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1. 发明申请

WO2013082220A2 SURGICAL DEVICES WITH INTRACORPOREAL ELBOW JOINT 审中-公开
标题翻译：具有INTRACORPOREAL ELBOW JOINT的手术器械
公开(公告)号：WO2013082220A2
公开(公告)日：2013-06-06
申请号：PCT/US2012/066954
申请日：2012-11-29
申请人： ETHICON ENDO-SURGERY, INC.
发明人： STEFANCHIK, David , VAKHARIA, Omar J. , WEISENBURGH, William B., II
IPC分类号： A61B17/00
CPC分类号： A61B17/2909 , A61B34/71 , A61B90/50 , A61B2017/291 , A61B2017/2927 , A61B2017/2946 , A61B2017/2947 , A61B2034/305
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：本文公开了手术装置，其通常包括体内肘关节以促进端部执行器的平移运动，同时允许手术装置的主体部分以及插入装置的套管针或工作通道保持相对于患者的固定角度取向。这允许多个这样的装置有效地与单个切口或接入装置一起使用。这样的装置通常还提供具有六个自由度的端部执行器运动，同时保持用户与端部执行器之间的机械联动并且模仿和/或镜像自然的用户运动。还公开了与这种设备有关的各种方法。

2. 发明申请

WO2009067649A2 BIPOLAR FORCEPS HAVING A CUTTING ELEMENT 审中-公开
标题翻译：具有切割元件的双极性力
公开(公告)号：WO2009067649A2
公开(公告)日：2009-05-28
申请号：PCT/US2008/084311
申请日：2008-11-21
申请人： ETHICON ENDO-SURGERY, INC. , GHABRIAL, Ragae M. , VAKHARIA, Omar J. , LONG, Gary L. , BALLY, Kurt R. , ZWOLINSKI, Andrew M.
发明人： GHABRIAL, Ragae M. , VAKHARIA, Omar J. , LONG, Gary L. , BALLY, Kurt R. , ZWOLINSKI, Andrew M.
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/1412 , A61B2018/1455
摘要： In various surgical techniques, a bipolar forceps can be used to seal a vessel in two locations such that the vessel can be incised at a location positioned intermediate the two seal locations. The bipolar forceps can include a cutting element which can be configured to incise the vessel. In various embodiments, the cutting element can include a sharp edge which can be moved relative to the vessel. In at least one embodiment, the cutting element can be electrically connected to a source of energy. The bipolar forceps can include first and second electrodes positioned within first and second jaw members, respectively, wherein at least one of the jaw members can include a substantially tapered profile and can be configured to pull the vessel away from the surrounding soft tissue. Such jaw members can include ridges, teeth, and/or a textured outer surface configured to grip the soft tissue and/or vessel. A bipolar forceps including a first electrode, a second electrode, and a conductor operably connected to an electrical source, wherein the conductor can be selectively placed in electrical communication with the first electrode when the first electrode is moved between open and closed positions. The conductor can include a contact end which is not in contact with the first electrode when the first electrode is in its open position. In such an open position, the first electrode may not be in electrical communication with the electrical source and, as a result, current may not flow through the first electrode. The first electrode can be moved into its closed position such that the first electrode is in contact with the contact end of the wire. In such a closed position, the first electrode may be in electrical communication with the electrical source allowing current to flow through the first electrode.
摘要翻译：在各种手术技术中，可以使用双极镊子将容器密封在两个位置，使得容器可以在位于两个密封位置之间的位置切开。双极镊子可以包括切割元件，该切割元件可配置成切割血管。在各种实施例中，切割元件可以包括相对于容器移动的尖锐边缘。在至少一个实施例中，切割元件可以电连接到能量源。双极镊子可以包括分别位于第一和第二钳口构件内的第一和第二电极，其中至少一个钳口构件可以包括基本上锥形的轮廓，并且可以构造成将容器拉离周围的软组织。这种钳口构件可以包括构造成夹持软组织和/或血管的脊，齿和/或织构化的外表面。一种双极钳，包括可操作地连接到电源的第一电极，第二电极和导体，其中当第一电极在打开位置和闭合位置之间移动时，导体可以选择性地与第一电极电连通。导体可以包括当第一电极处于其打开位置时不与第一电极接触的接触端。在这样的打开位置，第一电极可能不与电源电连通，结果电流可能不流过第一电极。第一电极可以移动到其闭合位置，使得第一电极与导线的接触端接触。在这种闭合位置，第一电极可以与电源电连通，允许电流流过第一电极。

