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1. 发明申请

WO2012068004A1 LAPAROSCOPIC SUTURING INSTRUMENT WITH PERPENDICULAR ECCENTRIC NEEDLE MOTION 审中-公开
标题翻译：具有全身偏心针运动的LAPAROSCOPIC仪器
公开(公告)号：WO2012068004A1
公开(公告)日：2012-05-24
申请号：PCT/US2011/060574
申请日：2011-11-14
申请人： ETHICON ENDO-SURGERY, INC. , WOODARD, James, A., Jr. , LESKO, Jason, R. , SNYDER, Shawn, C. , MARTIN, David, T.
发明人： WOODARD, James, A., Jr. , LESKO, Jason, R. , SNYDER, Shawn, C. , MARTIN, David, T.
IPC分类号： A61B17/04 , A61B17/062 , A61B17/06 , A61B17/29
CPC分类号： A61B17/0469 , A61B17/0491 , A61B17/062 , A61B17/0625 , A61B17/29 , A61B2017/06047 , A61B2017/0609 , A61B2017/2903 , A61B2017/2906 , A61B2017/2929 , A61B2017/2944
摘要： A suture needle driving instrument comprises a shaft and an end effector. The end effector is located at the distal end of the shaft and includes a pair of needle grasping arms. Each grasping arm extends along a respective arm axis. The grasping arms are operable to drive a suture needle along a rotational path about an axis, such as one of the arm axes, that is offset from the central longitudinal axis of the shaft. The rotational path may be perpendicular to the axis of the shaft. A needle driven by the end effector may have an arc radius that is greater than the radius of the shaft. At least one of the needle grasping arms may include a dogleg feature positioning a distal portion of the grasping arm outside the radius of the shaft. The instrument may be used through a trocar during minimally invasive surgery.
摘要翻译：缝合针驱动装置包括轴和端部执行器。末端执行器位于轴的远端，并且包括一对针把持臂。每个抓握臂沿相应的臂轴线延伸。抓握臂可操作以沿着旋转路径驱动缝合针，所述旋转路径围绕轴线（例如臂轴线之一）偏离轴的中心纵向轴线。旋转路径可以垂直于轴的轴线。由端部执行器驱动的针可以具有大于轴的半径的圆弧半径。针抓握臂中的至少一个可以包括将抓握臂的远侧部分定位在轴的半径之外的狗腿特征。在微创手术中可以通过套管针使用该器械。

2. 发明申请

WO2012068005A1 NEEDLE FOR LAPAROSCOPIC SUTURING INSTRUMENT 审中-公开
标题翻译：针灸仪器用针
公开(公告)号：WO2012068005A1
公开(公告)日：2012-05-24
申请号：PCT/US2011/060575
申请日：2011-11-14
申请人： ETHICON ENDO-SURGERY, INC. , WOODARD, James, A., Jr. , SHERRILL, Michael, V. , LESKO, Jason, R. , MARTIN, David, T. , SCHMID, Katherine, J. , MILLER, Michael, J. , KNIGHT, Gary, W. , SCHWEMBERGER, Richard, F. , GODBOLE, Atul, M.
发明人： WOODARD, James, A., Jr. , SHERRILL, Michael, V. , LESKO, Jason, R. , MARTIN, David, T. , SCHMID, Katherine, J. , MILLER, Michael, J. , KNIGHT, Gary, W. , SCHWEMBERGER, Richard, F. , GODBOLE, Atul, M.
IPC分类号： A61B17/06 , A61B17/04 , A61B17/062 , A61B17/29
CPC分类号： A61B17/06004 , A61B17/0469 , A61B17/06066 , A61B17/062 , A61B2017/06009 , A61B2017/06019 , A61B2017/06023 , A61B2017/06047 , A61B2017/06052 , A61B2017/0609 , A61B2017/061 , A61B2017/2929
摘要： A surgical needle includes a pair of ends, a mid-region extending between the ends, and at least one grasping feature configured for grasping by a suturing instrument. An end of a suture is secured to the mid-region of the needle in a manner such that the end of the suture defines an oblique angle with at least part of the centerline defined by the mid-region of the needle. The end of the suture may be disposed in a hollow portion of the needle. The grasping feature may include a notch such as a scallop. The suture may be pivotally coupled with the needle via a ball or pin. The needle may have one or more sharp points. The sharp point may include three converging cutting edges, at least two planar surfaces bounded by the three cutting edges, and a rounded surface bounded by two of the three cutting edges.
摘要翻译：外科用针包括一对端部，在端部之间延伸的中间区域，以及构造成用于通过缝合器械夹持的至少一个抓握部件。缝合线的端部以这样的方式固定到针的中间区域，使得缝合线的端部限定与由针的中间区域限定的中心线的至少一部分的倾斜角度。缝线的末端可以设置在针的中空部分中。抓握功能可以包括诸如扇贝的凹口。缝合线可以经由球或针与针枢转地联接。针可能具有一个或多个尖锐点。锐点可以包括三个会聚的切割边缘，由三个切割边界限定的至少两个平面，以及由三个切割边缘中的两个限定的圆形表面。

