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1. 发明申请

WO2008076800A3 MANUALLY ARTICULATING DEVICES 审中-公开
标题翻译：手动设备
公开(公告)号：WO2008076800A3
公开(公告)日：2008-09-25
申请号：PCT/US2007087378
申请日：2007-12-13
申请人： ETHICON ENDO SURGERY INC , NOBIS RUDOLPH H , NALAGATLA ANIL K , CONLON SEAN P
发明人： NOBIS RUDOLPH H , NALAGATLA ANIL K , CONLON SEAN P
IPC分类号： A61B17/28 , A61B10/06
CPC分类号： A61B17/29 , A61B10/06 , A61B17/2909 , A61B2017/2927 , A61B2017/2929 , A61B2017/2939
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译：提供了用于控制手术装置的工作端的移动的方法和装置，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。

2. 发明申请

WO2011035023A3 TISSUE INTERFACE FOR IMPLANTABLE RESTRICTION SYSTEM 审中-公开
标题翻译：可植入限制系统的组织界面
公开(公告)号：WO2011035023A3
公开(公告)日：2011-07-28
申请号：PCT/US2010049120
申请日：2010-09-16
申请人： ETHICON ENDO SURGERY INC , DLUGOS DANIEL F , ADAMS THOMAS E , BYRUM RANDAL T , CONLON SEAN P , CRIVELLI ROCCO , GARNER DEAN L , GINGGEN ALEC J , HABERSTICH WELLS D , HUEIL GEOFFREY C , KORVICK DONNA L , KRUMANAKER DAVID T , LESSEK TIMOTHY P , MARCOTTE AMY L , MESSERLY JEFFREY D , MOORE KYLE P , MUMAW DANIEL J , NALAGATLA ANIL K , ORTIZ MARK S , SHELTON FREDERICK E IV , SMITH BRET W , SWAYZE JEFFREY S , SWINDON PATRICK J , THOMPSON ERIC W , TSONTON MARK , WEANER LAUREN S , WIDENHOUSE CHRISTOPHER W , WOODRUFF SCOTT A
发明人： DLUGOS DANIEL F , ADAMS THOMAS E , BYRUM RANDAL T , CONLON SEAN P , CRIVELLI ROCCO , GARNER DEAN L , GINGGEN ALEC J , HABERSTICH WELLS D , HUEIL GEOFFREY C , KORVICK DONNA L , KRUMANAKER DAVID T , LESSEK TIMOTHY P , MARCOTTE AMY L , MESSERLY JEFFREY D , MOORE KYLE P , MUMAW DANIEL J , NALAGATLA ANIL K , ORTIZ MARK S , SHELTON FREDERICK E IV , SMITH BRET W , SWAYZE JEFFREY S , SWINDON PATRICK J , THOMPSON ERIC W , TSONTON MARK , WEANER LAUREN S , WIDENHOUSE CHRISTOPHER W , WOODRUFF SCOTT A
IPC分类号： A61F5/00 , A61F2/00
CPC分类号： A61F5/0053 , A61F2/0036 , A61F5/003 , A61F5/0033 , A61F5/0056 , A61F5/0059
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. The elongated member has a compressible ventral surface and a substantially rigid dorsal periphery, wherein the elongated member includes a fluid bladder positioned along the ventral surface. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. Alternate embodiments are also disclosed.
摘要翻译：用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。细长构件具有可压缩的腹侧表面和基本刚性的背侧周边，其中细长构件包括沿腹侧面定位的流体囊。紧固件设置在细长构件的第一端上。紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。张力元件设置成在细长构件内移动。驱动元件与张力元件相关联并与其接合，用于使张力元件控制由细长构件施加的抗张力抵靠患者身体器官或管道的张力。还公开了替代实施例。

3. 发明申请

WO2009155081A3 ACTUATING AND ARTICULATING SURGICAL DEVICE 审中-公开
标题翻译：执行和治疗手术设备
公开(公告)号：WO2009155081A3
公开(公告)日：2010-02-18
申请号：PCT/US2009045588
申请日：2009-05-29
申请人： ETHICON ENDO SURGERY INC , CONLON SEAN P , NOBIS RUDOLPH H , JOHNSON FREDERICK Q , WOODWARD STEVEN P , COSTA RUTH E
发明人： CONLON SEAN P , NOBIS RUDOLPH H , JOHNSON FREDERICK Q , WOODWARD STEVEN P , COSTA RUTH E
IPC分类号： A61B17/29
CPC分类号： A61B17/29 , A61B10/04 , A61B10/06 , A61B18/14 , A61B18/1482 , A61B2017/003 , A61B2017/00424 , A61B2017/00433 , A61B2017/00477 , A61B2017/2905 , A61B2017/2911 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2018/1407 , A61B2018/141 , A61B2034/305
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device (10,100), and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. A decoupling member (70,170) can isolate the actuation of the end effector (14,108) from the articulation of the end effector. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft (12,106) of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译：提供了用于控制手术装置（10,100）的工作端的移动的方法和装置，并且特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的装置执行各种外科手术程序。解耦构件（70,170）可以将端部执行器（1410）的致动与端部执行器的铰接隔离。在某些实施例中，末端执行器还可以相对于装置的细长轴（12,106）可选地旋转，和/或轴可相对于装置的把手旋转。

