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1. 发明申请

US20130140835A1 JAW ASSEMBLY FOR SURGICAL DEVICES 有权
标题翻译：手术器械JAW大会
公开(公告)号：US20130140835A1
公开(公告)日：2013-06-06
申请号：US13309891
申请日：2011-12-02
申请人： David Stefanchik , Omar J. Vakharia , William B. Weisenburgh, II
发明人： David Stefanchik , Omar J. Vakharia , William B. Weisenburgh, II
IPC分类号： B25J15/00
CPC分类号： A61B17/29 , A61B17/2909 , A61B34/70 , A61B34/71 , A61B90/50 , A61B2017/00738 , A61B2017/2902 , A61B2017/291 , A61B2017/2926 , A61B2017/2927
摘要： Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed.
摘要翻译：本文公开的手术装置通常包括体内肘关节，以便于端部执行器的平移运动，同时允许手术装置的主体部分和套管针或工作通道，装置通过该套管针或工作通道保持在固定的角度定向相对给病人这允许使用单个切口或接入装置有效地使用多个这样的装置。这样的装置还通常提供具有六个自由度的末端执行器运动，同时保持使用者和末端执行器之间的机械联动，同时模仿和/或镜像自然使用者的运动。还公开了与这种装置有关的各种方法。

2. 发明申请

US20130085494A1 LAPAROSCOPIC DEVICE WITH THREE JAWS 有权
标题翻译：具有三个法律的LAPAROSCOPIC设备
公开(公告)号：US20130085494A1
公开(公告)日：2013-04-04
申请号：US13250272
申请日：2011-09-30
申请人： William B. Weisenburgh, II , Gregory J. Bakos , Omar J. Vakharia , David Stefanchik
发明人： William B. Weisenburgh, II , Gregory J. Bakos , Omar J. Vakharia , David Stefanchik
IPC分类号： A61B17/29 , A61B18/12
CPC分类号： A61B17/29 , A61B17/0469 , A61B17/062 , A61B18/085 , A61B18/1445 , A61B2017/2926 , A61B2017/2938 , A61B2017/2945
摘要： Methods and devices are provided utilizing an end effector having three jaws movably coupled thereto for grasping and/or dissecting tissue. In one embodiment, each of the three jaws are movable between an open position in which the distal ends of the three jaws are spaced apart from one another, and a closed position in which the distal ends directly contact one another. The jaws can define an opening therebetween when the jaws are in the closed position.
摘要翻译：使用具有可移动地联接到其上的三个钳口的端部执行器来提供方法和装置，以用于抓握和/或解剖组织。在一个实施例中，三个钳口中的每一个可以在三个钳口的远端彼此间隔开的打开位置和闭合位置之间移动，其中远端彼此直接接触。当夹爪处于关闭位置时，夹爪可以在其间限定开口。

3. 发明授权

US08617203B2 Jaw assembly for surgical devices 有权
标题翻译：手术装置的爪组件
公开(公告)号：US08617203B2
公开(公告)日：2013-12-31
申请号：US13309891
申请日：2011-12-02
申请人： David Stefanchik , Omar J. Vakharia , William B. Weisenburgh, II
发明人： David Stefanchik , Omar J. Vakharia , William B. Weisenburgh, II
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B17/2909 , A61B34/70 , A61B34/71 , A61B90/50 , A61B2017/00738 , A61B2017/2902 , A61B2017/291 , A61B2017/2926 , A61B2017/2927
摘要： Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed.
摘要翻译：本文公开的手术装置通常包括体内肘关节，以便于端部执行器的平移运动，同时允许手术装置的主体部分和套管针或工作通道，装置通过该套管针或工作通道保持在固定的角度定向相对给病人这允许使用单个切口或接入装置有效地使用多个这样的装置。这样的装置还通常提供具有六个自由度的末端执行器运动，同时保持使用者和末端执行器之间的机械联动，同时模仿和/或镜像自然使用者的运动。还公开了与这种装置有关的各种方法。

