电极。

4. 发明申请

WO2012031114A3 IMPROVED MINIMALLY INVASIVE SURGERY 审中-公开
公开(公告)号：WO2012031114A3
公开(公告)日：2012-03-08
申请号：PCT/US2011/050198
申请日：2011-09-01
申请人： ETHICON ENDO-SURGERY, INC. , CONLON, Sean, P. , CARROLL, Kempton, K., II. , SPIVEY, James, T. , GHABRIAL, Ragae, M.
发明人： CONLON, Sean, P. , CARROLL, Kempton, K., II. , SPIVEY, James, T. , GHABRIAL, Ragae, M.
IPC分类号： A61B17/34 , A61B17/32 , A61B17/128 , A61B17/29 , A61B17/072 , A61B18/14 , A61B17/04 , A61B17/00 , A61B17/02 , A61B19/00
摘要： A single port surgical method comprises inserting only a single trocar (22) through the abdominal wall; inserting a camera (42) into the abdominal cavity; magnetically anchoring the camera to the abdominal wall; obtaining a first instrument (54) 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 (52) to the distal end of the first surgical instrument; obtaining a second instrument (64) comprising an elongate shaft with a distal end with an end effector (62) 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. A surgical kit comprises two percutaneous instruments (121, 122) each having an elongate shaft with a distal end and a proximal end connected to a handle; at least two end effectors (124) attachable and detachable to the distal ends of the percutaneous instruments; a laparoscopic loader (123) adapted to receive the end effectors; a trocar; and a laparoscopic surgical stapler (125). The surgical kit may further comprise laparoscopic energy based clamping and coagulating device (327) and/or a laparoscopic suture device (524). 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.

5. 发明申请

WO2011094110A1 SURGICAL INSTRUMENT COMPRISING AN ELECTRODE 审中-公开
标题翻译：包含电极的手术仪器
公开(公告)号：WO2011094110A1
公开(公告)日：2011-08-04
申请号：PCT/US2011/021813
申请日：2011-01-20
申请人： ETHICON ENDO-SURGERY, INC. , LONG, Gary, L. , DANNAHER, William, D. , GHABRIAL, Ragae, M.
发明人： LONG, Gary, L. , DANNAHER, William, D. , GHABRIAL, Ragae, M.
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B2018/126 , A61B2018/1425 , A61B2018/1435
摘要： A surgical instrument configured to deliver electrical energy to the tissue of a patient, comprising a first electrode comprising a distal portion configured to contact the tissue and a second electrode comprising a distal portion configured to be inserted into the tissue, wherein the distal portion of the second electrode at least partially encompasses the distal portion of the first electrode.
摘要翻译：一种外科器械，被配置为将电能传递到患者的组织，所述外科器械包括第一电极，所述第一电极包括构造成接触所述组织的远侧部分和包括构造成插入所述组织的远侧部分的第二电极，其中，第二电极至少部分地包围第一电极的远端部分。

6. 发明申请

WO2009058953A2 ENDOSCOPIC OVERTUBES 审中-公开
标题翻译：内镜超级防护
公开(公告)号：WO2009058953A2
公开(公告)日：2009-05-07
申请号：PCT/US2008/081717
申请日：2008-10-30
申请人： ETHICON ENDO-SURGERY, INC , BAKOS, Gregory J. , GHABRIAL, Ragae , STEFANCHIK, David , VAKHARIA, Omar J.
发明人： BAKOS, Gregory J. , GHABRIAL, Ragae , STEFANCHIK, David , VAKHARIA, Omar J.
IPC分类号： A61B1/005
CPC分类号： A61B1/00078 , A61B1/00135 , A61B1/0052
摘要： An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a substantially flexible helically wound continuous member forming a series of helical coils that define a hollow passage sized to receive a portion of the endoscopic surgical instrument therethrough. The coils may be configured to selectively interlock with each other to stiffen the overtube. An actuation system may be employed to steer the overtube and selectively stiffen it. Some embodiments include a second substantially flexible helically wound member that may be selectively wound between the first substantially flexible helically wound member or segments thereof.
摘要翻译：用于内窥镜手术器械的外套管。在各种实施例中，外套管可以包括基本柔性的螺旋缠绕的连续构件，其形成一系列螺旋形线圈，所述一系列螺旋形线圈限定中空通道，所述中空通道的尺寸被设定为容纳穿过其中的内窥镜手术器械的一部分。线圈可以被配置成选择性地彼此互锁以加强外套管。可以采用致动系统来转向外套管并选择性地加固外套管。一些实施例包括第二基本上柔性的螺旋缠绕构件，其可以选择性地缠绕在第一基本柔性螺旋缠绕构件或其部分之间。

