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1. 发明申请

US20110087267A1 METHOD FOR EXCHANGING END EFFECTORS IN VIVO 有权
标题翻译：用于在体内交换终末效应的方法
公开(公告)号：US20110087267A1
公开(公告)日：2011-04-14
申请号：US12576578
申请日：2009-10-09
申请人： James T. Spivey , Kevin M. Huey , Rudolph H. Nobis , Sean P. Conlon
发明人： James T. Spivey , Kevin M. Huey , Rudolph H. Nobis , Sean P. Conlon
IPC分类号： A61B17/29 , A61B17/94
CPC分类号： A61B18/1442 , A61B17/29 , A61B2017/00296 , A61B2017/00473 , A61B2017/00477 , A61B2017/0053 , A61B2018/1495
摘要： A laparoscopic surgical method comprises obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle. The distal end of the first instrument is passed through a percutaneous incision. A surgical end effector is obtained having a distal end with operable jaws and a proximal end selectively attachable to and detachable from the distal end of the first instrument. A second instrument is obtained comprising a distal end and a proximal end connected to a second handle. The surgical end effector is loaded ex vivo on the distal end of the second instrument. The distal end of the second instrument with the loaded surgical end effector is passed through a second incision spaced from the percutaneous incision. The proximal end of the surgical end effector is attached in vivo to the distal end of the first instrument. Tissue is manipulated by actuating the handle of the first instrument to operate the jaws of the surgical end effector.
摘要翻译：腹腔镜手术方法包括获得包括细长轴的第一仪器，其具有远端和连接到第一手柄的近端。第一台仪器的远端通过一个经皮切口。获得外科末端执行器，其具有具有可操作的夹爪的远端和可选择性地附接到第一器械的远端并且可从第一器械的远端拆卸的近端。获得包括连接到第二手柄的远端和近端的第二器械。手术末端执行器离体装载在第二仪器的远端。具有装载的外科末端执行器的第二器械的远端通过与经皮切口间隔开的第二切口。手术末端执行器的近端在体内附着到第一器械的远端。组织通过致动第一仪器的手柄来操纵手术末端执行器的钳口来操纵。

2. 发明授权

US09295485B2 Loader for exchanging end effectors in vivo 有权
标题翻译：用于在体内交换末端效应器的装载机
公开(公告)号：US09295485B2
公开(公告)日：2016-03-29
申请号：US12576565
申请日：2009-10-09
申请人： Sean P. Conlon , James T. Spivey , Kevin M. Huey , Rudolph H. Nobis
发明人： Sean P. Conlon , James T. Spivey , Kevin M. Huey , Rudolph H. Nobis
IPC分类号： A61B17/00 , A61B17/3201 , A61B17/29 , A61B17/32 , A61B18/14
CPC分类号： A61B17/00234 , A61B17/29 , A61B17/320092 , A61B17/3201 , A61B18/1442 , A61B2017/00238 , A61B2017/00296 , A61B2017/00464 , A61B2017/00473 , A61B2017/00477 , A61B2018/1495
摘要： A surgical device for use in combination with a percutaneous elongate shaft defining a longitudinal axis. The shaft comprises a distal end and a proximal end, the distal end comprising an attachment mechanism. A surgical end effector is selectively attachable in vivo and detachable in vivo to the attachment mechanism of the percutaneous elongate shaft. A percutaneous elongate loader comprises an articulating distal end. The distal end comprises a tube with an opening at the distal tip, the tube being dimensioned to receive the surgical end effector. The distal end further comprises an engagement feature capable of frictionally holding the surgical end effector in the tube during in vivo attachment to and in vivo detachment from the percutaneous elongate shaft.
摘要翻译：一种与限定纵向轴线的经皮细长轴组合使用的手术装置。轴包括远端和近端，远端包括附接机构。手术末端执行器可选择性地附接到体内并且可在体内可拆卸到经皮细长轴的附接机构。经皮细长装载器包括铰接的远端。远端包括在远侧末端具有开口的管，该管的尺寸被设计成接纳外科末端执行器。远端还包括接合特征，该接合特征能够在体内附着到经皮细长轴和体内脱离经皮细长轴的过程中摩擦地保持管中的外科末端执行器。