3. 发明申请

WO2013048953A1 METHODS AND DEVICES FOR REMOTELY CONTROLLING MOVEMENT OF SURGICAL TOOLS 审中-公开
标题翻译：用于远程控制外科手术运动的方法和装置
公开(公告)号：WO2013048953A1
公开(公告)日：2013-04-04
申请号：PCT/US2012/056867
申请日：2012-09-24
申请人： ETHICON ENDO-SURGERY, INC. , STOKES, Michael J. , PLESCIA, David N. , STEFANCHIK, David , VAKHARIA, Omar J. , YOO, Andrew , SPIVEY, James T. , HESS, Christopher J.
发明人： STOKES, Michael J. , PLESCIA, David N. , STEFANCHIK, David , VAKHARIA, Omar J. , YOO, Andrew , SPIVEY, James T. , HESS, Christopher J.
IPC分类号： A61B19/00
CPC分类号： A61B34/37 , A61B34/30 , A61B34/70 , A61B2017/00022 , A61B2017/00207
摘要： Methods and devices are provided for controlling movement of a distal end of a surgical instrument. In general, the methods and devices can allow for controlling movement of surgical tools, and in particular for causing mimicked motion between an external control unit and a surgical tool positioned within a patient's body. In one embodiment, a surgical system is provided having a master assembly including an input tool and a slave assembly including a surgical instrument. The master assembly and the slave assembly can be configured to be electronically coupled together such that movement of the master assembly can be electronically communicated to the slave assembly to cause mimicked movement of the slave assembly.
摘要翻译：提供了用于控制手术器械的远端的运动的方法和装置。通常，所述方法和装置可以允许控制手术工具的移动，并且特别是用于在外部控制单元和位于患者体内的外科手术工具之间引起模拟的运动。在一个实施例中，提供具有主组件的外科系统，所述主组件包括输入工具和包括外科器械的从属组件。主组件和从组件可以被配置为电子耦合在一起，使得主组件的运动可以电子地传递到从组件以引起从组件的模拟运动。

4. 发明申请

WO2008091995A2 ENDOSCOPIC ACCESSORY CONTROL MECHANISM 审中-公开
标题翻译：内镜辅助控制机制
公开(公告)号：WO2008091995A2
公开(公告)日：2008-07-31
申请号：PCT/US2008/051902
申请日：2008-01-24
申请人： ETHICON ENDO-SURGERY, INC , VAKHARIA, Omar J. , STEFANCHIK, David , SPIVEY, James T.
发明人： VAKHARIA, Omar J. , STEFANCHIK, David , SPIVEY, James T.
IPC分类号： A61B1/018 , A61B17/00 , A61B17/34
CPC分类号： A61B17/00234 , A61B1/00135 , A61B1/018 , A61B17/3421 , A61B2017/00292 , A61B2017/00296 , A61B2017/2923 , A61B2017/3445
摘要： Devices and methods useful for manipulating tools at a surgical site are disclosed. In one exemplary embodiment, an accessory device is provided and can include an insertion member and a control wire. The insertion member can have a lumen for receiving a tool therethrough, such as an endoscope. The control wire can be coupled to the insertion member and have a distal portion extending distally from the insertion member and be adapted to receive and to manipulate a tool extending through the insertion member. The control wire can have a wide variety of configurations, and in certain exemplary embodiments the control wire can be slidably received in one or more control wire lumens formed through the insertion member. In use, the control wire can be manipulated, for example by axially sliding the control wire in one or more control wire lumens to control a tool.
摘要翻译：公开了用于在手术部位操作工具的装置和方法。在一个示例性实施例中，提供附件装置并且可以包括插入构件和控制线。插入构件可以具有用于容纳穿过其中的工具的内腔，诸如内窥镜。控制线可以联接到插入构件并且具有从插入构件向远侧延伸的远侧部分，并且适于接收和操纵延伸穿过插入构件的工具。控制线可以具有各种各样的配置，并且在某些示例性实施例中，控制线可以可滑动地容纳在通过插入构件形成的一个或多个控制线腔中。在使用中，控制线可以被操纵，例如通过在一个或多个控制线腔内轴向滑动控制线来控制工具。

