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    • 8. 发明申请
    • METHODS AND DEVICES FOR ENDOSCOPE CONTROL IN A BODY CAVITY
    • 身体内腔内控制的方法和装置
    • WO2010056601A1
    • 2010-05-20
    • PCT/US2009/063543
    • 2009-11-06
    • ETHICON ENDO-SURGERY, INC.STEFANCHIK, DavidSPIVEY, James, T.VAKHARIA, Omar, J.
    • STEFANCHIK, DavidSPIVEY, James, T.VAKHARIA, Omar, J.
    • A61B1/005
    • A61B1/0052A61B1/00073A61B1/00135A61B1/0056
    • Methods and devices are provided for controlling an endoscope in a body cavity. In one exemplary embodiment an endoscopic surgical system is provided that includes an endoscope and a steering tether coupled to at least a portion of the endoscope. The steering tether is configured to be manipulatable to effect directional movement of a distal end of the endoscope. The steering tether can include a loop formed on a distal end thereof such that a proximal portion of the steering tether can control the loop, which in turn controls the movement of the distal end of the endoscope. An overtube can optionally be included in the system. The overtube can be coupled to endoscope and adapted to receive at least a portion of the endoscope and the steering tether. In one embodiment, the endoscope includes an accessory mount extending over at least a portion of a length of the endoscope and the steering tether can be disposed on the accessory mount. Various methods for controlling movement of an endoscope in a body cavity are also provided.
    • 提供了用于控制体腔内窥镜的方法和装置。 在一个示例性实施例中,提供内窥镜手术系统,其包括联接到内窥镜的至少一部分的内窥镜和转向系绳。 转向系绳构造成可操纵以实现内窥镜远端的定向运动。 转向系绳可以包括形成在其远端上的环,使得转向系绳的近端部分可以控制回路,其又控制内窥镜的远端的移动。 可以可选地在系统中包括一个外套管。 外套管可以联接到内窥镜并且适于接收内窥镜和转向系绳的至少一部分。 在一个实施例中,内窥镜包括在内窥镜的长度的至少一部分上延伸的附件安装件,并且转向系绳可以设置在附件安装件上。 还提供了用于控制体腔内窥镜运动的各种方法。
    • 10. 发明申请
    • TISSUE PENETRATING SURGICAL DEVICE
    • 组织穿刺手术装​​置
    • WO2009123962A1
    • 2009-10-08
    • PCT/US2009/038764
    • 2009-03-30
    • ETHICON ENDO-SURGERY, INC.SPIVEY, James, T.STEFANCHIK, David
    • SPIVEY, James, T.STEFANCHIK, David
    • A61B17/32A61B17/00
    • A61B17/320016A61B17/00234A61B17/320758A61B2017/00278A61B2017/00858A61B2017/320044A61B2217/005
    • Devices and methods are provided for penetrating tissue and/or effecting movement of devices relative to tissue. In general, a surgical instrument is provided having an at least partially fabric-covered distal tip that be used to at least partially penetrate tissue by contacting the tissue with the fabric and rotating the fabric to "drill" into the tissue. The surgical instrument can be configured for delivery proximate to tissue through a working channel of a delivery device and can include an elongate shaft having in its distal portion an end effector at least partially covered in fabric. The fabric, the end effector, and/or the shaft can rotate, thereby allowing at least the fabric to penetrate the tissue and, if sufficiently rotated, causing an opening to form in the tissue. The surgical instrument and/or the delivery device can be advanced through the opening.
    • 提供了用于穿透组织和/或实现装置相对于组织的运动的装置和方法。 通常,提供具有至少部分织物覆盖的远侧末端的外科器械,其用于通过使织物与织物接触并将织物“钻”成组织至少部分地穿透组织。 手术器械可以被配置为通过输送装置的工作通道在组织附近输送,并且可以包括细长轴,其在其远端部分具有至少部分地覆盖在织物中的端部执行器。 织物,末端执行器和/或轴可以旋转,从而允许至少织物穿透组织,并且如果充分旋转,则在组织中形成开口。 手术器械和/或输送装置可以通过开口前进。