3. 发明授权

US09186203B2 Method for exchanging end effectors In Vivo 有权
标题翻译：交换终端效应器的方法体内
公开(公告)号：US09186203B2
公开(公告)日：2015-11-17
申请号：US12576578
申请日：2009-10-09
申请人： James T. Spivey , Kevin M. Huey , Rudolph H. Nobis , Sean P. Conlon
发明人： James T. Spivey , Kevin M. Huey , Rudolph H. Nobis , Sean P. Conlon
IPC分类号： A61B17/00 , A61B18/14 , A61B17/29
CPC分类号： A61B18/1442 , A61B17/29 , A61B2017/00296 , A61B2017/00473 , A61B2017/00477 , A61B2017/0053 , A61B2018/1495
摘要： A laparoscopic surgical method comprises obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle. The distal end of the first instrument is passed through a percutaneous incision. A surgical end effector is obtained having a distal end with operable jaws and a proximal end selectively attachable to and detachable from the distal end of the first instrument. A second instrument is obtained comprising a distal end and a proximal end connected to a second handle. The surgical end effector is loaded ex vivo on the distal end of the second instrument. The distal end of the second instrument with the loaded surgical end effector is passed through a second incision spaced from the percutaneous incision. The proximal end of the surgical end effector is attached in vivo to the distal end of the first instrument. Tissue is manipulated by actuating the handle of the first instrument to operate the jaws of the surgical end effector.
摘要翻译：腹腔镜手术方法包括获得包括细长轴的第一仪器，其具有远端和连接到第一手柄的近端。第一台仪器的远端通过一个经皮切口。获得外科末端执行器，其具有具有可操作的夹爪的远端和可选择性地附接到第一器械的远端并且可从第一器械的远端拆卸的近端。获得包括连接到第二手柄的远端和近端的第二器械。手术末端执行器离体装载在第二仪器的远端。具有装载的外科末端执行器的第二器械的远端通过与经皮切口间隔开的第二切口。手术末端执行器的近端在体内附着到第一器械的远端。组织通过致动第一仪器的手柄来操纵手术末端执行器的钳口来操纵。

4. 发明申请

US20110087266A1 LOADER FOR EXCHANGING END EFFECTORS IN VIVO 有权
标题翻译：在VIVO中交换终止效应的装载机
公开(公告)号：US20110087266A1
公开(公告)日：2011-04-14
申请号：US12576565
申请日：2009-10-09
申请人： Sean P. Conlon , James T. Spivey , Kevin M. Huey , Rudolph H. Nobis
发明人： Sean P. Conlon , James T. Spivey , Kevin M. Huey , Rudolph H. Nobis
IPC分类号： A61B17/29 , A61B17/94
CPC分类号： A61B17/00234 , A61B17/29 , A61B17/320092 , A61B17/3201 , A61B18/1442 , A61B2017/00238 , A61B2017/00296 , A61B2017/00464 , A61B2017/00473 , A61B2017/00477 , A61B2018/1495
摘要： A surgical device for use in combination with a percutaneous elongate shaft defining a longitudinal axis. The shaft comprises a distal end and a proximal end, the distal end comprising an attachment mechanism. A surgical end effector is selectively attachable in vivo and detachable in vivo to the attachment mechanism of the percutaneous elongate shaft. A percutaneous elongate loader comprises an articulating distal end. The distal end comprises a tube with an opening at the distal tip, the tube being dimensioned to receive the surgical end effector. The distal end further comprises an engagement feature capable of frictionally holding the surgical end effector in the tube during in vivo attachment to and in vivo detachment from the percutaneous elongate shaft.
摘要翻译：一种与限定纵向轴线的经皮细长轴组合使用的手术装置。轴包括远端和近端，远端包括附接机构。手术末端执行器可选择性地附接到体内并且可在体内可拆卸到经皮细长轴的附接机构。经皮细长装载器包括铰接的远端。远端包括在远侧末端具有开口的管，该管的尺寸被设计成接纳外科末端执行器。远端还包括接合特征，该接合特征能够在体内附着到经皮细长轴和体内脱离经皮细长轴的过程中摩擦地保持管中的外科末端执行器。