4. 发明申请

WO2011149876A3 METHODS AND DEVICES FOR THE REROUTING OF CHYME TO INDUCT INTESTINAL BRAKE 审中-公开
标题翻译：用于搅拌CHYME以诱导内脏制动的方法和装置
公开(公告)号：WO2011149876A3
公开(公告)日：2012-10-04
申请号：PCT/US2011037657
申请日：2011-05-24
申请人： ETHICON ENDO SURGERY INC , ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , HOUSER KEVIN L , GUTIERREZ MARIO , MALAVIYA PRASANNA , MARCOTTE AMY L , MESSERLY JEFFREY D , NGUYEN ANTHONY , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , STULEN FOSTER B , VOEGELE JAMES W , WEANER LAUREN S , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , ZEINER MARK S
发明人： ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , HOUSER KEVIN L , GUTIERREZ MARIO , MALAVIYA PRASANNA , MARCOTTE AMY L , MESSERLY JEFFREY D , NGUYEN ANTHONY , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , STULEN FOSTER B , VOEGELE JAMES W , WEANER LAUREN S , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , ZEINER MARK S
IPC分类号： A61F2/04 , A61F5/00
CPC分类号： A61B17/00234 , A61B5/0031 , A61B5/036 , A61B5/073 , A61B5/076 , A61B5/1107 , A61B5/14532 , A61B5/14539 , A61B5/42 , A61B17/0469 , A61B17/1114 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139 , A61B2560/0219 , A61F2/04 , A61F5/0013 , A61F2002/045
摘要： Methods and devices reroute chyme to induce intestinal brake in order to improve the effectiveness of bariatric surgical procedures and to improve comorbidity resolution. A bowel is manipulated to provide a shortened path for chyme to travel to the ileum. These methods and devices of rerouting chyme to induce intestinal brake may comprise one or more of a surgical procedure, an implanted device, or a combination of an implant with an improved surgical procedure.
摘要翻译：方法和装置重新路由食糜诱导肠道制动，以提高减肥手术的有效性和改善共病分解。肠道被操纵以提供用于食糜行进到回肠的缩短路径。用于诱导肠内制动器的重新路由食糜的这些方法和装置可以包括外科手术，植入装置或具有改进的外科手术的植入物的组合中的一种或多种。

5. 发明申请

WO2011149877A8 INTESTINAL BRAKE INDUCING INTRALUMINAL THERAPEUTIC SUBSTANCE ELUTING DEVICES AND METHODS 审中-公开
标题翻译： INTESTINAL BRAKE INDING IN INTRALUMINAL THERAPEUTIC THEAPEUTIC TYSTURE ELDTING ELTERTING DEVICES AND METHODS
公开(公告)号：WO2011149877A8
公开(公告)日：2012-07-12
申请号：PCT/US2011037658
申请日：2011-05-24
申请人： ETHICON ENDO SURGERY INC , ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , MALAVIYA PRASANNA , MARSH GLENDA C , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE CHRISTOPHER W , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , YATES DAVID C , ZEINER MARK S , ZWOLINSKI ANDREW M
发明人： ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , MALAVIYA PRASANNA , MARSH GLENDA C , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE CHRISTOPHER W , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , YATES DAVID C , ZEINER MARK S , ZWOLINSKI ANDREW M
IPC分类号： A61M37/00 , A61F2/00 , A61K31/20 , A61M5/00 , A61M5/168 , A61N1/36
CPC分类号： A61M31/002 , A61F2/04 , A61F5/0013 , A61F5/0026 , A61F2002/045 , A61K9/0065 , A61M5/14276 , A61M39/0208 , A61M2210/106 , A61M2210/1064 , A61N1/0509 , A61N1/36007 , A61N1/37205
摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems and ingestible pills. In one embodiment, a method of producing satiety comprising the steps of accessing a gastrointestinal tract of a patient and implanting an intraintestinal therapeutic substance eluting implant. The implant is capable of eluting a satiety inducing substance selected from at least one of a nutrient, a specific satiety inducing bio-active substance, pancreatic polypeptides, free fatty acids, cholecystokinin, amino acids, glutamine, lipids, linoleic acid, or a combination thereof, from the implant into the gastrointestinal tract.
摘要翻译：方法和装置产生肠道制动效果，是非侵入性的或微创的，并且可以是可逆的。这些方法和装置通过稳定的可植入系统和可摄取的药丸来实现。在一个实施方案中，产生饱腹感的方法包括以下步骤：进入患者的胃肠道并植入肠内治疗物质洗脱植入物。植入物能够洗脱选自营养物，特定饱腹感生物活性物质，胰腺多肽，游离脂肪酸，缩胆囊素，氨基酸，谷氨酰胺，脂质，亚油酸或组合中的至少一种的饱腹感受物质从植入物到胃肠道。