4. 发明授权

US09168051B2 Laparoscopic device with three jaws 有权
标题翻译：腹腔镜装置有三个钳口
公开(公告)号：US09168051B2
公开(公告)日：2015-10-27
申请号：US13250272
申请日：2011-09-30
申请人： William B. Weisenburgh, II , Gregory J. Bakos , Omar J. Vakharia , David Stefanchik
发明人： William B. Weisenburgh, II , Gregory J. Bakos , Omar J. Vakharia , David Stefanchik
IPC分类号： A61B10/00 , A61B17/29 , A61B18/08 , A61B18/14 , A61B17/04 , A61B17/062
CPC分类号： A61B17/29 , A61B17/0469 , A61B17/062 , A61B18/085 , A61B18/1445 , A61B2017/2926 , A61B2017/2938 , A61B2017/2945
摘要： Methods and devices are provided utilizing an end effector having three jaws movably coupled thereto for grasping and/or dissecting tissue. In one embodiment, each of the three jaws are movable between an open position in which the distal ends of the three jaws are spaced apart from one another, and a closed position in which the distal ends directly contact one another. The jaws can define an opening therebetween when the jaws are in the closed position.
摘要翻译：使用具有可移动地联接到其上的三个钳口的端部执行器来提供方法和装置，以用于抓握和/或解剖组织。在一个实施例中，三个钳口中的每一个可以在三个钳口的远端彼此间隔开的打开位置和闭合位置之间移动，其中远端彼此直接接触。当夹爪处于关闭位置时，夹爪可以在其间限定开口。

5. 发明申请

US20110295074A1 Methods and Devices for Providing Multiple Devices Access to a Surgical Site Through a Single Port 审中-公开
公开(公告)号：US20110295074A1
公开(公告)日：2011-12-01
申请号：US12790360
申请日：2010-05-28
申请人： David Stefanchik , William B. Weisenburgh, II , James T. Spivey
发明人： David Stefanchik , William B. Weisenburgh, II , James T. Spivey
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/3423 , A61B2017/3445 , A61B2017/3466
摘要： Methods and devices are provided to assist in providing multiple devices access to a surgical site through a single port. In one exemplary embodiment an access device includes a body having a plurality of ports. The ports can include at least one primary instrument port and at least one secondary instrument port. A self-sealing passageway can be disposed between the primary and secondary instrument ports to allow communication between the two ports. As a result, a surgical instrument can be repositioned from one port to another without removing the instrument from the access device. In one embodiment a combined end effector nominal width of surgical instruments disposed in the ports can be greater than a diameter of the primary instrument port and/or a diameter of the body of the access device. Exemplary systems and methods for performing procedures using multiple devices in a single surgical opening are also provided.

6. 发明申请

US20110295077A1 Methods and Devices for Providing Multiple Devices Access to a Surgical Site Through a Single Port 审中-公开
标题翻译：通过单个端口提供多个设备访问外科手术部位的方法和设备
公开(公告)号：US20110295077A1
公开(公告)日：2011-12-01
申请号：US12790370
申请日：2010-05-28
申请人： David Stefanchik , William B. Weisenburgh, II , James T. Spivey
发明人： David Stefanchik , William B. Weisenburgh, II , James T. Spivey
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/3423 , A61B2017/3445 , A61B2017/3466
摘要： Methods and devices are provided to assist in providing multiple devices access to a surgical site through a single port. In one exemplary embodiment an access device includes a body having a plurality of ports. The ports can include at least one primary instrument port and at least one secondary instrument port. A self-sealing passageway can be disposed between the primary and secondary instrument ports to allow communication between the two ports. As a result, a surgical instrument can be repositioned from one port to another without removing the instrument from the access device. In one embodiment a combined end effector nominal width of surgical instruments disposed in the ports can be greater than a diameter of the primary instrument port and/or a diameter of the body of the access device. Exemplary systems and methods for performing procedures using multiple devices in a single surgical opening are also provided.
摘要翻译：提供了方法和设备以帮助通过单个端口提供多个设备访问外科手术部位。在一个示例性实施例中，访问设备包括具有多个端口的主体。端口可以包括至少一个主要仪器端口和至少一个辅助仪器端口。自密封通道可以设置在主要和次要仪器端口之间，以允许两个端口之间的通信。结果，外科器械可以从一个端口重新定位到另一个端口，而不需要从接入设备中移除仪器。在一个实施例中，设置在端口中的外科器械的组合的末端执行器标称宽度可以大于主要仪器端口的直径和/或进入装置的主体的直径。还提供了用于在单个手术开口中执行使用多个装置的程序的示例性系统和方法。

