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1. 发明申请

US20100152539A1 POSITIONABLE IMAGING MEDICAL DEVICES 审中-公开
标题翻译：可定位成像医疗器械
公开(公告)号：US20100152539A1
公开(公告)日：2010-06-17
申请号：US12337340
申请日：2008-12-17
申请人： Ragae M. Ghabrial , Michael J. Stokes , Rudolph H. Nobis , Andrew M. Zwolinski , Michael P. Weir , David N. Plescia , Christle M. Cunningham , Omar J. Vakharia , William D. Fox , James T. Spivey
发明人： Ragae M. Ghabrial , Michael J. Stokes , Rudolph H. Nobis , Andrew M. Zwolinski , Michael P. Weir , David N. Plescia , Christle M. Cunningham , Omar J. Vakharia , William D. Fox , James T. Spivey
IPC分类号： A61B1/00
CPC分类号： A61B1/041 , A61B1/00029 , A61B1/00147 , A61B5/073 , A61B5/6882 , A61B34/73 , A61B2017/00283
摘要： A positionable imaging device includes a body defining a first end and a second end. The body is configured to be received within an internal body cavity. An imaging device is located at the first end of the body. A releasable fastener is coupled to the body to removably attach the imaging device to tissue within the internal body cavity. A release mechanism is coupled to the releasable fastener to detach the imaging device from the tissue.
摘要翻译：可定位成像装置包括限定第一端和第二端的主体。身体构造成被容纳在内部体腔内。成像装置位于身体的第一端。可拆卸紧固件联接到主体以将成像装置可移除地附接到内部体腔内的组织。释放机构联接到可释放紧固件以将成像装置与组织分离。

2. 发明授权

US07967741B2 Endoscopic guide device 有权
标题翻译：内镜引导装置
公开(公告)号：US07967741B2
公开(公告)日：2011-06-28
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00 , A61F2/00 , A61F13/00 , A61M5/32
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

3. 发明申请

US20080275297A1 ENDOSCOPIC GUIDE DEVICE 有权
标题翻译：内窥镜指导装置
公开(公告)号：US20080275297A1
公开(公告)日：2008-11-06
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

4. 发明申请

US20130085509A1 METHODS AND DEVICES FOR REMOTELY CONTROLLING MOVEMENT OF SURGICAL TOOLS 有权
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：US20130085509A1
公开(公告)日：2013-04-04
申请号：US13249714
申请日：2011-09-30
申请人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
发明人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
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。

5. 发明授权

US09241770B2 Methods and devices for remotely controlling movement of surgical tools 有权
标题翻译：用于远程控制手术工具运动的方法和装置
公开(公告)号：US09241770B2
公开(公告)日：2016-01-26
申请号：US13249714
申请日：2011-09-30
申请人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
发明人： Michael J. Stokes , David N. Plescia , David Stefanchik , Omar J. Vakharia , Andrew Yoo , James T. Spivey , Christopher J. Hess
IPC分类号： A61B19/00 , A61B17/00
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。

6. 发明申请

US20090192344A1 SURGICAL DEVICES FOR MANIPULATING TISSUE 审中-公开
标题翻译：用于手术组织的外科手术
公开(公告)号：US20090192344A1
公开(公告)日：2009-07-30
申请号：US12019461
申请日：2008-01-24
申请人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
IPC分类号： A61N2/10 , A61N2/00
CPC分类号： A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要： A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译：手术套件可用于操纵患者身体内的组织以在身体内产生工作空间，以允许外科医生使用各种手术器械容易地进入身体内并进行工作。手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。该套件还可以包括具有磁体的手术器械，其可用于操纵植入物和与其接合的组织。手术套件可以包括锚固件和悬挂器，其构造成在主体内的不同位置处接合组织，以及与锚固件和悬挂器接合的连接构件，使得连接构件可以被拉动以将锚移向吊架。使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。

7. 发明申请

US20110112434A1 KITS AND PROCEDURES FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY 审中-公开
标题翻译：自然手术治疗内镜手术的手套和手术
公开(公告)号：US20110112434A1
公开(公告)日：2011-05-12
申请号：US12614143
申请日：2009-11-06
申请人： Ragae M. Ghabrial , James T. Spivey , Kurt R. Bally , Duane A. Linenkugel , Gregory J. Bakos , Kempton K. Carroll, II , Omar J. Vakharia , Robert M. Trusty
发明人： Ragae M. Ghabrial , James T. Spivey , Kurt R. Bally , Duane A. Linenkugel , Gregory J. Bakos , Kempton K. Carroll, II , Omar J. Vakharia , Robert M. Trusty
IPC分类号： A61B17/94 , A61B1/00 , A61B17/06 , A61B17/295 , A61B17/32 , A61B18/14 , A61B17/10 , A61B10/04
CPC分类号： A61B17/3478 , A61B1/00135 , A61B1/00154 , A61B1/018 , A61B17/1285 , A61B17/320016 , A61B17/32056 , A61B17/3421 , A61B17/3423 , A61B18/1442 , A61B2017/00278 , A61B2017/00287 , A61B2017/003 , A61B2017/00336 , A61B2017/00358 , A61B2017/0412 , A61B2017/0417 , A61B2017/0437 , A61B2017/0438 , A61B2017/0464 , A61B2017/2905 , A61B2017/2908 , A61B2017/2927 , A61B2017/2936 , A61B2017/2939 , A61B2017/3445 , A61M25/0084 , A61M25/0102 , A61M25/0133 , A61M25/0136 , A61M25/10 , A61M29/02 , A61M2025/0681 , A61M2025/1093
摘要： Various surgical devices, kits, and/or methods are provided herein that may be useful in performing a surgical procedure through a natural orifice. Such a surgical procedure may utilize one or more devices, kits, and/or methods to create an access port to a body cavity of a patient, to perform a specific surgical procedure, and to close the access port. In various embodiments, the specific surgical procedure may comprise a sleeve gastrectomy, a ventral hernia repair, a hybrid transgastric cholecystectomy, and/or a hybrid transgastric appendectomy.
摘要翻译：本文提供的各种手术装置，试剂盒和/或方法可用于通过天然孔进行外科手术。这种外科手术可以利用一个或多个装置，套件和/或方法来创建到患者的体腔的进入端口，以执行特定的外科手术并且关闭进入端口。在各种实施例中，具体的外科手术可以包括套管胃切除术，腹侧疝修补术，混合性经胃胆囊切除术和/或混合性经胃阑尾切除术。

