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11. 发明授权

US08062306B2 Manually articulating devices 有权
标题翻译：手动铰接装置
公开(公告)号：US08062306B2
公开(公告)日：2011-11-22
申请号：US11610803
申请日：2006-12-14
申请人： Rudolph H. Nobis , Anil K. Nalagatla , Sean P. Conlon
发明人： Rudolph H. Nobis , Anil K. Nalagatla , Sean P. Conlon
IPC分类号： A61B17/32
CPC分类号： A61B17/29 , A61B10/06 , A61B17/2909 , A61B2017/2927 , A61B2017/2929 , A61B2017/2939
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
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，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。

12. 发明授权

US08007474B2 Implantable medical device with reversible attachment mechanism and method 有权
标题翻译：具有可逆附件机构和方法的植入式医疗器械
公开(公告)号：US08007474B2
公开(公告)日：2011-08-30
申请号：US11166625
申请日：2005-06-24
申请人： Joshua Uth , Randal T. Byrum , Sean P. Conlon
发明人： Joshua Uth , Randal T. Byrum , Sean P. Conlon
IPC分类号： A61M5/32
CPC分类号： A61M39/0208 , A61B17/064 , A61B17/068 , A61B2017/00867 , A61B2017/0649 , A61B2017/3407 , A61B2017/3492 , A61F5/0056 , A61M5/14276 , A61M39/12 , A61M2039/0223 , A61M2039/0232 , A61N1/0573 , A61N1/372 , A61N1/375 , A61N2001/0578
摘要： An attachment mechanism for a surgically implantable medical device includes one or more fasteners which may be simultaneously moved from an undeployed position to a deployed position by operation of an integral actuator. The attachment mechanism may be configured to be deactuated, and the fasteners simultaneously moved from a deployed position to an undeployed position, allowing removal or repositioning of the medical device. An applier includes a locator for detachably holding the implantable medical device, locating it at the desired position, and actuating the attachment mechanism. The applier is configured to undeploy the attachment mechanism the implantable medical device can be detached from the body tissue.
摘要翻译：用于手术可植入医疗装置的附接机构包括一个或多个紧固件，其可以通过整体致动器的操作同时从未部署位置移动到展开位置。附接机构可以被配置为停用，并且紧固件同时从展开位置移动到非展开位置，允许移除或重新定位医疗装置。施放器包括用于可拆卸地固定可植入医疗装置的定位器，将其定位在期望的位置，以及致动附接机构。施放器被构造成去除可植入医疗装置可以与身体组织分离的附接机构。

13. 发明申请

US20110196402A1 DUAL PURPOSE SURGICAL INSTRUMENT FOR CUTTING AND COAGULATING TISSUE 有权
标题翻译：用于切割和凝固组织的双目镜手术仪器
公开(公告)号：US20110196402A1
公开(公告)日：2011-08-11
申请号：US12703879
申请日：2010-02-11
申请人： Galen C. Robertson , Richard W. Timm , Kevin L. Houser , Sean P. Conlon , Aron O. Zingman
发明人： Galen C. Robertson , Richard W. Timm , Kevin L. Houser , Sean P. Conlon , Aron O. Zingman
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/3207 , A61B17/320783 , A61B2018/00589 , A61N7/00 , A61N7/022
摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that has an ultrasonic blade that protrudes from an ultrasonic transducer assembly. In some embodiments, the ultrasonic blade coaxially extends through a rotatable tissue cutting blade that is rotatably supported by a housing that supports the ultrasonic transducer assembly. In other embodiments, the ultrasonic blade and the tissue cutting blade are both selectively rotatable relative to the housing. In yet other embodiments, the tissue cutting blade and the ultrasonic blade are supported relative to each other in separate sheaths attached to the housing.
摘要翻译：在一个一般方面，各种实施例涉及具有从超声波换能器组件突出的超声波刀片的超声波手术器械。在一些实施例中，超声波刀片同轴地延伸通过可旋转的组织切割刀片，其由支撑超声换能器组件的壳体可旋转地支撑。在其他实施例中，超声波刀片和组织切割刀片都可以相对于壳体选择性地旋转。在其它实施例中，组织切割刀片和超声波刀片在附接到壳体的分离的护套中相对于彼此支撑。

