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1. 发明授权

US08603078B2 Methods and devices for guiding and supporting surgical instruments 有权
标题翻译：引导和支持手术器械的方法和装置
公开(公告)号：US08603078B2
公开(公告)日：2013-12-10
申请号：US12903330
申请日：2010-10-13
申请人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
发明人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B90/11 , A61B2017/3407
摘要： Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
摘要翻译：提供的方法和装置用于允许外科手术器械由外科支撑系统支撑，所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。提供了一种手术支撑系统，其包括限定枢轴点的引导端口，手术器械可以通过该枢转点枢转。引导端口以及枢轴点可以位于仪器前进的组织表面上方的距离处。还提供了用于允许体腔内注射而不在其中引入注射液的方法和装置。提供了一种机械吹气装置，其包括可膨胀的远端构件，其构造成选择性地膨胀和展开以机械地灌注体腔。机械吹气装置可以可选地与外科支架系统一起使用。

2. 发明申请

US20120095449A1 METHODS AND DEVICES FOR GUIDING AND SUPPORTING SURGICAL INSTRUMENTS 有权
标题翻译：用于指导和支持手术仪器的方法和装置
公开(公告)号：US20120095449A1
公开(公告)日：2012-04-19
申请号：US12903330
申请日：2010-10-13
申请人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
发明人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B90/11 , A61B2017/3407
摘要： Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
摘要翻译：提供的方法和装置用于允许外科手术器械由外科支撑系统支撑，所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。提供了一种手术支撑系统，其包括限定枢轴点的引导端口，手术器械可以通过该枢转点枢转。引导端口以及枢轴点可以位于仪器前进的组织表面上方的距离处。还提供了用于允许体腔内注射而不在其中引入注射液的方法和装置。提供了一种机械吹气装置，其包括可膨胀的远端构件，其构造成选择性地膨胀和展开以机械地灌注体腔。机械吹气装置可以可选地与外科支架系统一起使用。

3. 发明授权

US07967741B2 Endoscopic guide device 有权
标题翻译：内镜引导装置
公开(公告)号：US07967741B2
公开(公告)日：2011-06-28
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00 , A61F2/00 , A61F13/00 , A61M5/32
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

4. 发明申请

US20090192344A1 SURGICAL DEVICES FOR MANIPULATING TISSUE 审中-公开
标题翻译：用于手术组织的外科手术
公开(公告)号：US20090192344A1
公开(公告)日：2009-07-30
申请号：US12019461
申请日：2008-01-24
申请人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
IPC分类号： A61N2/10 , A61N2/00
CPC分类号： A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要： A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译：手术套件可用于操纵患者身体内的组织以在身体内产生工作空间，以允许外科医生使用各种手术器械容易地进入身体内并进行工作。手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。该套件还可以包括具有磁体的手术器械，其可用于操纵植入物和与其接合的组织。手术套件可以包括锚固件和悬挂器，其构造成在主体内的不同位置处接合组织，以及与锚固件和悬挂器接合的连接构件，使得连接构件可以被拉动以将锚移向吊架。使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。

5. 发明申请

US20080275297A1 ENDOSCOPIC GUIDE DEVICE 有权
标题翻译：内窥镜指导装置
公开(公告)号：US20080275297A1
公开(公告)日：2008-11-06
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

6. 发明申请

US20130085509A1 METHODS AND DEVICES FOR REMOTELY CONTROLLING MOVEMENT OF SURGICAL TOOLS 有权
标题翻译：用于远程控制外科手术运动的方法和装置
公开(公告)号：US20130085509A1
公开(公告)日：2013-04-04
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
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。

7. 发明申请

US20120095498A1 METHODS AND DEVICES FOR MECHANICAL SPACE CREATION AT A SURGICAL SITE 审中-公开
标题翻译：用于手术室机械空间创建的方法和装置
公开(公告)号：US20120095498A1
公开(公告)日：2012-04-19
申请号：US12903645
申请日：2010-10-13
申请人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
发明人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
IPC分类号： A61M29/00
CPC分类号： A61B17/0218 , A61B90/02 , A61B90/11 , A61B90/50
摘要： Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
摘要翻译：提供的方法和装置用于允许外科手术器械由外科支撑系统支撑，所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。提供了一种手术支撑系统，其包括限定枢轴点的引导端口，手术器械可以通过该枢转点枢转。引导端口以及枢轴点可以位于仪器前进的组织表面上方的距离处。还提供了用于允许体腔内注射而不在其中引入注射液的方法和装置。提供了一种机械吹气装置，其包括可膨胀的远端构件，其构造成选择性地膨胀和展开以机械地灌注体腔。机械吹气装置可以可选地与外科支架系统一起使用。

8. 发明申请

US20100217083A1 SHAPE CONTROL ENDOSCOPE 有权
标题翻译：形状控制内窥镜
公开(公告)号：US20100217083A1
公开(公告)日：2010-08-26
申请号：US12392472
申请日：2009-02-25
申请人： David Stefanchik , James T. Spivey , Michael J. Stokes
发明人： David Stefanchik , James T. Spivey , Michael J. Stokes
IPC分类号： A61B1/008
CPC分类号： A61B1/0055 , A61B1/00078 , A61B1/008 , A61B1/01
摘要： 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.
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，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。

9. 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。

10. 发明授权

US08388520B2 Shape control endoscope 有权
标题翻译：形状控制内窥镜
公开(公告)号：US08388520B2
公开(公告)日：2013-03-05
申请号：US12392472
申请日：2009-02-25
申请人： David Stefanchik , James T. Spivey , Michael J. Stokes
发明人： David Stefanchik , James T. Spivey , Michael J. Stokes
IPC分类号： A61B1/00
CPC分类号： A61B1/0055 , A61B1/00078 , A61B1/008 , A61B1/01
摘要： 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.
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，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。

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