6. 发明申请

WO2011149875A3 METHOD OF FILLING AN INTRALUMINAL RESERVOIR WITH A THERAPEUTIC SUBSTANCE 审中-公开
标题翻译：用治疗药物填充血管内储库的方法
公开(公告)号：WO2011149875A3
公开(公告)日：2012-05-10
申请号：PCT/US2011037653
申请日：2011-05-24
申请人： ETHICON ENDO SURGERY INC , ALDRIDGE JEFFREY L , BAKOS GREGORY J , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F , ELMER LUCAS B , HARRIS JASON L , HESS CHRISTOPHER J , MESSERLY JEFFREY D , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , STOKES MICHAEL J , STULEN FOSTER B , THOMPSON SUZANNE , TIMM RICHARD W , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , ZEINER MARK S , ZWOLINSKI ANDREW M
发明人： ALDRIDGE JEFFREY L , BAKOS GREGORY J , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F , ELMER LUCAS B , HARRIS JASON L , HESS CHRISTOPHER J , MESSERLY JEFFREY D , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , STOKES MICHAEL J , STULEN FOSTER B , THOMPSON SUZANNE , TIMM RICHARD W , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , ZEINER MARK S , ZWOLINSKI ANDREW M
IPC分类号： A61F5/00 , A61K9/00 , A61M1/00 , A61M25/02 , A61M37/00
CPC分类号： A61F5/005 , A61F5/0003 , A61F5/0013 , A61M25/007 , A61M25/04 , A61M31/00 , A61M37/0015
摘要： Methods described herein involve introducing a nasogastric tube into a patient, connecting the nasogastric tube with a reservoir, anchoring the nasogastric tube within the nasal cavity, and introducing a substance into the reservoir through the nasogastric tube.
摘要翻译：本文描述的方法包括将鼻胃管引入患者，将鼻胃管与储器连接，将鼻胃管固定在鼻腔内，并通过鼻胃管将物质引入储器。

7. 发明申请

WO2011149877A3 INTESTINAL BRAKE INDUCING INTRALUMINAL THERAPEUTIC SUBSTANCE ELUTING DEVICES AND METHODS 审中-公开
标题翻译：肠内制剂诱导内脏治疗物质输送装置和方法
公开(公告)号：WO2011149877A3
公开(公告)日：2012-08-30
申请号：PCT/US2011037658
申请日：2011-05-24
申请人： ETHICON ENDO SURGERY INC , ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , MALAVIYA PRASANNA , MARSH GLENDA C , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE CHRISTOPHER W , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , YATES DAVID C , ZEINER MARK S , ZWOLINSKI ANDREW M
发明人： ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , MALAVIYA PRASANNA , MARSH GLENDA C , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE CHRISTOPHER W , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , YATES DAVID C , ZEINER MARK S , ZWOLINSKI ANDREW M
IPC分类号： A61F5/00 , A61K9/00
CPC分类号： A61M31/002 , A61F2/04 , A61F5/0013 , A61F5/0026 , A61F2002/045 , A61K9/0065 , A61M5/14276 , A61M39/0208 , A61M2210/106 , A61M2210/1064 , A61N1/0509 , A61N1/36007 , A61N1/37205
摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems and ingestible pills. In one embodiment, a method of producing satiety comprising the steps of accessing a gastrointestinal tract of a patient and implanting an intraintestinal therapeutic substance eluting implant. The implant is capable of eluting a satiety inducing substance selected from at least one of a nutrient, a specific satiety inducing bio-active substance, pancreatic polypeptides, free fatty acids, cholecystokinin, amino acids, glutamine, lipids, linoleic acid, or a combination thereof, from the implant into the gastrointestinal tract.
摘要翻译：方法和装置产生肠道制动效应，是非侵入性或微创的，并且可以是可逆的。这些方法和装置通过稳定的可植入系统和可摄入的药丸来完成。在一个实施方案中，产生饱腹感的方法包括进入患者的胃肠道和植入肠内治疗物质洗脱植入物的步骤。植入物能够洗脱选自营养素，特定的饱食诱导生物活性物质，胰多肽，游离脂肪酸，胆囊收缩素，氨基酸，谷氨酰胺，脂质，亚油酸或其组合中的至少一种的饱食诱导物质从植入物进入胃肠道。