5. 发明申请

US20130158348A1 INTRODUCER FOR AN INTERNAL MAGNETIC CAMERA 审中-公开
标题翻译：内置摄像机介绍
公开(公告)号：US20130158348A1
公开(公告)日：2013-06-20
申请号：US13325791
申请日：2011-12-14
申请人： Rudolph H. Nobis , James T. Spivey , Alexander P. Kondor , Kempton K. Carroll, II , Christopher J. Hess , Sean P. Conlon , David B. Griffith
发明人： Rudolph H. Nobis , James T. Spivey , Alexander P. Kondor , Kempton K. Carroll, II , Christopher J. Hess , Sean P. Conlon , David B. Griffith
IPC分类号： A61B1/04
CPC分类号： A61B1/00158 , A61B1/00154 , A61B1/041 , A61B1/3132 , A61B17/3468 , A61B2017/00283
摘要： An introducer for an internal magnetic camera is provided. The introducer may be arranged to enable the camera to be placed inside of a body cavity through an otomy or incision and then oriented next to the tissue of the body cavity opposite an External Control Unit (“ECU”) outside of the body cavity. The camera may be retained in the introducer by a magnet or a magnetic material, by a selectively engageable retainer, or by covering the camera within a cavity. The camera may be retained in the introducer by a latch. The camera may include a keyed surface that only can align with a matching keyed surface on the retainer in a single orientation. The introducer may include a spring to eject the camera from the introducer when the retainer is disengaged.
摘要翻译：提供了一种用于内部磁性照相机的导引器。导引器可以被布置成使照相机能够通过穿孔或切口放置在体腔内部，然后定向在与体腔外侧的外部控制单元（“ECU”）相对的体腔的组织旁边。相机可以通过磁体或磁性材料，可选择性地接合的保持器或通过在空腔内覆盖照相机而保持在导引器中。相机可以通过闩锁保持在导引器中。相机可以包括键盘表面，其仅能够以单个取向与保持器上的匹配的键盘表面对准。引导器可以包括弹簧，以在保持器脱离时从引导器弹出相机。

6. 发明申请

US20110087265A1 LAPAROSCOPIC INSTRUMENT WITH ATTACHABLE END EFFECTOR 审中-公开
标题翻译：具有附加功能的LAPAROSCOPIC仪器
公开(公告)号：US20110087265A1
公开(公告)日：2011-04-14
申请号：US12576546
申请日：2009-10-09
申请人： Rudolph H. Nobis , James T. Spivey , Kevin M. Huey , Christopher J. Hess
发明人： Rudolph H. Nobis , James T. Spivey , Kevin M. Huey , Christopher J. Hess
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B17/320016 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/0053 , A61B2017/2931 , A61B2017/320093 , A61B2017/320095
摘要： A laparoscopic surgical device comprises an elongate shaft defining a longitudinal axis, the shaft comprising a distal end and a proximal end. A plurality of arms project distally from the distal end of the elongate shaft, the arms each comprising a lateral notch. The arms are axially slideable relative the elongate shaft and are medially deflectable. An elongate pin is positioned medially relative the arms. The elongate pin is axially slideable relative the arms between a locked position preventing medial deflection of the arms and an unlocked position allowing medial deflection of the arms. A surgical end effector is selectively attachable in vivo and detachable in vivo to the mating feature of the arms, the surgical end effector comprising jaws that open and close in response to the axial movement of the two arms when attached to the surgical end effector.
摘要翻译：腹腔镜手术装置包括限定纵向轴线的细长轴，该轴包括远端和近端。多个臂从细长轴的远端向远侧突出，所述臂各自包括侧向凹口。臂相对于细长轴可轴向滑动并且可内向偏转。细长销相对于臂中间定位。细长销相对于臂在可防止臂的内侧偏转的锁定位置和允许臂的内侧偏转的解锁位置之间轴向滑动。手术末端执行器可选择性地附接到体内并且能够在体内可拆卸到臂的配合特征，所述外科末端执行器包括当连接到手术端部执行器时响应于两个臂的轴向运动而打开和关闭的钳口。

