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1. 发明授权

US08961406B2 Surgical access devices and methods providing seal movement in predefined movement regions 有权
标题翻译：手术进入装置和在预定的运动区域中提供密封运动的方法
公开(公告)号：US08961406B2
公开(公告)日：2015-02-24
申请号：US12399656
申请日：2009-03-06
申请人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32 , A61B17/34 , A61B17/02
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B2017/0225 , A61B2017/3419 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61M13/003
摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.
摘要翻译：提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵，保持吹风。

2. 发明申请

US20100228094A1 SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED MOVEMENT REGIONS 有权
标题翻译：预防运动区域的密封运动的外科手术装置和方法
公开(公告)号：US20100228094A1
公开(公告)日：2010-09-09
申请号：US12399656
申请日：2009-03-06
申请人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B2017/0225 , A61B2017/3419 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61M13/003
摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.
摘要翻译：提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵，保持吹风。

3. 发明授权

US09814457B2 Control interface for laparoscopic suturing instrument 有权
公开(公告)号：US09814457B2
公开(公告)日：2017-11-14
申请号：US13443101
申请日：2012-04-10
申请人： David T. Martin , James A. Woodard, Jr.
发明人： David T. Martin , James A. Woodard, Jr.
IPC分类号： A61B17/04 , A61B17/062 , A61B34/35 , A61B17/00 , A61B34/30
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.

4. 发明申请

US20130282027A1 LAPAROSCOPIC SUTURING INSTRUMENT WITH PARALLEL CONCENTRIC SHAFT PAIRS 有权
标题翻译：具有平行中心轴对的LAPAROSCOPIC SUTURING仪器
公开(公告)号：US20130282027A1
公开(公告)日：2013-10-24
申请号：US13449494
申请日：2012-04-18
申请人： James A. Woodard, JR. , Aaron J. Brickner , Jason R. Lesko , William J. White , David T. Martin
发明人： James A. Woodard, JR. , Aaron J. Brickner , Jason R. Lesko , William J. White , David T. Martin
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0491 , A61B17/0625 , A61B2017/0608 , A61B2017/061
摘要： A suture needle driving instrument comprises a shaft assembly, an end effector, and a grasping actuation assembly. The end effector is located at the distal end of the shaft assembly and includes a pair of grasping arms. Each grasping arm comprises a respective pair of jaws. Each pair of jaws is operable to cooperate to grasp and release a suture needle. The grasping actuation assembly is operable to drive one jaw of each pair in one direction while simultaneously driving the other jaw of the pair in an opposite direction, to selectively grasp or release the suture needle. The shaft assembly includes two pairs of parallel concentric shafts, which form part of the actuation assembly. Each shaft pair is operable to drive a respective internal drive shaft having separate threaded regions with opposing pitch. 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组件，末端执行器和抓握致动组件。末端执行器位于轴组件的远端并且包括一对把持臂。每个抓握臂包括相应的一对夹爪。每对钳口可操作以配合以抓住和释放缝合针。抓握致动组件可操作以在一个方向上驱动每对的一个钳口，同时沿相反方向驱动该对的另一个钳口，以选择性地抓住或释放缝合针。轴组件包括两对平行的同心轴，其形成致动组件的一部分。每个轴对可操作以驱动具有相对间距的具有单独螺纹区域的相应内部驱动轴。在微创手术中可以通过套管针使用该器械。

5. 发明授权

US07674275B2 Suture anchor 有权
标题翻译：缝合锚
公开(公告)号：US07674275B2
公开(公告)日：2010-03-09
申请号：US11538975
申请日：2006-10-05
申请人： David T. Martin , Michael S. Cropper , John J. Price , Richard F. Schwemberger , John L. Stammen
发明人： David T. Martin , Michael S. Cropper , John J. Price , Richard F. Schwemberger , John L. Stammen
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0487 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , Y10T24/39 , Y10T24/3913 , Y10T24/3916 , Y10T24/3918
摘要： A suture anchor comprises an elongate body having a first end, a second end, and a longitudinal axis extending between the first and second ends. The first end may have a flared geometry. A lateral suture relief is in the elongate body extending from the first end to an longitudinal position intermediate the first and second ends. A hollow tubular portion in the elongate body is longitudinally spaced from the lateral suture relief. A suture is positioned in the hollow tubular portion. The suture has a delivery position parallel the longitudinal axis and a deployed position transverse to the longitudinal axis.
摘要翻译：缝合锚包括具有第一端，第二端和在第一和第二端之间延伸的纵向轴线的细长主体。第一端可能有一个喇叭形几何。横向缝合线浮雕在细长体中，从第一端延伸到第一和第二端的中间的纵向位置。细长体中的中空管状部分与横向缝线释放物纵向间隔开。缝合线定位在中空管状部分中。缝合线具有平行于纵向轴线的交付位置和横向于纵向轴线的展开位置。

