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91. 发明授权

US08435262B2 Suture management 有权
标题翻译：缝合管理
公开(公告)号：US08435262B2
公开(公告)日：2013-05-07
申请号：US12958723
申请日：2010-12-02
申请人： Mark S. Ortiz , Thomas E. Albrecht , Frederick E. Shelton, IV
发明人： Mark S. Ortiz , Thomas E. Albrecht , Frederick E. Shelton, IV
IPC分类号： A61B17/08 , A61B17/58 , A61B17/60 , A61D1/00
CPC分类号： A61B17/06061 , A61B17/0483 , A61B17/06119 , A61B17/06123 , A61B2017/0496 , A61B2017/06028
摘要： Various exemplary methods and devices are provided for tensioning suture. The methods and devices are particularly useful in surgical suturing applications in which it is desirable to maintain tension on suture being delivered, yet to allow the tension to be released as desired without retracting the suture. Thus, when tension is released, a length of suture extended from the device can remain extended without any tension being applied thereto. Tension is only applied to any additional length of suture that is extended from the device. The tension applied to the suture is proportional to the length of the suture extended from the device until the tension is released and reset.
摘要翻译：提供用于张紧缝合线的各种示例性方法和装置。所述方法和装置在手术缝合应用中特别有用，其中希望保持缝合线被递送时的张力，而允许根据需要释放张力而不缩回缝合线。因此，当释放张力时，从装置延伸的缝合线的长度可以保持延长，而不施加任何张力。张力仅适用于从设备延伸的任何额外长度的缝合线。施加到缝合线上的张力与从装置延伸的缝合线的长度成比例，直到张力被释放和复位。

92. 发明申请

US20130012931A1 ARTICULATABLE SURGICAL DEVICE 有权
公开(公告)号：US20130012931A1
公开(公告)日：2013-01-10
申请号：US13616263
申请日：2012-09-14
申请人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV
发明人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV
IPC分类号： A61B17/00
CPC分类号： A61B17/068 , A61B1/0052 , A61B1/0057 , A61B17/32002 , A61B90/37 , A61B2017/003 , A61B2017/0042 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2927 , A61B2017/2947 , A61B2034/306 , A61B2090/372
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.

93. 发明申请

US20120283748A1 SURGICAL FASTENER AND CUTTER WITH MIMICKING END EFFECTOR 有权
标题翻译：手术紧固件和切割器与MIMICKING END EFFECTOR
公开(公告)号：US20120283748A1
公开(公告)日：2012-11-08
申请号：US13552232
申请日：2012-07-18
申请人： Mark S. Ortiz , Frederick E. Shelton, IV
发明人： Mark S. Ortiz , Frederick E. Shelton, IV
IPC分类号： A61B17/03
CPC分类号： A61B17/068 , A61B1/0052 , A61B1/0057 , A61B17/32002 , A61B90/37 , A61B2017/003 , A61B2017/0042 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2927 , A61B2017/2947 , A61B2034/306 , A61B2090/372
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.
摘要翻译：提供了用于控制手术装置的工作端的移动的方法和装置。在一个实施例中，提供了用于移动外科紧固装置的远端上的端部执行器的方法和装置。运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。在其它实施例中，提供单个电缆致动器并且可在第一位置之间移动，在第一位置中，有效地旋转端部执行器而不致动（即，闭合和点火）末端执行器，以及第二位置，有效地致动末端执行器而不旋转端部执行器。在其他方面，提供了用于移动形成在附件通道的远端上的柔性颈部以用于内窥镜的方法和装置。柔性颈部的运动可用于控制延伸穿过柔性颈部的工具的定位。

94. 发明授权

US08251900B2 Surgical access devices and methods providing seal movement in predefined paths 有权
标题翻译：手术进入装置和方法，以预定路径提供密封运动
公开(公告)号：US08251900B2
公开(公告)日：2012-08-28
申请号：US12399547
申请日：2009-03-06
申请人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466
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。