7. 发明申请

WO2008089049A1 MAGNETIC TISSUE GRASPING 审中-公开
标题翻译：磁性组织成像
公开(公告)号：WO2008089049A1
公开(公告)日：2008-07-24
申请号：PCT/US2008/050828
申请日：2008-01-11
申请人： ETHICON ENDO-SURGERY, INC , LONG, Gary, L. , GHABRIAL, Ragae, M.
发明人： LONG, Gary, L. , GHABRIAL, Ragae, M.
IPC分类号： A61B5/06 , A61B17/00 , A61B18/18
CPC分类号： A61B17/00234 , A61B2017/00876 , A61B2017/22034
摘要： Methods and devices are provided for grasping and manipulating tissue or organs. In an exemplary embodiment, a magnetic substance is introduced into an organ, and a magnetic element is positioned adjacent to the organ to generate a magnetic field between the magnetic element and the magnetic substance, such that the magnetic element is effective to move the organ. The methods and devices are particularly useful for manipulating tissue or organs during minimally invasive surgical procedures.
摘要翻译：提供了用于抓握和操纵组织或器官的方法和装置。在一个示例性实施例中，将磁性物质引入器官，并且磁性元件位于器官附近，以在磁性元件和磁性物质之间产生磁场，使得磁性元件有效地移动器官。所述方法和装置在微创外科手术过程中操作组织或器官特别有用。

8. 发明申请

WO2012033925A1 NON-CLUMPING UNIT FOR USE WITH A MAGNETIC SURGICAL SYSTEM 审中-公开
标题翻译：非磁性手术用非磁性手术系统
公开(公告)号：WO2012033925A1
公开(公告)日：2012-03-15
申请号：PCT/US2011/050844
申请日：2011-09-08
申请人： ETHICON ENDO-SURGERY, INC. , GHABRIAL, Ragae, M. , SPIVEY, James, T. , HESS, Christopher, J. , CONLON, Sean, P.
发明人： GHABRIAL, Ragae, M. , SPIVEY, James, T. , HESS, Christopher, J. , CONLON, Sean, P.
IPC分类号： A61B17/02 , 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离体磁体的体内滑板。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。

9. 发明申请

WO2012031114A2 IMPROVED MINIMALLY INVASIVE SURGERY 审中-公开
标题翻译：改进的最小的入侵手术
公开(公告)号：WO2012031114A2
公开(公告)日：2012-03-08
申请号：PCT/US2011050198
申请日：2011-09-01
申请人： ETHICON ENDO SURGERY INC , CONLON SEAN P , CARROLL KEMPTON K II , SPIVEY JAMES T , GHABRIAL RAGAE M
发明人： CONLON SEAN P , CARROLL KEMPTON K II , SPIVEY JAMES T , GHABRIAL RAGAE M
IPC分类号： A61B17/34 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/072 , A61B17/128 , A61B17/29 , A61B17/32 , A61B18/14 , A61B19/00
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. 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：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，所述远端具有端部执行器，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。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。

10. 发明申请

WO2011056848A1 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：WO2011056848A1
公开(公告)日：2011-05-12
申请号：PCT/US2010/055267
申请日：2010-11-03
申请人： ETHICON ENDO-SURGERY, INC. , GHABRIAL, Ragae, M. , SPIVEY, James, T. , BALLY, Kurt, R. , LINENKUGEL, Duane, A. , BAKOS, Gregory, J. , CARROLL, Kempton, K. , VAKHARIA, Omar, J. , TRUSTY, Robert, M.
发明人： GHABRIAL, Ragae, M. , SPIVEY, James, T. , BALLY, Kurt, R. , LINENKUGEL, Duane, A. , BAKOS, Gregory, J. , CARROLL, Kempton, K. , VAKHARIA, Omar, J. , TRUSTY, Robert, M.
IPC分类号： A61B17/34 , A61B1/005 , A61B17/00 , A61B17/04 , A61M25/10 , A61B17/128 , A61B17/32 , A61B18/14 , A61B17/29
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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