3. 发明申请

WO2011014393A1 METHODS AND DEVICES FOR PROVIDING ACCESS INTO A BODY CAVITY 审中-公开
标题翻译：用于提供进入体腔的方法和装置
公开(公告)号：WO2011014393A1
公开(公告)日：2011-02-03
申请号：PCT/US2010/042755
申请日：2010-07-21
申请人： ETHICON ENDO-SURGERY, INC. , MARTIN, David, T. , TEUSCHLER, Catherine, A. , SHERRILL, Michael, V. , WIDENHOUSE, Christopher, W. , LESKO, Jason, R. , WIDENHAUSE, Tamara, S. V.
发明人： MARTIN, David, T. , TEUSCHLER, Catherine, A. , SHERRILL, Michael, V. , WIDENHOUSE, Christopher, W. , LESKO, Jason, R. , WIDENHAUSE, Tamara, S. V.
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/3462 , A61B17/3496 , A61B2017/3464 , A61B2017/3466
摘要： Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing having multiple access ports for receiving surgical instruments, and a retractor removably coupled to the housing and having a working channel configured to extend into a body cavity. With the housing and retractor mated together, a portion of the housing through which instruments can be inserted can rotate relative to the retractor. The retractor can be positioned in tissue using an inserter tool configured to seat the retractor and to automatically release the retractor into position within the tissue. The retractor can be removed from the tissue using a cord coupled to the retractor.
摘要翻译：提供了用于提供进入体腔的外科手术的方法和装置。在一个实施例中，提供了一种外科进入装置，其包括具有用于接收外科器械的多个进入端口的壳体，以及可移除地联接到所述壳体并且具有构造成延伸到体腔中的工作通道的牵开器。当壳体和牵开器配合在一起时，可以插入仪器的壳体的一部分可以相对于牵开器旋转。牵引器可以使用插入器工具定位在组织中，所述插入器工具被配置为安置牵开器并且自动地将牵开器释放到组织内的适当位置。可以使用联接到牵开器的绳索将牵开器从组织中移出。

4. 发明申请

WO2008057734A2 FLEXIBLE ENDOSCOPIC SUTURE ANCHOR APPLIER 审中-公开
标题翻译：柔性内窥镜固定器
公开(公告)号：WO2008057734A2
公开(公告)日：2008-05-15
申请号：PCT/US2007/081744
申请日：2007-10-18
申请人： ETHICON ENDO-SURGERY, INC , MARTIN, David, T. , CROPPER, Michael, S. , SCHWEMBERGER, Richard, F.
发明人： MARTIN, David, T. , CROPPER, Michael, S. , SCHWEMBERGER, Richard, F.
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/06109 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/06095 , A61B2017/2905
摘要： A suture anchor applier comprises a needle, a flexible shaft, and flexible sleeve. The suture anchor applier is flexible enough to allow passage through and manipulation within a working channel of an articulated endoscope. The suture anchor applier is also stiff enough to resist buckling or bending when extended distally beyond the end of an endoscope and as the needle penetrates into tissue.
摘要翻译：缝合锚钉施放器包括针，柔性轴和柔性套筒。缝合锚钉施放器足够灵活以允许在铰接式内窥镜的工作通道内通过和操纵。缝合锚钉施加器也足够坚硬以抵抗在向内延伸超过内窥镜的端部并且当针穿透到组织中时的弯曲或弯曲。