14. 发明申请

US20110196287A1 METHODS OF USING ULTRASONICALLY POWERED SURGICAL INSTRUMENTS WITH ROTATABLE CUTTING IMPLEMENTS 有权
标题翻译：使用超声波切割刀具的超声波外科手术器械的方法
公开(公告)号：US20110196287A1
公开(公告)日：2011-08-11
申请号：US12703864
申请日：2010-02-11
申请人： Galen C. Robertson , Richard W. Timm , Daniel J. Mumaw , Foster B. Stulen , Gregory W. Johnson , Jerome R. Morgan , Kevin L. Houser , Kristi M. Bodin , Mark A. Neurohr , Prasanna Malaviya , Reginald D. Fortson , Sean P. Conlon , William S. Joachim, JR. , William D. Dannaher , Eitan T. Wiener
发明人： Galen C. Robertson , Richard W. Timm , Daniel J. Mumaw , Foster B. Stulen , Gregory W. Johnson , Jerome R. Morgan , Kevin L. Houser , Kristi M. Bodin , Mark A. Neurohr , Prasanna Malaviya , Reginald D. Fortson , Sean P. Conlon , William S. Joachim, JR. , William D. Dannaher , Eitan T. Wiener
IPC分类号： A61B17/32 , A61M37/00
CPC分类号： A61B17/320068
摘要： In one general aspect, various embodiments are directed to methods for treating tissue within an aqueous environment. Various methods may include introducing a cutting implement of a surgical instrument into the aqueous environment. The cutting implement may have at least one cutting surface thereon and at least one ultrasonic portion thereon and be selectively rotatable within a hollow sheath. The methods may include rotating or rotatably oscillating the cutting implement within the hollow sheath for tissue cutting purposes. The cutting implement may also be retained in a position wherein the ultrasonic portion of the cutting implement may be applied to tissue and then have ultrasonic motion applied thereto.
摘要翻译：在一个一般方面，各种实施方案涉及用于在水性环境中处理组织的方法。各种方法可以包括将外科器械的切割工具引入到水性环境中。切割工具可以在其上具有至少一个切割表面和其上的至少一个超声部分，并且可在中空护套内选择性地旋转。这些方法可以包括在中空护套内旋转或可旋转地摆动切割工具以用于组织切割目的。切割工具还可以保持在切割工具的超声部分可以施加到组织上并且随之施加超声波运动的位置。

15. 发明申请

US20110087269A1 ARTICULABLE LAPAROSCOPIC INSTRUMENT 有权
标题翻译：适用于手术的仪器仪表
公开(公告)号：US20110087269A1
公开(公告)日：2011-04-14
申请号：US12876300
申请日：2010-09-07
申请人： Michael J. Stokes , Kempton K. Carroll, II , Christopher J. Hess , William B. Weisenburgh, II , Sean P. Conlon
发明人： Michael J. Stokes , Kempton K. Carroll, II , Christopher J. Hess , William B. Weisenburgh, II , Sean P. Conlon
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/2908 , A61B2017/2912 , A61B2017/2919 , A61B2017/292 , A61B2017/2922 , A61B2017/3445
摘要： A medical device comprises a handle comprises an actuator. A shaft extends distally from the handle. A first shaft segment extends proximally from the handle and has a proximal end and a distal end. A second shaft segment has a proximal end and a distal end and is pivotably supported with respect to the distal end of the first shaft segment at a position offset from a longitudinal axis of the shaft in a first offset direction. A third shaft segment has a proximal end and a distal end and is pivotably supported with respect to the distal end of the second shaft segment at a position offset from the longitudinal axis of the shaft in a second offset direction different from the first offset direction. A first member extends through at least a portion of the first shaft segment and is operatively associated with the actuator. A second member extends through at least a portion of the second shaft segment. The second member has a proximal end pivotably supported with respect to the distal end of the first member and a distal end pivotably supported with respect to the third shaft segment. The actuator is operative to provide substantially simultaneous compound articulation of the second and third shaft segments.
摘要翻译：一种医疗装置包括一个手柄，包括致动器。轴从手柄向远侧延伸。第一轴段从手柄向近侧延伸并且具有近端和远端。第二轴段具有近端和远端，并且在第一偏移方向上偏离轴的纵向轴线的位置处相对于第一轴段的远端可枢转地支撑。第三轴段具有近端和远端，并且在与第一偏移方向不同的第二偏移方向上偏离轴的纵向轴线的位置处相对于第二轴段的远端可枢转地支撑。第一构件延伸穿过第一轴段的至少一部分并且与致动器可操作地相关联。第二构件延伸穿过第二轴段的至少一部分。第二构件具有相对于第一构件的远端可枢转地支撑的近端和相对于第三轴段可枢转地支撑的远端。致动器可操作以提供第二和第三轴段的基本上同时的复合铰接。