95. 发明授权

US08231570B2 Inverted conical expandable retractor 有权
标题翻译：倒锥形膨胀式收缩器
公开(公告)号：US08231570B2
公开(公告)日：2012-07-31
申请号：US12636020
申请日：2009-12-11
申请人： Mark S. Ortiz , Brandon L. Livingston , Dhananjay V. Patil , Frederick E. Shelton, IV , Jerome R. Morgan
发明人： Mark S. Ortiz , Brandon L. Livingston , Dhananjay V. Patil , Frederick E. Shelton, IV , Jerome R. Morgan
IPC分类号： A61M29/00
CPC分类号： A61B17/3423 , A61B17/3439 , A61B17/3462 , A61B2017/3443 , A61B2017/3466
摘要： Access devices and related methods are disclosed that generally involve flexible or adjustable cannulas that have a substantially cylindrical insertion configuration and a substantially conical expanded configuration. Various methods and features are provided for transitioning the cannula from the insertion configuration to the expanded configuration while the access device is inserted through tissue to form a conical opening through the tissue. Examples include cables, biasing elements, retaining elements, bimodal rings, and coil springs. The devices and methods disclosed herein can allow for improved retention of the access device, improved angulation of instruments passed through the access device, and can increase the integrity of a seal formed between the access device and surrounding tissue.
摘要翻译：公开了通常涉及具有基本上圆柱形的插入构型和基本圆锥形的膨胀构型的柔性或可调节插管的通路装置和相关方法。提供了各种方法和特征，用于将插管从插入构型转换到扩展构型，同时将进入装置插入穿过组织以形成通过组织的锥形开口。示例包括电缆，偏置元件，保持元件，双峰环和螺旋弹簧。本文公开的装置和方法可以允许改进的存取装置的保持性，改善通过进入装置的装置的角度，并且可以增加形成在进入装置和周围组织之间的密封的完整性。

96. 发明授权

US08118820B2 Method for instrument insertion through a body orifice 有权
标题翻译：仪器通过体孔插入的方法
公开(公告)号：US08118820B2
公开(公告)日：2012-02-21
申请号：US11394174
申请日：2006-03-31
申请人： Michael J. Stokes , Thomas E. Albrecht , Mark S. Ortiz , Mark S. Zeiner , Andrew M. Zwolinski , Frederick E. Shelton, IV
发明人： Michael J. Stokes , Thomas E. Albrecht , Mark S. Ortiz , Mark S. Zeiner , Andrew M. Zwolinski , Frederick E. Shelton, IV
IPC分类号： A61B17/04
CPC分类号： A61B17/0469
摘要： A method for inserting an instrument through a natural orifice. The instrument has a low profile orientation and a deployed orientation which is larger than the size of the natural orifice through which it is to be inserted. The method is achieved by coupling the instrument to an endoscope and placing the instrument in its low profile orientation, inserting the endoscope and the instrument through a natural orifice to a target position within a body while the instrument is in its low profile orientation, actuating the instrument to it is deployed orientation, and returning the instrument to its low profile orientation and withdrawing the instrument from the body through the natural orifice.
摘要翻译：一种通过天然孔口插入仪器的方法。仪器具有低轮廓取向和展开方向，其大于被插入的自然孔的尺寸。该方法通过将仪器连接到内窥镜并将仪器置于其低轮廓取向来实现，其中，当仪器处于其低剖面取向时，将内窥镜和仪器通过自然孔口插入到身体内的目标位置，致动仪器部署方向，并将仪器返回到其低调方向，并将仪器从身体通过自然孔抽出。

97. 发明申请

US20110295242A1 ROBOTICALLY-CONTROLLED ENDOSCOPIC ACCESSORY CHANNEL 有权
标题翻译：机器人控制内窥镜附件通道
公开(公告)号：US20110295242A1
公开(公告)日：2011-12-01
申请号：US13118194
申请日：2011-05-27
申请人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV
发明人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV
IPC分类号： A61B17/00
CPC分类号： A61B34/30 , A61B1/0052 , A61B1/0058 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B17/320016 , A61B17/32053 , A61B34/71 , A61B50/30 , A61B50/36 , A61B90/37 , A61B2017/00057 , A61B2017/00199 , A61B2017/0023 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00367 , A61B2017/0042 , A61B2017/00473 , A61B2017/00477 , A61B2017/00685 , A61B2017/00734 , A61B2017/0688 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2937 , A61B2017/2946 , A61B2017/2947 , A61B2017/320052 , A61B2034/306 , A61B2090/0811 , A61B2090/372
摘要： Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting.
摘要翻译：提供了用于通过机器人系统来控制手术装置的工作端的移动的装置和系统。在一个实施例中，系统和装置被提供用于移动外科紧固装置的远端上的末端执行器。运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。