5. 发明申请

WO2008137534A1 SUTURE ANCHOR LOADER 审中-公开
标题翻译： SUTURE锚固装载机
公开(公告)号：WO2008137534A1
公开(公告)日：2008-11-13
申请号：PCT/US2008/062199
申请日：2008-05-01
申请人： ETHICON ENDO SURGERY, INC. , MARTIN, David, T. , SCHWEMBERGER, Richard, F. , ANDREYKO, Michael, J. , CROPPER, Michael, S. , WOODRUFF, Scott, A. , HUNT, John, V.
发明人： MARTIN, David, T. , SCHWEMBERGER, Richard, F. , ANDREYKO, Michael, J. , CROPPER, Michael, S. , WOODRUFF, Scott, A. , HUNT, John, V.
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417
摘要： A suture anchor loader comprises a housing with a port. A channel extends into the housing from the port, the channel being dimensioned to receive a surgical needle. A suture anchor is preloaded in the channel with a length of suture connected to the suture anchor and stored in the housing. A push rod is slideably positioned in the channel such that the suture anchor is intermediate the push rod and the port. An actuator is operatively connected to push rod to selectively deploy the anchor into the needle.
摘要翻译：缝合锚装载机包括具有端口的壳体。通道从端口延伸到壳体中，通道的尺寸被设计成接收外科用针。缝合锚固件预先加载在通道中，其长度的缝合线连接到缝合锚固件并储存在壳体中。推杆可滑动地定位在通道中，使得缝合锚固件在推杆和端口之间。致动器可操作地连接到推杆以选择性地将锚固件部署到针中。

6. 发明申请

WO2014163787A1 ELECTROSURGICAL DEVICE WITH DISPOSABLE SHAFT HAVING TRANSLATING GEAR AND SNAP FIT 审中-公开
标题翻译：具有翻转齿轮和SNAP FIT的可变轴的静电装置
公开(公告)号：WO2014163787A1
公开(公告)日：2014-10-09
申请号：PCT/US2014/016413
申请日：2014-02-14
申请人： ETHICON ENDO-SURGERY, INC.
发明人： PARIHAR, Shailendra, K. , MARTIN, David, T. , JOHNSON, Gregory, W. , WHITE, William, J. , LYTLE, Thomas, W., IV , HARRIS, Jason, L. , STOKES, Michael, J. , VAKHARIA, Omar, J.
IPC分类号： A61B19/00 , A61B18/14 , A61B17/00 , A61B18/00
CPC分类号： A61B34/25 , A61B18/12 , A61B18/1445 , A61B34/30 , A61B2017/00477 , A61B2018/00601 , A61B2018/0063 , A61B2018/1455
摘要： An apparatus includes an interface assembly and a shaft assembly. The interface assembly is configured for use with a robotic system and includes a first drive assembly and a mounting plate. The mounting plate includes an opening. The first drive assembly is positioned within the opening such that the first drive assembly is laterally translatable within the opening from a first position to a second position. The shaft assembly is removably coupled with the interface assembly. The shaft assembly comprises an end effector and a first coupling feature. The first drive assembly of the interface assembly actuates the end effector of the shaft assembly. The first coupling feature is longitudinally aligned with the first drive assembly. The first drive assembly engages the first coupling feature of the shaft assembly when the first drive assembly is laterally translated from the first position to the second position.
摘要翻译：一种装置包括接口组件和轴组件。接口组件被配置为与机器人系统一起使用并且包括第一驱动组件和安装板。安装板包括开口。第一驱动组件定位在开口内，使得第一驱动组件在开口内可从第一位置向第二位置横向平移。轴组件可移除地与接口组件耦合。轴组件包括端部执行器和第一耦合特征。接口组件的第一驱动组件致动轴组件的端部执行器。第一耦合特征与第一驱动组件纵向对准。当第一驱动组件从第一位置横向平移到第二位置时，第一驱动组件接合轴组件的第一联接特征。