7. 发明授权

US09351754B2 Ultrasonic surgical instruments with distally positioned jaw assemblies 有权
标题翻译：超声波手术器械具有远端定位的钳口组件
公开(公告)号：US09351754B2
公开(公告)日：2016-05-31
申请号：US13538711
申请日：2012-06-29
申请人： Omar J. Vakharia , Jeffrey D. Messerly , David Stefanchik , Steven P. Smolik
发明人： Omar J. Vakharia , Jeffrey D. Messerly , David Stefanchik , Steven P. Smolik
IPC分类号： A61B17/32 , A61B19/00 , A61B18/14 , A61B18/00
CPC分类号： A61B17/320092 , A61B17/295 , A61B18/1445 , A61B34/30 , A61B34/71 , A61B2018/00875 , A61B2018/1452 , A61B2018/1455 , A61B2034/302 , A61B2034/305
摘要： Various embodiments are directed to surgical instruments comprising an end effector, a shaft and a jaw assembly. The end effector may comprise an ultrasonic blade extending distally substantially parallel to a longitudinal axis. The shaft may extend proximally from the end effector along the longitudinal axis. The jaw assembly may comprise first and second jaw members. The jaw assembly may be pivotable about a first axis substantially perpendicular to the longitudinal axis from a first position where the first and second jaw members are substantially parallel to the ultrasonic blade to a second position. Additionally, the first and second jaw members may be pivotable about a second axis substantially perpendicular to the first axis.
摘要翻译：各种实施例涉及包括端部执行器，轴和钳口组件的手术器械。末端执行器可以包括沿着纵向轴线向远侧延伸的超声刀片。轴可以沿着纵向轴线从端部执行器向近端延伸。钳口组件可以包括第一和第二钳口构件。钳口组件可以围绕基本上垂直于纵向轴线的第一轴线从第一和第二钳口构件基本上平行于第二位置的第一位置枢转到第二位置。另外，第一和第二钳口构件可以围绕基本上垂直于第一轴线的第二轴线枢转。

8. 发明申请

US20130085510A1 ROBOT-MOUNTED SURGICAL TABLES 审中-公开
标题翻译：机器人安装的手术表
公开(公告)号：US20130085510A1
公开(公告)日：2013-04-04
申请号：US13250018
申请日：2011-09-30
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
IPC分类号： A61B19/00 , B25J13/06 , B25J19/04 , B25J13/08 , B25J19/02
CPC分类号： A61G13/02 , A61B34/20 , A61B34/30 , A61B34/37 , A61G2203/36 , G06F19/3481
摘要： The systems and methods disclosed herein generally involve a robotically-assisted surgical system in which a platform for supporting a patient is physically and operatively coupled to a surgical robot and an associated controller. As a result, the position of the patient can be controlled remotely using the robot, and the controller can have an awareness of the position and orientation of the patient with respect to the operating room and with respect to various components of the robot. Such systems can thus maintain a fixed frame of reference between the patient and one or more end effectors of the surgical robot, eliminating the need for recalibration of the system due to patient movement.
摘要翻译：本文公开的系统和方法通常涉及一种机器人辅助外科系统，其中用于支撑患者的平台物理地和操作地耦合到外科手术机器人和相关联的控制器。结果，可以使用机器人远程控制患者的位置，并且控制器可以意识到患者相对于手术室的位置和取向以及关于机器人的各种部件。因此，这样的系统可以在患者和手术机器人的一个或多个端部执行器之间保持固定的参考系，从而消除了由于患者移动而对系统进行重新校准的需要。

9. 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。

10. 发明授权

US09247997B2 Patient-referenced surgical support frame 有权
标题翻译：病人参考的手术支架
公开(公告)号：US09247997B2
公开(公告)日：2016-02-02
申请号：US13249883
申请日：2011-09-30
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
IPC分类号： A61B1/32 , A61B19/00 , A61B17/34 , A61B17/00
CPC分类号： A61B19/26 , A61B17/3417 , A61B90/50 , A61B2017/00535 , A61B2017/00876 , A61B2017/00991 , A61B2017/3447 , A61B2017/347
摘要： A patient-referenced surgical support frame and method of use are provided. In one embodiment, a surgical support frame can have at least three support members coupled by adjustable linkages. Each support member can have a lumen extending therethrough for receiving a cannula, and each support member can be configured such that the at least three support members (or the cannulas extending therethrough) are angularly adjustable relative to one another, and such that a distance between each of the at least three support members is adjustable. In use, the surgical support frame can be positioned on a skin surface of a patient and used to retain one or more instruments extending through the support members in a fixed orientation or position with respect to the patient, thereby allowing more than two instruments to be used simultaneously.
摘要翻译：提供了一种患者参考的手术支架和使用方法。在一个实施例中，手术支撑框架可以具有通过可调节联接件联接的至少三个支撑构件。每个支撑构件可以具有延伸穿过其中用于接纳插管的内腔，并且每个支撑构件可被构造成使得至少三个支撑构件（或穿过其中的插管）可相对于彼此成角度地调节，并且使得所述至少三个支撑构件中的每一个都是可调节的。在使用中，手术支撑框架可以定位在患者的皮肤表面上并用于保持一个或多个仪器以相对于患者的固定取向或位置延伸穿过支撑构件，从而允许两个以上的器械同时使用

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