16. 发明授权

US07918844B2 Applier for implantable medical device 有权
标题翻译：适用于植入式医疗器械的应用
公开(公告)号：US07918844B2
公开(公告)日：2011-04-05
申请号：US11166702
申请日：2005-06-24
申请人： Randal T. Byrum , Sean P. Conlon , Joshua Uth
发明人： Randal T. Byrum , Sean P. Conlon , Joshua Uth
IPC分类号： A61K9/22
CPC分类号： A61M39/0208 , A61M2039/0223 , A61M2039/0232 , A61N1/375 , A61N1/3758
摘要： An attachment mechanism for a surgically implantable medical device includes one or more fasteners which may be simultaneously moved from an undeployed position to a deployed position by operation of an integral actuator. The attachment mechanism may be configured to be deactuated, and the fasteners simultaneously moved from a deployed position to an undeployed position, allowing removal or repositioning of the medical device. An applier includes a locator for detachably holding the implantable medical device, locating it at the desired position, and actuating the attachment mechanism. The applier is configured to undeploy the attachment mechanism the implantable medical device can be detached from the body tissue.
摘要翻译：用于手术可植入医疗装置的附接机构包括一个或多个紧固件，其可以通过整体致动器的操作同时从未部署位置移动到展开位置。附接机构可以被配置为停用，并且紧固件同时从展开位置移动到非展开位置，允许移除或重新定位医疗装置。施放器包括用于可拆卸地固定可植入医疗装置的定位器，将其定位在期望的位置，以及致动附接机构。施放器被构造成去除可植入医疗装置可以与身体组织分离的附接机构。

17. 发明授权

US07815659B2 Suture anchor applicator 有权
标题翻译：缝线锚固器
公开(公告)号：US07815659B2
公开(公告)日：2010-10-19
申请号：US11274354
申请日：2005-11-15
申请人： Sean P. Conlon , David B. Griffith
发明人： Sean P. Conlon , David B. Griffith
IPC分类号： A61M29/00 , A61B17/04 , A61B17/12
CPC分类号： A61B17/0401 , A61B2017/0406 , A61B2017/0409 , A61B2017/0412 , A61B2017/0417 , A61B2017/0427 , A61B2017/0435 , A61B2017/0437 , A61B2017/0438 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/06052 , A61B2090/036
摘要： A medical instrument is provided including a shaft having a proximal end and a distal end that define an axis, wherein the distal end is penetratable into tissue. The instrument also includes a tissue stop disposed on the shaft near the distal end and changeable between a collapsed configuration and an expanded configuration, wherein the distal end is penetratable into the tissue approximately to a predetermined depth when the tissue stop is in the expanded configuration.
摘要翻译：提供了一种医疗器械，其包括具有限定轴线的近端和远端的轴，其中远端可渗透到组织中。仪器还包括设置在远端的轴上的组织块，并且可在收缩构型和扩张构型之间变化，其中当组织止挡件处于展开构型时，远端可穿透组织大约到预定深度。