5. 发明申请

WO2013055515A1 METHODS AND DEVICES FOR MANIPULATING TISSUE IN VIVO 审中-公开
标题翻译：用于在体液中操作组织的方法和装置
公开(公告)号：WO2013055515A1
公开(公告)日：2013-04-18
申请号：PCT/US2012/056890
申请日：2012-09-24
申请人： ETHICON ENDO-SURGERY, INC. , NOBIS, Rudolph H. , TRUSTY, Robert M. , SPIVEY, James T. , HESS, Christopher J. , VAKHARIA, Omar J. , PARK, Per Ola
发明人： NOBIS, Rudolph H. , TRUSTY, Robert M. , SPIVEY, James T. , HESS, Christopher J. , VAKHARIA, Omar J. , PARK, Per Ola
IPC分类号： A61B17/29 , A61B17/00 , A61B17/072
CPC分类号： A61B17/29 , A61B17/07207 , A61B2017/00473 , A61B2017/00477
摘要： Methods and devices are provided for manipulating tissue in a body cavity, i.e., in vivo. In general, the methods and devices allow an end effector to engage tissue, be detached from a shaft used to control the end effector (380) to engage the tissue, and then be moved to another location in the body cavity by a separate component, such as an external control unit. In some embodiments the end effector can include one or more deployable hooks (382) that allow the end effector to remain at a surgical site independent of any shafts or external control units. Still further, in other embodiments the end effector can include a transverse bore (484) to allow a second shaft (422) to connect to the end effector to manipulate the tissue. Additional exemplary devices, kits, and methods related to manipulating tissue in vivo are also provided.
摘要翻译：提供了用于操作体腔中的组织，即体内的方法和装置。通常，方法和装置允许端部执行器接合组织，从用于控制末端执行器（380）的轴分离以接合组织，然后通过单独的部件移动到体腔中的另一位置，例如外部控制单元。在一些实施例中，末端执行器可以包括一个或多个可展开的钩（382），其允许末端执行器独立于任何轴或外部控制单元而保持在手术位置。此外，在其他实施例中，端部执行器可以包括横向孔（484），以允许第二轴（422）连接到端部执行器以操纵组织。还提供了与在体内操作组织相关的附加的示例性装置，试剂盒和方法。

6. 发明申请

WO2013048957A1 ROBOT-MOUNTED SURGICAL TABLES 审中-公开
标题翻译：机器人安装的手术表
公开(公告)号：WO2013048957A1
公开(公告)日：2013-04-04
申请号：PCT/US2012/056876
申请日：2012-09-24
申请人： ETHICON ENDO-SURGERY, INC. , STEFANCHIK, David , VAKHARIA, Omar J.
发明人： STEFANCHIK, David , VAKHARIA, Omar J.
IPC分类号： A61G13/04 , A61B19/00
CPC分类号： A61G13/02 , A61B34/20 , A61B34/30 , A61B34/37 , A61G2203/36 , G06F19/00 , G06F19/3481
摘要： The systems and methods disclosed herein generally involve a robotically-assisted surgical system in which a platform for supporting a patient is physically and operatively coupled to a surgical robot and an associated controller. As a result, the position of the patient can be controlled remotely using the robot, and the controller can have an awareness of the position and orientation of the patient with respect to the operating room and with respect to various components of the robot. Such systems can thus maintain a fixed frame of reference between the patient and one or more end effectors of the surgical robot, eliminating the need for recalibration of the system due to patient movement.
摘要翻译：本文公开的系统和方法通常涉及一种机器人辅助外科系统，其中用于支撑患者的平台物理地和操作地耦合到外科手术机器人和相关联的控制器。结果，可以使用机器人远程控制患者的位置，并且控制器可以意识到患者相对于手术室的位置和取向以及关于机器人的各种部件。因此，这样的系统可以在患者和手术机器人的一个或多个端部执行器之间保持固定的参考系，从而消除了由于患者移动而对系统进行重新校准的需要。