7. 发明申请

WO2014158452A1 ELECTROSURGICAL DEVICE WITH DISPOSABLE SHAFT HAVING RACK AND PINION DRIVE 审中-公开
标题翻译：具有具有齿条和PINION驱动的可拆卸轴的静电装置
公开(公告)号：WO2014158452A1
公开(公告)日：2014-10-02
申请号：PCT/US2014/016850
申请日：2014-02-18
申请人： ETHICON ENDO-SURGERY, INC.
发明人： PARIHAR, Shailendra, K. , WORRELL, Barry, C. , MARTIN, David, T. , WHITE, William, J. , JOHNSON, Gregory, W.
IPC分类号： A61B19/00
CPC分类号： A61B17/07207 , A61B17/320092 , A61B18/1445 , A61B34/30 , A61B2017/00398 , A61B2017/00477 , A61B2017/2903 , A61B2017/2905 , A61B2017/2923 , A61B2017/2927 , A61B2018/1455 , A61B2034/301
摘要： An apparatus comprises an end effector, a shaft assembly, and an interface assembly. The end effector is coupled with the shaft assembly. The shaft assembly comprises a translating member extending through the shaft assembly. The interface assembly is operable to engage the shaft assembly and comprises a plurality of drive shafts and a rack. One of the drive shafts is operable to drive the rack along a path that is parallel to the longitudinal axis of the shaft assembly. A plurality of racks may be used to rotate the shaft assembly, articulate the shaft assembly, and/or drive the translating member through the shaft assembly to thereby actuate the end effector.
摘要翻译：一种装置包括端部执行器，轴组件和接口组件。末端执行器与轴组件联接。轴组件包括延伸穿过轴组件的平移构件。接口组件可操作以接合轴组件并且包括多个驱动轴和齿条。驱动轴中的一个可操作以沿着平行于轴组件的纵向轴线的路径驱动齿条。可以使用多个齿条来旋转轴组件，铰接轴组件和/或通过轴组件驱动平移构件，从而致动端部执行器。

8. 发明申请

WO2013155155A2 CONTROL INTERFACE FOR LAPAROSCOPIC SUTURING INSTRUMENT 审中-公开
标题翻译：腹腔镜仪器的控制界面
公开(公告)号：WO2013155155A2
公开(公告)日：2013-10-17
申请号：PCT/US2013/035927
申请日：2013-04-10
申请人： ETHICON ENDO-SURGERY, INC.
发明人： MARTIN, David, T. , WOODARD, James A., Jr.
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0491 , A61B17/0625 , A61B34/35 , A61B2017/00477 , A61B2034/302
摘要： An apparatus comprises an end effector, a shaft assembly, and a drive assembly. The end effector comprises needle receiving arms operable to grasp a needle. The drive assembly comprises drive members that are rotatable about respective drive axes that are perpendicular to the axis of the shaft assembly. The drive assembly is operable to drive the needle receiving arms to selectively engage and disengage the needle; and to selectively pass the needle from one needle receiving arm to the other needle receiving arm. The drive assembly provides an interface to a controller that is operable via a remote user interface. The drive assembly may include helical gears, clutch assemblies, a rack and pinion, or other components to convert motion of the drive members into motion at the end effector.
摘要翻译：一种装置包括端部执行器，轴组件和驱动组件。末端执行器包括可操作地抓住针的针接收臂。驱动组件包括可围绕垂直于轴组件的轴线的相应驱动轴线旋转的驱动构件。驱动组件可操作以驱动针接收臂以选择性地接合和脱离针; 并且将针从一个针接收臂选择性地传递到另一个针接收臂。驱动器组件提供到可经由远程用户界面操作的控制器的接口。驱动组件可以包括螺旋齿轮，离合器组件，齿条和小齿轮或用于将驱动构件的运动转换成在末端执行器处运动的其他部件。

