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1. 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。

2. 发明申请

US20080021277A1 METHODS FOR STABILIZING AND POSITIONING AN ENDOSCOPE AND SURGICAL PROCEDURES 有权
标题翻译：用于稳定和定位内镜手术和手术程序的方法
公开(公告)号：US20080021277A1
公开(公告)日：2008-01-24
申请号：US11458900
申请日：2006-07-20
申请人： David Stefanchik , Ragae M. Ghabrial
发明人： David Stefanchik , Ragae M. Ghabrial
IPC分类号： A61B1/04
CPC分类号： A61B1/00071 , A61B1/00085 , A61B1/00087 , A61B1/00154 , A61B1/0057 , A61B17/0218 , A61B17/0469 , A61B2017/22069 , A61B2017/3484 , A61B2017/3488
摘要： Methods for stabilizing and positioning an endoscope using various braided devices and suture techniques. Related endoscopic surgical procedures are also disclosed.
摘要翻译：使用各种编织装置和缝合技术来稳定和定位内窥镜的方法。还公开了相关的内窥镜外科手术。

3. 发明授权

US08287469B2 Articulating surgical device and method of use 有权
标题翻译：铰接手术装置及其使用方法
公开(公告)号：US08287469B2
公开(公告)日：2012-10-16
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： A61B5/00
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。

4. 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。

5. 发明授权

US09066655B2 Selective stiffening devices and methods 有权
标题翻译：选择性加固装置及方法
公开(公告)号：US09066655B2
公开(公告)日：2015-06-30
申请号：US11952475
申请日：2007-12-07
申请人： David Stefanchik , Ragae M. Ghabrial
发明人： David Stefanchik , Ragae M. Ghabrial
IPC分类号： A61B1/00 , A61B1/04 , A61M31/00 , A61M37/00 , A61B1/005
CPC分类号： A61B1/005 , A61B1/00078 , A61B1/00147
摘要： Methods and devices are provided for selectively stiffening a surgical device. In one exemplary embodiment a surgical device is provided that includes a flexible elongate insertion element and a stiffening element that extends along at least a portion of the insertion element. The insertion element can be, for example, an endoscope or a sheath configured to be disposed over an endoscope. The stiffening element can be configured to selectively stiffen when an outside force, such as a vacuum force, is applied thereto. In one embodiment the stiffening element includes a plurality of elongate members disposed in a flexible sheath. When the vacuum force is applied, the sheath can be configured to engage the elongate members to maintain the elongate members in a fixed, stiffened position, thereby stiffening at least a portion of the flexible elongate insertion element coupled thereto. Various methods for stiffening an insertion instrument, such as an endoscope, are also provided herein.
摘要翻译：提供了用于选择性加强外科手术装置的方法和装置。在一个示例性实施例中，提供外科装置，其包括柔性细长插入元件和沿插入元件的至少一部分延伸的加强元件。插入元件可以是例如被配置为设置在内窥镜上的内窥镜或护套。加强元件可以构造成当外力（例如真空力）施加到其上时选择性地加固。在一个实施例中，加强元件包括设置在柔性护套中的多个细长构件。当施加真空力时，护套可以被构造成接合细长构件以将细长构件保持在固定的加强位置，从而加强与其连接的柔性细长插入元件的至少一部分。本文还提供了用于加强诸如内窥镜的插入器具的各种方法。