8. 发明申请

US20130085341A1 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：US20130085341A1
公开(公告)日：2013-04-04
申请号：US13249896
申请日：2011-09-30
申请人： Rudolph H. Nobis , Robert M. Trusty , James T. Spivey , Christopher J. Hess , Per O. Park , Omar J. Vakharia
发明人： Rudolph H. Nobis , Robert M. Trusty , James T. Spivey , Christopher J. Hess , Per O. Park , Omar J. Vakharia
IPC分类号： A61B1/32 , A61B17/34
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 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 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 to allow a second shaft 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，其允许端部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，以允许第二轴连接到末端执行器以操纵组织。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。

9. 发明申请

US20120165793A1 Pill Catchers 审中-公开
标题翻译：药丸捕手
公开(公告)号：US20120165793A1
公开(公告)日：2012-06-28
申请号：US12976745
申请日：2010-12-22
申请人： Mark S. Ortiz , Christopher J. Hess , Jason L. Harris , James T. Spivey , Michael J. Stokes , Thomas E. Albrecht , James W. Voegele , William B. Weisenburgh, II , Rudolph H. Nobis , Mark S. Zeiner , Mark D. Overmyer , Darrel M. Powell , Joseph Bernard Kraimer , James Anthony Topich , Jeremy David Jarrett , Daniel James Prenger , Matthew D. Rohr Daniel
发明人： Mark S. Ortiz , Christopher J. Hess , Jason L. Harris , James T. Spivey , Michael J. Stokes , Thomas E. Albrecht , James W. Voegele , William B. Weisenburgh, II , Rudolph H. Nobis , Mark S. Zeiner , Mark D. Overmyer , Darrel M. Powell , Joseph Bernard Kraimer , James Anthony Topich , Jeremy David Jarrett , Daniel James Prenger , Matthew D. Rohr Daniel
IPC分类号： A61K9/22
CPC分类号： A61M31/002 , A61B1/041
摘要： Devices and related methods are provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as “catchers,” are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs.
摘要翻译：提供了设备和相关方法，用于将治疗剂控制递送到身体内的目标位置。更具体地，提供了用于控制经口给药的药丸通过身体的速率的方法和装置，以及用于控制体内在特定位置处的丸剂内的治疗剂的递送。提供了在本文中通常被称为“捕获器”的各种类型的装置，其可以在通过身体时主动地捕捉药丸。捕获器可以将药丸保持在体内的特定位置，直到发生预定事件，例如在丸中部分或完全施用治疗剂。然后，捕手可以在命令和/或发生预定事件时释放药片以允许药丸从身体中流出。在其他实施例中，提供了可以主动地接合捕获器并保持与捕获器接合的各种类型的药丸，直到发生预定事件。

10. 发明申请

US20100152609A1 SPECIMEN RETRIEVAL DEVICE 有权
标题翻译：样本检索设备
公开(公告)号：US20100152609A1
公开(公告)日：2010-06-17
申请号：US12332938
申请日：2008-12-11
申请人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
发明人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
IPC分类号： A61B10/02
CPC分类号： A61B10/06 , A61B10/0096 , A61B10/0283
摘要： A surgical instrument can be used to capture and retrieve tissue, or other specimens, from within the body of a patient through a single trocar port. The surgical instrument can include a grasper, wherein the grasper can be configured to capture a specimen, and a specimen retrieval bag, wherein the specimen retrieval bag can be configured to at least partially surround, or encapsulate, the captured specimen when the specimen retrieval bag is in a deployed position. In certain embodiments, the retrieval bag can be inverted as it is moved between undeployed and deployed positions. In various embodiments, the surgical instrument can further include a snare operably engaged with the specimen retrieval bag, wherein the snare can be configured to at least partially close the bag. A vacuum can be placed in communication with the bag to reduce the size of the bag before it is removed from the surgical site.
摘要翻译：手术器械可用于通过单个套管针端口从患者体内捕获和回收组织或其他标本。手术器械可以包括抓取器，其中抓取器可以构造成捕获样本和样本取回袋，其中样本取回袋可被构造成至少部分地包围或封装所捕获的样本，当样本取回袋处于部署位置。在某些实施例中，当取出袋在未部署位置和展开位置之间移动时可以反转。在各种实施例中，手术器械还可以包括可操作地与样本回收袋接合的圈套，其中所述圈套可被构造成至少部分地封闭所述袋。可以将真空放置成与袋连通，以在袋从手术部位移除之前减小袋的尺寸。

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