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11. 发明申请

US20110152612A1 SELECTIVELY POSITIONABLE CAMERA FOR SURGICAL GUIDE TUBE ASSEMBLY 有权
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：US20110152612A1
公开(公告)日：2011-06-23
申请号：US12640476
申请日：2009-12-17
申请人： Robert M. Trusty , Gregory J. Bakos , James T. Spivey , Omar J. Vakharia , Dashiell A. Birnkrant , John J. Elliott, JR.
发明人： Robert M. Trusty , Gregory J. Bakos , James T. Spivey , Omar J. Vakharia , Dashiell A. Birnkrant , John J. Elliott, JR.
IPC分类号： A61B1/04
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：一种用于与具有引导管手柄部分和从其突出的至少一个引导管的导管组件结合使用的可选择性定位的相机组件。在各种实施例中，相机包括细长的柔性相机部分，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。

12. 发明授权

US07648457B2 Method of positioning a device on an endoscope 有权
标题翻译：将装置定位在内窥镜上的方法
公开(公告)号：US07648457B2
公开(公告)日：2010-01-19
申请号：US11129592
申请日：2005-05-13
申请人： David Stefanchik , James T. Spivey , Omar J. Vakharia , Rick D. Applegate
发明人： David Stefanchik , James T. Spivey , Omar J. Vakharia , Rick D. Applegate
IPC分类号： A61B1/00
CPC分类号： A61B1/00135 , A61B1/00137 , A61B1/0014 , A61B1/012
摘要： A method for positioning a device, such as an endcap, on an endoscope is disclosed. The method can be used, for example, for facilitating pressing an endcap onto an endoscope, including in those applications where the endscope is disposed in a sheath and the endcap is positioned at the distal end of the sheath.
摘要翻译：公开了一种用于将诸如端盖的装置定位在内窥镜上的方法。该方法可以用于例如用于将端盖压入内窥镜，包括在内窥镜设置在护套中并且端盖位于护套的远端的那些应用中。

13. 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。

14. 发明授权

US07771416B2 Control mechanism for flexible endoscopic device and method of use 有权
标题翻译：柔性内窥镜装置的控制机构及使用方法
公开(公告)号：US07771416B2
公开(公告)日：2010-08-10
申请号：US11762855
申请日：2007-06-14
申请人： James T. Spivey , Omar J. Vakharia
发明人： James T. Spivey , Omar J. Vakharia
IPC分类号： A61B17/00
CPC分类号： A61B1/0052 , A61B1/00133 , A61B17/00234 , A61B2017/00278 , A61B2017/003 , A61B2017/0034 , A61B2017/2901 , A61B2017/2902 , A61M25/0136 , A61M25/0138 , A61M25/0147
摘要： Control devices and methods are provided for controlling tension applied to a tensioning element extending through a flexible shaft, such as on an endoscopic device. In one exemplary embodiment, the methods and devices are configured to allow free movement and optionally provide slack to a control mechanism on an endoscopic device during insertion to allow free flexion of the shaft of the device, and to tension the control mechanism when desired to actuate, articulate, or otherwise control the working end or other portion of the device disposed within a patient's body.
摘要翻译：提供控制装置和方法，用于控制施加到延伸穿过诸如内窥镜装置上的柔性轴的张紧元件的张力。在一个示例性实施例中，所述方法和装置被配置为允许自由运动并且可选地在插入期间在内窥镜装置上的控制机构松弛以允许装置的轴的自由弯曲，并且当需要致动时张紧控制机构，铰接或以其他方式控制设置在患者身体内的装置的工作端或其他部分。

15. 发明申请

US20080183035A1 Endoscopic Accessory Control Mechanism 有权
标题翻译：内镜附件控制机制
公开(公告)号：US20080183035A1
公开(公告)日：2008-07-31
申请号：US11627542
申请日：2007-01-26
申请人： Omar J. Vakharia , David Stefanchik , James T. Spivey
发明人： Omar J. Vakharia , David Stefanchik , James T. Spivey
IPC分类号： A61B17/94
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。