18. 发明申请

US20100217199A1 Method of Repositioning an Injection Port 有权
标题翻译：重新定位注射口的方法
公开(公告)号：US20100217199A1
公开(公告)日：2010-08-26
申请号：US12769914
申请日：2010-04-29
申请人： Joshua Uth , Randal T. Byrum , Sean P. Conlon
发明人： Joshua Uth , Randal T. Byrum , Sean P. Conlon
IPC分类号： A61M5/00
CPC分类号： A61M39/0208 , A61B17/064 , A61B17/068 , A61B2017/00867 , A61B2017/0649 , A61B2017/3407 , A61B2017/3492 , A61F5/0056 , A61M5/14276 , A61M39/12 , A61M2039/0223 , A61M2039/0232 , A61N1/0573 , A61N1/372 , A61N1/375 , A61N2001/0578
摘要： A method of repositioning an injection port comprises positioning the injection port at a first location in a patient's body and extending fasteners of the injection port to substantially secure the injection port at the first location. The fasteners are then retracted to substantially unsecure the injection port from the first location in the patient's body. The injection port is then moved to a second location in the patient's body. The fasteners are then re-extended to substantially secure the injection port at the second location in the patient's body. The injection port includes a port body. The fasteners are integral with the port body. The fasteners may be selectively extended and retracted relative to the port body. For instance, the fasteners may be pivoted relative to the port body to transition between extended and retracted positions. The extension and retraction of fasteners may be provided through a port applier.
摘要翻译：重新定位注射端口的方法包括将注射端口定位在患者体内的第一位置处，并延伸注射端口的紧固件，以将注射端口基本上固定在第一位置。然后将紧固件缩回以基本上不将患者体内的第一位置的注射口固定。然后将注射口移动到患者体内的第二位置。然后将紧固件重新延伸以将注射口基本上固定在患者身体的第二位置。注入口包括端口体。紧固件与端口主体是一体的。紧固件可以相对于端口主体选择性地延伸和缩回。例如，紧固件可以相对于端口主体枢转以在延伸位置和缩回位置之间转换。紧固件的延伸和缩回可以通过端口应用器来提供。

19. 发明申请

US20090299143A1 ACTUATING AND ARTICULATING SURGICAL DEVICE 有权
标题翻译：执行和治疗手术设备
公开(公告)号：US20090299143A1
公开(公告)日：2009-12-03
申请号：US12129880
申请日：2008-05-30
申请人： Sean P. Conlon , Rudolph H. Nobis , Frederick Q. Johnson , Steven P. Woodard , Ruth E. Costa
发明人： Sean P. Conlon , Rudolph H. Nobis , Frederick Q. Johnson , Steven P. Woodard , Ruth E. Costa
IPC分类号： A61B1/00
CPC分类号： A61B17/29 , A61B10/04 , A61B10/06 , A61B18/14 , A61B18/1482 , A61B2017/003 , A61B2017/00424 , A61B2017/00433 , A61B2017/00477 , A61B2017/2905 , A61B2017/2911 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2018/1407 , A61B2018/141 , A61B2034/305
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. A decoupling member can isolate the actuation of the end effector from the articulation of the end effector. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
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，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。解耦构件可以将端部执行器的致动与末端执行器的铰接隔离。在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。

20. 发明申请

US20090177219A1 FLEXIBLE TISSUE-PENETRATION INSTRUMENT WITH BLUNT TIP ASSEMBLY AND METHODS FOR PENETRATING TISSUE 审中-公开
标题翻译：具有盲点组装的柔性组织穿透仪和用于穿刺组织的方法
公开(公告)号：US20090177219A1
公开(公告)日：2009-07-09
申请号：US11968810
申请日：2008-01-03
申请人： Sean P. Conlon
发明人： Sean P. Conlon
IPC分类号： A61B17/34 , B65D69/00 , A61L2/00
CPC分类号： A61B17/3478 , A61B2017/00278 , A61B2017/320044 , A61B2017/3456 , A61B2017/346
摘要： A tissue-penetrating instrument. In various exemplary embodiments, the instrument may comprise a substantially flexible elongate penetration member that has a proximal end and a distal end. The distal end may have a substantially blunt tissue penetrating tip thereon. The instrument may further include an elongate hollow support tube that has a passage extending therethrough that is sized to movably support a portion of the substantially flexible elongate member therein and prevent buckling thereof as at least one motion is applied to the distal end of the substantially flexible elongate member. The elongate hollow support tube may be sized to extend through a working channel of an endoscope. Methods of using such instruments to perform surgical procedures by inserting the instrument through a natural body lumen are also disclosed.
摘要翻译：组织穿透仪器。在各种示例性实施例中，器械可以包括具有近端和远端的基本柔性的细长穿透构件。远端可以在其上具有基本钝的组织穿透尖端。仪器还可以包括细长的中空支撑管，其具有延伸穿过其中的通道，该通道的尺寸设计成在其中可移动地支撑基本上柔性的细长构件的一部分，并防止其弯曲，因为至少一个运动施加到基本上柔性的远端细长构件。细长的中空支撑管的尺寸可以延伸穿过内窥镜的工作通道。还公开了通过将仪器插入天然体腔来使用这些器械进行外科手术的方法。

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