7. 发明申请

WO2011084411A1 SELECTIVELY POSITIONABLE CAMERA FOR SURGICAL GUIDE TUBE ASSEMBLY 审中-公开
标题翻译：用于手术导管组件的选择性定位摄像机
公开(公告)号：WO2011084411A1
公开(公告)日：2011-07-14
申请号：PCT/US2010/060242
申请日：2010-12-14
申请人： ETHICON ENDO-SURGERY, INC. , KARL STORZ ENDOVISION, INC. , TRUSTY, Robert M. , BAKOS, Gregory J. , SPIVEY, James T. , VAKHARIA, Omar J. , BIRNKRANT, Dashiell A. , ELLIOTT, John J.
发明人： TRUSTY, Robert M. , BAKOS, Gregory J. , SPIVEY, James T. , VAKHARIA, Omar J. , BIRNKRANT, Dashiell A. , ELLIOTT, John J.
IPC分类号： A61B1/005 , G02B23/24
CPC分类号： A61B1/0052 , A61B1/00105 , A61B1/00135 , A61B1/045 , G02B23/2476
摘要： A selectively positionable camera assembly for use in connection with a guide tube assembly that has a guide tube handle portion and at least one guide tube protruding therefrom. In various embodiments, the camera includes an elongated flexible camera portion that is sized to operably extend through at least one of the guide tubes of the guide tube assembly. A camera handle is operably coupled to the elongated flexible camera portion such that the handle is movably supported by at least a portion of the guide tube handle portion. At least one retainer is provided on the guide tube handle and/or the camera handle for releasably retaining the camera handle in any one of a plurality of orientations relative to the portion of the guide tube handle.
摘要翻译：一种用于与导管组件结合使用的选择性定位的相机组件，其具有引导管手柄部分和至少一个从其突出的引导管。在各种实施例中，相机包括细长柔性相机部分，其尺寸设计成可操作地延伸穿过导管组件的至少一个导向管。相机手柄可操作地联接到细长的柔性相机部分，使得手柄由导管手柄部分的至少一部分可移动地支撑。至少一个保持器设置在引导管手柄和/或相机手柄上，用于将相机手柄可释放地保持在相对于导管手柄的部分的多个取向中的任何一个中。

8. 发明申请

WO2009032623A2 ELECTRICAL ALBATION SURGICAL INSTRUMENTS 审中-公开
标题翻译：电气手术仪器
公开(公告)号：WO2009032623A2
公开(公告)日：2009-03-12
申请号：PCT/US2008/074299
申请日：2008-08-26
申请人： ETHICON ENDO-SURGERY, INC , LONG, Gary, L. , VAKHARIA, Omar J. , PLESCIA, David N. , BALLY, Kurt R. , ZWOLINSKI, Andrew M. , BAKOS, Gregory J. , HOLCOMB, Matthew D.
发明人： LONG, Gary, L. , VAKHARIA, Omar J. , PLESCIA, David N. , BALLY, Kurt R. , ZWOLINSKI, Andrew M. , BAKOS, Gregory J. , HOLCOMB, Matthew D.
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B18/1445 , A61B18/1492 , A61B2018/00946 , A61B2018/00952 , A61B2018/1412 , A61B2018/1455 , A61B2018/1475
摘要： A surgical instrument includes an ablation device. The ablation device includes an elongated flexible member having a proximal end and a distal end. The flexible member includes first and second lumens. A first needle electrode is configured to slideably move within the first lumen. A second needle electrode is located within the second lumen. The first and second needle electrodes are adapted to couple to an electrical waveform generator and to receive an electrical waveform sufficient to electrically ablate tissue located between the first and second needle electrodes. A clamp jaw portion may be located at the distal end of the elongated flexible member. The clamp jaw portion is operatively movable from an open position to a closed position. A cutting blade may be located in the clamp jaw portion. A blunt dissection portion may be formed on the clamp jaw portion. The clamp jaw portion is adapted to couple to an electrical waveform generator and to receive an electrical waveform.
摘要翻译：手术器械包括消融装置。消融装置包括具有近端和远端的细长柔性构件。柔性构件包括第一腔和第二腔。第一针电极构造成在第一管腔内可滑动地移动。第二针电极位于第二管腔内。第一和第二针电极适于耦合到电波形发生器并且接收足以电消除位于第一和第二针状电极之间的组织的电波形。钳夹部分可以位于细长柔性构件的远端。钳夹部分可操作地从打开位置移动到关闭位置。切割刀片可以位于钳夹部分中。钝夹层部分可以形成在钳夹部分上。钳夹部分适于耦合到电波形发生器并接收电波形。