7. 发明申请

US20120078291A1 LAPAROSCOPIC INSTRUMENT WITH ATTACHABLE END EFFECTOR 审中-公开
公开(公告)号：US20120078291A1
公开(公告)日：2012-03-29
申请号：US12889458
申请日：2010-09-24
申请人： Rudolph H. NOBIS , James T. Spivey , Christopher J. Hess , Kevin M. Huey
发明人： Rudolph H. NOBIS , James T. Spivey , Christopher J. Hess , Kevin M. Huey
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/00362 , A61B2017/00477 , A61B2017/2931 , A61B2017/294 , A61B2017/2946 , A61B2017/3454
摘要： A laparoscopic surgical device comprises an elongate shaft defining a longitudinal axis, the shaft comprising a distal end and a proximal end. A plurality of arms project distally from the distal end of the elongate shaft, the arms each comprising a lateral notch. The arms are axially slideable relative the elongate shaft and are medially deflectable. An elongate pin is positioned medially relative the arms. The elongate pin is axially slideable relative the arms between a locked position preventing medial deflection of the arms and an unlocked position allowing medial deflection of the arms. A surgical end effector is selectively attachable in vivo and detachable in vivo to the mating feature of the arms, the surgical end effector comprising a torque transfer means and tissue contact apparatus that open and close in response to the axial movement of the two arms when attached to the surgical end effector.

8. 发明申请

US20120078290A1 LAPAROSCOPIC INSTRUMENT WITH ATTACHABLE END EFFECTOR 审中-公开
标题翻译：具有附加功能的LAPAROSCOPIC仪器
公开(公告)号：US20120078290A1
公开(公告)日：2012-03-29
申请号：US12889454
申请日：2010-09-24
申请人： Rudolph H. NOBIS , James T. Spivey , Christopher J. Hess , Kevin M. Huey
发明人： Rudolph H. NOBIS , James T. Spivey , Christopher J. Hess , Kevin M. Huey
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/2931 , A61B2017/294 , A61B2017/3454
摘要： A laparoscopic surgical device comprises an elongate shaft defining a longitudinal axis, the shaft comprising a distal end and a proximal end. A plurality of arms project distally from the distal end of the elongate shaft, the arms each comprising a lateral notch. The arms are axially slideable relative the elongate shaft and are medially deflectable. An elongate pin is positioned medially relative the arms. The elongate pin is axially slideable relative the arms between a locked position preventing medial deflection of the arms and an unlocked position allowing medial deflection of the arms. A surgical end effector is selectively attachable in vivo and detachable in vivo to the mating feature of the arms, the surgical end effector comprising a torque transfer means and tissue contact apparatus that open and close in response to the axial movement of the two arms when attached to the surgical end effector.
摘要翻译：腹腔镜手术装置包括限定纵向轴线的细长轴，该轴包括远端和近端。多个臂从细长轴的远端向远侧突出，所述臂各自包括侧向凹口。臂相对于细长轴可轴向滑动并且可内向偏转。细长销相对于臂中间定位。细长销相对于臂在可防止臂的内侧偏转的锁定位置和允许臂的内侧偏转的解锁位置之间轴向滑动。手术末端执行器可选择性地附接到体内并且能够在体内可拆卸到臂的配合特征，外科末端执行器包括扭矩传递装置和组织接触装置，其在附接时响应于两个臂的轴向运动而打开和关闭到手术末端执行器。

9. 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。

10. 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。

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