16. 发明授权

US08603078B2 Methods and devices for guiding and supporting surgical instruments 有权
标题翻译：引导和支持手术器械的方法和装置
公开(公告)号：US08603078B2
公开(公告)日：2013-12-10
申请号：US12903330
申请日：2010-10-13
申请人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
发明人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B90/11 , A61B2017/3407
摘要： Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
摘要翻译：提供的方法和装置用于允许外科手术器械由外科支撑系统支撑，所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。提供了一种手术支撑系统，其包括限定枢轴点的引导端口，手术器械可以通过该枢转点枢转。引导端口以及枢轴点可以位于仪器前进的组织表面上方的距离处。还提供了用于允许体腔内注射而不在其中引入注射液的方法和装置。提供了一种机械吹气装置，其包括可膨胀的远端构件，其构造成选择性地膨胀和展开以机械地灌注体腔。机械吹气装置可以可选地与外科支架系统一起使用。

17. 发明申请

US20120199632A1 ROBOTICALLY-CONTROLLED SURGICAL INSTRUMENT WITH SELECTIVELY ARTICULATABLE END EFFECTOR 有权
标题翻译：具有可选择性终止效应的机器人控制的手术仪器
公开(公告)号：US20120199632A1
公开(公告)日：2012-08-09
申请号：US13369594
申请日：2012-02-09
申请人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV , Jerome R. Morgan
发明人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV , Jerome R. Morgan
IPC分类号： A61B17/068 , A61B19/00
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。

18. 发明申请

US20120095449A1 METHODS AND DEVICES FOR GUIDING AND SUPPORTING SURGICAL INSTRUMENTS 有权
标题翻译：用于指导和支持手术仪器的方法和装置
公开(公告)号：US20120095449A1
公开(公告)日：2012-04-19
申请号：US12903330
申请日：2010-10-13
申请人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
发明人： David Stefanchik , James T. Spivey , Robert M. Trusty , Peter K. Shires , Michael J. Stokes
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B90/11 , A61B2017/3407
摘要： Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
摘要翻译：提供的方法和装置用于允许外科手术器械由外科支撑系统支撑，所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。提供了一种手术支撑系统，其包括限定枢轴点的引导端口，手术器械可以通过该枢转点枢转。引导端口以及枢轴点可以位于仪器前进的组织表面上方的距离处。还提供了用于允许体腔内注射而不在其中引入注射液的方法和装置。提供了一种机械吹气装置，其包括可膨胀的远端构件，其构造成选择性地膨胀和展开以机械地灌注体腔。机械吹气装置可以可选地与外科支架系统一起使用。

19. 发明申请

US20110295074A1 Methods and Devices for Providing Multiple Devices Access to a Surgical Site Through a Single Port 审中-公开
公开(公告)号：US20110295074A1
公开(公告)日：2011-12-01
申请号：US12790360
申请日：2010-05-28
申请人： David Stefanchik , William B. Weisenburgh, II , James T. Spivey
发明人： David Stefanchik , William B. Weisenburgh, II , James T. Spivey
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/3423 , A61B2017/3445 , A61B2017/3466
摘要： Methods and devices are provided to assist in providing multiple devices access to a surgical site through a single port. In one exemplary embodiment an access device includes a body having a plurality of ports. The ports can include at least one primary instrument port and at least one secondary instrument port. A self-sealing passageway can be disposed between the primary and secondary instrument ports to allow communication between the two ports. As a result, a surgical instrument can be repositioned from one port to another without removing the instrument from the access device. In one embodiment a combined end effector nominal width of surgical instruments disposed in the ports can be greater than a diameter of the primary instrument port and/or a diameter of the body of the access device. Exemplary systems and methods for performing procedures using multiple devices in a single surgical opening are also provided.

20. 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。

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