9. 发明申请

WO2014004120A1 ULTRASONIC SURGICAL INSTRUMENTS WITH DISTALLY POSITIONED JAW ASSEMBLIES 审中-公开
标题翻译：超声波手术仪器与远程定位的JAW装配
公开(公告)号：WO2014004120A1
公开(公告)日：2014-01-03
申请号：PCT/US2013/045828
申请日：2013-06-14
申请人： ETHICON ENDO-SURGERY, INC.
发明人： VAKHARIA, Omar J. , MESSERLY, Jeffrey D. , STEFANCHIK, David , SMOLIK, Steven P.
IPC分类号： A61B17/32 , A61B17/29
CPC分类号： A61B17/320092 , A61B17/295 , A61B18/1445 , A61B34/30 , A61B34/71 , A61B2018/00875 , A61B2018/1452 , A61B2018/1455 , A61B2034/302 , A61B2034/305
摘要： Various embodiments are directed to surgical instruments comprising an end effector, a shaft and a jaw assembly. The end effector may comprise an ultrasonic blade extending distally substantially parallel to a longitudinal axis. The shaft may extend proximally from the end effector along the longitudinal axis. The jaw assembly may comprise first and second jaw members. The jaw assembly may be pivotable about a first axis substantially perpendicular to the longitudinal axis from a first position where the first and second jaw members are substantially parallel to the ultrasonic blade to a second position. Additionally, the first and second jaw members may be pivotable about a second axis substantially perpendicular to the first axis.
摘要翻译：各种实施例涉及包括端部执行器，轴和钳口组件的手术器械。末端执行器可以包括沿着纵向轴线向远侧延伸的超声刀片。轴可以沿着纵向轴线从端部执行器向近端延伸。钳口组件可以包括第一和第二钳口构件。钳口组件可以围绕基本上垂直于纵向轴线的第一轴线从第一和第二钳口构件基本上平行于第二位置的第一位置枢转到第二位置。另外，第一和第二钳口构件可以围绕基本上垂直于第一轴线的第二轴线枢转。

10. 发明申请

WO2013048951A1 PATIENT-REFERENCED SURGICAL SUPPORT FRAME 审中-公开
标题翻译：患者参考手术支持框架
公开(公告)号：WO2013048951A1
公开(公告)日：2013-04-04
申请号：PCT/US2012/056864
申请日：2012-09-24
申请人： ETHICON ENDO-SURGERY, INC. , STEFANCHIK, David , VAKHARIA, Omar J.
发明人： STEFANCHIK, David , VAKHARIA, Omar J.
IPC分类号： A61B17/34 , A61B19/00
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 (100) and method of use are provided. In one embodiment, a surgical support frame can have at least three support members (106) coupled by adjustable linkages (104). Each support member can have a lumen extending therethrough for receiving a cannula (202), 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（100）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动件（104）联接的至少三个支撑构件（106）。每个支撑构件可以具有延伸穿过其中以用于接收套管（202）的内腔，并且每个支撑构件可以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之间的距离是可调节的。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

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