8. 发明申请

WO2011149893A3 INTESTINAL BRAKE INDUCING INTRALUMINAL THERAPEUTIC SUBSTANCE ELUTING DEVICES AND METHODS 审中-公开
标题翻译： INTESTINAL BRAKE INDING IN INTRALUMINAL THERAPEUTIC THEAPEUTIC TYSTURE ELDTING ELTERTING DEVICES AND METHODS
公开(公告)号：WO2011149893A3
公开(公告)日：2012-08-02
申请号：PCT/US2011037678
申请日：2011-05-24
申请人： ETHICON ENDO SURGERY INC , ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F , HARRIS JASON L , HESS CHRISTOPHER J , HUITEMA THOMAS W , HUNT JOHN V , MALAVIYA PRASANNA , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E , STOKES MICHAEL J , STULEN FOSTER B , VOEGELE JAMES W , WEISENBURGH WILLIAM B II , WIDENHOUSE CHRISTOPHER W , WOODARD JAMES A JR , YATES DAVID C , ZEINER MARK S , ZWOLINSKI ANDREW M
发明人： ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F , HARRIS JASON L , HESS CHRISTOPHER J , HUITEMA THOMAS W , HUNT JOHN V , MALAVIYA PRASANNA , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E , STOKES MICHAEL J , STULEN FOSTER B , VOEGELE JAMES W , WEISENBURGH WILLIAM B II , WIDENHOUSE CHRISTOPHER W , WOODARD JAMES A JR , YATES DAVID C , ZEINER MARK S , ZWOLINSKI ANDREW M
IPC分类号： A61F5/00 , A61F2/04
CPC分类号： A61F5/0076 , A61F2/04 , A61F5/0013 , A61F5/0026 , A61F5/0079 , A61F2002/045
摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient.
摘要翻译：方法和装置产生肠道制动效果，是非侵入性的或微创的，并且可以是可逆的。这些方法和装置通过稳定的可植入系统和可摄取的药丸来实现。在一个实施例中，可植入系统包括将治疗物质递送到患者的胃肠道内的目标位置的装置，以便开始肠促动作用，其将促进饱腹感，并刺激患者多余的体重减轻。

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

WO2011090862A3 TISSUE RETRIEVAL DEVICE WITH MODULAR POUCH CARTRIDGE 审中-公开
标题翻译：组合式检测装置
公开(公告)号：WO2011090862A3
公开(公告)日：2011-09-15
申请号：PCT/US2011021038
申请日：2011-01-13
申请人： ETHICON ENDO SURGERY INC , PARIHAR SHAILENDRA K , CONLON SEAN P , MOORE KYLE P , PATIL HARESH D
发明人： PARIHAR SHAILENDRA K , CONLON SEAN P , MOORE KYLE P , PATIL HARESH D
IPC分类号： A61B17/00 , A61B17/29
CPC分类号： A61B17/00234 , A61B2017/00287 , A61B2017/2934 , A61B2017/294
摘要： A specimen retrieval instrument comprises a handle assembly ( 102 ), an actuating rod ( 104 ), an introducer tube ( 106 ), and a retrieval bag ( 124 ). In some versions the specimen retrieval instrument further comprises a modular cartridge ( 108 ) containing the retrieval bag. Upon translation of the actuating rod within the tube, the cartridge opens, releasing and opening the retrieval bag for receiving a specimen. A center spindle ( 231 ) may be included where the spindle includes a slot ( 235 ) for inserting a portion of the retrieval bag and wrapping the retrieval bag about the spindle. Some versions of the specimen retrieval instrument further comprise a rotating cam actuator ( 308 ) that opens and closes a pair of support arms attached to the retrieval bag. Some versions of the specimen retrieval instrument further comprise rotating curved support arms ( 236, 238 ) operable to open and close the retrieval bag. Pins registered to helical grooves may provide rotation of the support arms as the support arms translate.
摘要翻译：样本取出器具包括手柄组件（102），致动杆（104），导引管（106）和取回袋（124）。在一些版本中，样本检索仪器还包括容纳取回袋的模块化盒（108）。在管内的致动杆平移时，盒打开，释放并打开用于接收样品的取回袋。可以包括中心心轴（231），其中心轴包括用于插入取出袋的一部分并且围绕心轴包裹回收袋的狭槽（235）。一些版本的样本检索仪器还包括旋转凸轮致动器（308），其打开和关闭附接到取回袋的一对支撑臂。样本检索仪器的一些版本还包括可操作以打开和关闭取回袋的旋转弯曲支撑臂（236,238）。注册到螺旋槽的销可以在支撑臂平移时提供支撑臂的旋转。

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