6. 发明授权

US07815566B2 Methods for stabilizing and positioning an endoscope and surgical procedures 有权
标题翻译：稳定和定位内窥镜和外科手术的方法
公开(公告)号：US07815566B2
公开(公告)日：2010-10-19
申请号：US11458900
申请日：2006-07-20
申请人： David Stefanchik , Ragae M Ghabrial
发明人： David Stefanchik , Ragae M Ghabrial
IPC分类号： A61B1/01
CPC分类号： A61B1/00071 , A61B1/00085 , A61B1/00087 , A61B1/00154 , A61B1/0057 , A61B17/0218 , A61B17/0469 , A61B2017/22069 , A61B2017/3484 , A61B2017/3488
摘要： Methods for stabilizing and positioning an endoscope using various braided devices and suture techniques. Related endoscopic surgical procedures are also disclosed. A surgical method comprises introducing an endoscope into a patient's natural orifice. The endoscope is guided in a patient's alimentary tract lumen, the alimentary tract lumen being defined by the alimentary tract wall. One or more sutures are anchored at the target site of the surgical procedure. The sutures are tensioned to position the endoscope while the sutures pass through a working channel of the endoscope.
摘要翻译：使用各种编织装置和缝合技术来稳定和定位内窥镜的方法。还公开了相关的内窥镜外科手术。手术方法包括将内窥镜引入患者的天然孔中。内窥镜在患者的消化道腔内引导，消化道腔由消化道壁限定。一个或多个缝合线锚定在外科手术的目标部位。当缝线穿过内窥镜的工作通道时，缝线被张紧以定位内窥镜。

7. 发明申请

US20090149710A1 SELECTIVE STIFFENING DEVICES AND METHODS 有权
标题翻译：选择性强化装置和方法
公开(公告)号：US20090149710A1
公开(公告)日：2009-06-11
申请号：US11952475
申请日：2007-12-07
申请人： David Stefanchik , Ragae M. Ghabrial
发明人： David Stefanchik , Ragae M. Ghabrial
IPC分类号： A61B1/01
CPC分类号： A61B1/005 , A61B1/00078 , A61B1/00147
摘要： Methods and devices are provided for selectively stiffening a surgical device. In one exemplary embodiment a surgical device is provided that includes a flexible elongate insertion element and a stiffening element that extends along at least a portion of the insertion element. The insertion element can be, for example, an endoscope or a sheath configured to be disposed over an endoscope. The stiffening element can be configured to selectively stiffen when an outside force, such as a vacuum force, is applied thereto. In one embodiment the stiffening element includes a plurality of elongate members disposed in a flexible sheath. When the vacuum force is applied, the sheath can be configured to engage the elongate members to maintain the elongate members in a fixed, stiffened position, thereby stiffening at least a portion of the flexible elongate insertion element coupled thereto. Various methods for stiffening an insertion instrument, such as an endoscope, are also provided herein.
摘要翻译：提供了用于选择性加强外科手术装置的方法和装置。在一个示例性实施例中，提供外科装置，其包括柔性细长插入元件和沿插入元件的至少一部分延伸的加强元件。插入元件可以是例如被配置为设置在内窥镜上的内窥镜或护套。加强元件可以构造成当外力（例如真空力）施加到其上时选择性地加固。在一个实施例中，加强元件包括设置在柔性护套中的多个细长构件。当施加真空力时，护套可以被构造成接合细长构件以将细长构件保持在固定的加强位置，从而加强与其连接的柔性细长插入元件的至少一部分。本文还提供了用于加强诸如内窥镜的插入器具的各种方法。

8. 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。

9. 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

10. 发明授权

US09211159B2 Surgical devices with intracorporeal elbow joint 有权
标题翻译：手术器械与体内肘关节
公开(公告)号：US09211159B2
公开(公告)日：2015-12-15
申请号：US13309856
申请日：2011-12-02
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
IPC分类号： A61B17/00 , A61B19/00 , A61B17/29
CPC分类号： A61B17/29 , A61B17/28 , A61B17/2804 , A61B17/2816 , A61B19/2203 , A61B34/30 , A61B34/70 , A61B34/71 , A61B90/50 , A61B2017/003 , A61B2017/00323 , A61B2017/00738 , A61B2017/2901 , A61B2017/2902 , A61B2017/291 , A61B2017/2927 , A61B2017/2939 , A61B2017/2947 , A61B2019/2223
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。

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