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1. 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.

2. 发明申请

WO2010027842A1 SUTURING DEVICE 审中-公开
标题翻译：装备装置
公开(公告)号：WO2010027842A1
公开(公告)日：2010-03-11
申请号：PCT/US2009/055008
申请日：2009-08-26
申请人： ETHICON ENDO-SURGERY, INC. , SPIVEY, James, T. , CARROLL, Kempton, K., II. , GRIFFITH, David, B.
发明人： SPIVEY, James, T. , CARROLL, Kempton, K., II. , GRIFFITH, David, B.
IPC分类号： A61B17/06
CPC分类号： A61B17/06066 , A61B17/0625 , A61B2017/00867
摘要： Methods of using a surgical suturing device are disclosed. The methods may contemplate a surgical suturing device comprising a grasper device that is translatable within an outer lumen. The methods may comprise grasping a first end of a needle with the grasper device. The needle may be resilient to a curved resting state. The methods may also comprise translating the grasper device proximally relative to the outer lumen such that the needle is translated into the outer lumen, wherein the outer lumen tends to straighten the needle from the curved resting state and moving the outer lumen distally towards tissue. The grasper device may be translated distally relative to the outer lumen such that a second end of the needle extends distally from the outer lumen and pierces the tissue. The needle may return to the curved resting state as it exits the outer lumen. The methods may also comprise releasing the first end of the needle from the grasper device. When a second end of the needle emerges from the tissue, the second end of the needle may be grasped with the grasper device.
摘要翻译：公开了使用外科缝合装置的方法。该方法可以考虑一种外科缝合装置，其包括可在外腔内平移的抓紧装置。该方法可以包括用抓紧装置抓住针的第一端。针可能是弯曲的静止状态的弹性。所述方法还可以包括相对于外腔向近侧平移抓紧装置，使得针被平移到外腔中，其中外腔倾向于使针从弯曲的静止状态伸直并且使外腔向组织移动。抓紧装置可以相对于外腔向远侧平移，使得针的第二端从外腔向远侧延伸并刺穿组织。当针头离开外腔时，针可能返回到弯曲的静止状态。所述方法还可以包括从抓取装置释放针头的第一端。当针的第二端从组织出来时，针的第二端可以用抓紧装置抓住。

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