6. 发明授权

US5293133A Method of determining an electrical characteristic of an antifuse and apparatus therefor 失效
标题翻译：确定反熔丝电气特性的方法及其设备
公开(公告)号：US5293133A
公开(公告)日：1994-03-08
申请号：US937071
申请日：1992-08-27
申请人： John M. Birkner , David T. Martin , Richard J. Wong
发明人： John M. Birkner , David T. Martin , Richard J. Wong
IPC分类号： G11C17/16 , G11C29/02 , G11C29/50
CPC分类号： G11C29/027 , G11C17/16 , G11C29/02 , G11C29/50 , G11C29/50008 , G11C2029/5004 , G11C2029/5006
摘要： A method for determining an electrical characteristic (such as a resistance) of an antifuse of a programmable device. The method comprises the steps of: 1) before the antifuse is programmed, determining an electrical characteristic (such as a voltage, current and/or resistance) of a first conductive path which includes a series element disposed electrically in series with a parallel element, the parallel element being controlled to be substantially conductive, the parallel element being disposed electrically in parallel with the unprogrammed antifuse; 2) after programming of the antifuse, determining an electrical characteristic (such as a voltage, current and/or resistance) of a second conductive path including the series element disposed electrically in series with the programmed antifuse when the parallel element is controlled to be substantially nonconductive; 3) determining an electrical characteristic (such as a voltage, current and/or resistance) of a third, conductive path through the series element, and through the programmed antifuse and the parallel element, the parallel element being controlled to be substantially conductive; and 4) determining the electrical characteristic (such as a resistance) of the antifuse based on the above three determinations in 1), 2) and 3). The method is usable to determine whether or not programmed antifuses of a programmable device have low enough resistances to meet desired reliability criteria.
摘要翻译：一种用于确定可编程器件的反熔丝的电特性（例如电阻）的方法。该方法包括以下步骤：1）在对反熔丝进行编程之前，确定第一导电路径的电特性（例如电压，电流和/或电阻），其包括与并联元件串联设置的串联元件，所述并联元件被控制为基本导电，所述并联元件与所述未编程的反熔丝电平行地布置; 2）在对反熔丝进行编程之后，确定包括串联元件的第二导电路径的电特性（例如电压，电流和/或电阻），该第二导电路径包括与编程的反熔丝串联设置的串联元件，非导电; 3）确定通过串联元件的第三导电路径的电特性（例如电压，电流和/或电阻），以及通过编程的反熔丝和并联元件，所述并联元件被控制为基本导电; 以及4）基于上述3）中确定的反熔丝的电特性（如电阻）。该方法可用于确定可编程器件的编程反熔丝是否具有足够低的电阻以满足期望的可靠性标准。

7. 发明申请

US20130267969A1 CONTROL INTERFACE FOR LAPAROSCOPIC SUTURING INSTRUMENT 有权
标题翻译：腹腔镜仪器的控制界面
公开(公告)号：US20130267969A1
公开(公告)日：2013-10-10
申请号：US13443101
申请日：2012-04-10
申请人： David T. Martin , James A. Woodard, JR.
发明人： David T. Martin , James A. Woodard, JR.
IPC分类号： A61B17/062
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。驱动组件可以包括斜齿轮，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。

8. 发明申请

US20120143223A1 LAPAROSCOPIC SUTURING INSTRUMENT WITH PERPENDICULAR ECCENTRIC NEEDLE MOTION 有权
标题翻译：具有全身偏心针运动的LAPAROSCOPIC仪器
公开(公告)号：US20120143223A1
公开(公告)日：2012-06-07
申请号：US13295210
申请日：2011-11-14
申请人： James A. Woodard, JR. , Jason R. Lesko , Shawn C. Snyder , David T. Martin
发明人： James A. Woodard, JR. , Jason R. Lesko , Shawn C. Snyder , David T. Martin
IPC分类号： A61B17/04
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，所述旋转路径绕轴线（诸如臂轴线之一）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。

9. 发明申请

US20120123471A1 NEEDLE FOR LAPAROSCOPIC SUTURING INSTRUMENT 有权
标题翻译：针灸仪器用针
公开(公告)号：US20120123471A1
公开(公告)日：2012-05-17
申请号：US13295186
申请日：2011-11-14
申请人： James A. Woodard, JR. , Michael V. Sherrill , Jason R. Lesko , David T. Martin , Katherine J. Schmid , Michael J. Miller , Gary W. Knight , Richard F. Schwemberger , Atul M. Godbole
发明人： James A. Woodard, JR. , Michael V. Sherrill , Jason R. Lesko , David T. Martin , Katherine J. Schmid , Michael J. Miller , Gary W. Knight , Richard F. Schwemberger , Atul M. Godbole
IPC分类号： A61B17/06
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。

10. 发明申请

US20080103527A1 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：US20080103527A1
公开(公告)日：2008-05-01
申请号：US11553489
申请日：2006-10-27
申请人： David T. Martin , Michael S. Cropper , Richard F. Schwemberger
发明人： David T. Martin , Michael S. Cropper , Richard F. Schwemberger
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。

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