98. 发明申请

US20110163146A1 Surgical Stapling And Cuttting Device 审中-公开
标题翻译：外科装订和切割装置
公开(公告)号：US20110163146A1
公开(公告)日：2011-07-07
申请号：US13037424
申请日：2011-03-01
申请人： Mark S. Ortiz , Frederick E. Shelton, IV , James T. Spivey
发明人： Mark S. Ortiz , Frederick E. Shelton, IV , James T. Spivey
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B34/70 , A61B34/71 , A61B34/72 , A61B2017/003 , A61B2017/00309 , A61B2017/00327 , A61B2017/00367 , A61B2017/00464 , A61B2017/2905 , A61B2017/291 , A61B2017/2931 , A61B2034/742 , A61B2090/372
摘要： A surgical stapling and cutting device having an elongate shaft with proximal and distal ends. The distal end of the shaft has a flexible neck extending therefrom. The device includes an end effector disposed on a proximal end of the flexible neck. The end effector includes opposed first and second jaws adapted to receive tissue therebetween. The first jaw has a staple cartridge attached thereto, wherein the staple cartridge has multiple staples disposed therein for being driven into tissue. The second jaw includes an anvil for deforming the staples. The device also includes a remotely controlled user interface coupled to the proximal end of the elongate tube. The interface is operatively associated with the flexible neck such that movement of the remotely controlled user interface is mimicked by the flexible neck.
摘要翻译：一种具有近端和远端的细长轴的外科缝合和切割装置。轴的远端具有从其延伸的柔性颈部。该装置包括设置在柔性颈部的近端上的端部执行器。末端执行器包括适于在其间接收组织的相对的第一和第二钳口。第一钳口具有附接到其上的钉仓，其中钉仓具有设置在其中的多个钉以便被驱动进入组织。第二钳口包括用于使缝钉变形的砧座。该装置还包括耦合到细长管的近端的远程控制的用户界面。界面可操作地与柔性颈部相关联，使得远程控制的用户界面的移动由柔性颈部模仿。

99. 发明授权

US07833236B2 Surgical suturing apparatus with collapsible vacuum chamber 有权
标题翻译：具有可折叠真空室的手术缝合装置
公开(公告)号：US07833236B2
公开(公告)日：2010-11-16
申请号：US11394163
申请日：2006-03-31
申请人： Michael J. Stokes , Frederick E. Shelton, IV , Mark S. Ortiz
发明人： Michael J. Stokes , Frederick E. Shelton, IV , Mark S. Ortiz
IPC分类号： A61B17/04
CPC分类号： A61B1/005 , A61B1/00087 , A61B1/00094 , A61B1/00133 , A61B1/0014 , A61B1/2736 , A61B1/313 , A61B5/026 , A61B5/0261 , A61B17/00491 , A61B17/0466 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0493 , A61B17/06066 , A61B17/062 , A61B34/20 , A61B90/36 , A61B2017/00022 , A61B2017/00292 , A61B2017/00296 , A61B2017/00407 , A61B2017/00469 , A61B2017/00477 , A61B2017/00561 , A61B2017/0479 , A61B2017/0496 , A61B2017/06076 , A61B2017/0608 , A61B2017/06185 , A61B2017/306 , A61B2090/037 , A61B2090/0811 , A61B2090/374 , A61B2090/378
摘要： A surgical suturing apparatus includes a suture housing, a needle mounted within the suture housing for movement about an arcuate path, a drive assembly operably associated with the needle for controlling movement of the needle with a suture secured thereto about the arcuate path in a manner facilitating application of the suture to tissue, and a collapsible vacuum chamber containing the suture housing. The vacuum chamber is shaped and dimensioned for coupling to a vacuum line.
摘要翻译：手术缝合装置包括缝合线壳体，安装在缝合线壳体内用于围绕弓形路径运动的针，可操作地与针头相关联的驱动组件，用于控制针头以围绕弓形路径固定到其上的缝合线的运动，从而促进将缝合线应用于组织，以及容纳缝合线壳体的可折叠真空室。真空室的形状和尺寸用于耦合到真空管线。

100. 发明申请

US20100228092A1 SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED PATHS 有权
标题翻译：外科手术设备和方法提供密封运动在预定的PATHS
公开(公告)号：US20100228092A1
公开(公告)日：2010-09-09
申请号：US12399547
申请日：2009-03-06
申请人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466
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。

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