9. 发明申请

WO2013138230A1 LAPAROSCOPIC SUTURING INSTRUMENT WITH MANUAL DRIVE 审中-公开
标题翻译： LAPAROSCOPIC SUTURING仪器与手动驱动
公开(公告)号：WO2013138230A1
公开(公告)日：2013-09-19
申请号：PCT/US2013/030170
申请日：2013-03-11
申请人： ETHICON ENDO-SURGERY, INC.
发明人： MARTIN, David, T. , WHITE, William, J. , BRIK, Robert , DANIEL, Matthew, Rohr , PRENGER, Daniel, J.
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0469 , A61B17/0482 , A61B2017/06052 , A61B2017/2936
摘要： A suture needle driving instrument comprises a shaft, an end effector, and a handle assembly. The end effector is located at the distal end of the shaft and includes a pair of grasping arms operable to grasp and release a needle. The handle assembly comprises a trigger-operated actuation assembly that is operable to rotate a second grasping arm relative to the shaft. The trigger-operated actuation assembly may include a trigger and a trigger gear assembly that is operable to rotate the second grasping arm. A clutch assembly (642, 660, etc.) may also be included to selectively couple a drive shaft (284) associated with the second grasping arm to another shaft (280). The handle assembly may further include a toggle actuation assembly (700) that is operable to grasp and release a needle with the grasping arms. A locking feature may be included to prevent use of the toggle actuation assembly until trigger-operated actuation assembly has been operated.
摘要翻译：缝合针驱动装置包括轴，端部执行器和手柄组件。末端执行器位于轴的远端，并且包括一对可操作以抓握和释放针的把持臂。手柄组件包括触发器操作的致动组件，其可操作以相对于轴旋转第二把持臂。触发器操作的致动组件可以包括触发器和可操作以使第二抓握臂旋转的触发器齿轮组件。还可以包括离合器组件（642,660等）以选择性地将与第二把持臂相关联的驱动轴（284）联接到另一个轴（280）。手柄组件还可包括肘杆致动组件（700），所述肘杆致动组件可操作以用所述把持臂来抓住和释放针。可以包括锁定特征以防止在触发器操作的致动组件已被操作之前使用肘节致动组件。

10. 发明公开

EP2967721A1 ELECTROSURGICAL DEVICE WITH DISPOSABLE SHAFT HAVING TRANSLATING GEAR AND SNAP FIT 有权转让
标题翻译： ELEKTROCHIRURGISCHE VORRICHTUNG MIT EINER EINWEG-WELLE MITÜBERSETZUNGSGETRIEBEUND SCHNAPPVERBINDUNG
公开(公告)号：EP2967721A1
公开(公告)日：2016-01-20
申请号：EP14708177.2
申请日：2014-02-14
申请人： Ethicon Endo-Surgery, Inc.
发明人： PARIHAR, Shailendra, K. , MARTIN, David, T. , JOHNSON, Gregory, W. , WHITE, William, J. , LYTLE, Thomas, W., IV , HARRIS, Jason, L. , STOKES, Michael, J. , VAKHARIA, Omar, J.
IPC分类号： A61B18/14 , A61B17/00 , A61B18/00
CPC分类号： A61B34/25 , A61B18/12 , A61B18/1445 , A61B34/30 , A61B2017/00477 , A61B2018/00601 , A61B2018/0063 , A61B2018/1455
摘要： An apparatus includes an interface assembly and a shaft assembly. The interface assembly is configured for use with a robotic system and includes a first drive assembly and a mounting plate. The mounting plate includes an opening. The first drive assembly is positioned within the opening such that the first drive assembly is laterally translatable within the opening from a first position to a second position. The shaft assembly is removably coupled with the interface assembly. The shaft assembly includes an end effector and a first coupling feature. The first drive assembly of the interface assembly actuates the end effector of the shaft assembly. The first coupling feature is longitudinally aligned with the first drive assembly. The first drive assembly engages the first coupling feature of the shaft assembly when the first drive assembly is laterally translated from the first position to the second position.
摘要翻译：一种装置包括接口组件和轴组件。接口组件被配置为与机器人系统一起使用并且包括第一驱动组件和安装板。安装板包括开口。第一驱动组件定位在开口内，使得第一驱动组件在开口内可从第一位置向第二位置横向平移。轴组件可拆卸地与接口组件联接。轴组件包括端部执行器和第一联接件。接口组件的第一驱动组件致动轴组件的端部执行器。第一耦合特征与第一驱动组件纵向对准。当第一驱动组件从第一位置横向平移到第二位置时，第一驱动组件接合轴组件的第一联接特征。

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