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41. 发明申请

US20120109184A1 VIBRATORY MOTOR USE 审中-公开
标题翻译：振动电机使用
公开(公告)号：US20120109184A1
公开(公告)日：2012-05-03
申请号：US12916774
申请日：2010-11-01
申请人： James T. Spivey , Craig N. Faller
发明人： James T. Spivey , Craig N. Faller
IPC分类号： A61B17/28 , A61H1/00
CPC分类号： A61B17/00234 , A61B17/29 , A61B2017/00845 , A61B2017/2901 , A61B2017/2905 , A61B2017/2932 , A61B2017/320071
摘要： Devices and methods are provided for reducing the effect of frictional forces on the operation of a surgical instrument, particularly when inserted within a tortuous body lumen. A vibratory mechanism coupled to the surgical instrument can be activated to vibrate the shaft and/or the actuator of the surgical instrument to reduce the effect of frictional forces generated between the shaft and the actuator of the surgical instrument, thereby reducing the force necessary to actuate the end effector.
摘要翻译：提供了用于减少摩擦力对外科器械的操作的影响的装置和方法，特别是当插入曲折的体腔内时。联接到外科器械的振动机构可以被激活以使外科器械的轴和/或致动器振动，以减少在轴与手术器械的致动器之间产生的摩擦力的影响，由此减小致动器所需的力末端执行器。

42. 发明授权

US08070759B2 Surgical fastening device 有权
标题翻译：手术紧固装置
公开(公告)号：US08070759B2
公开(公告)日：2011-12-06
申请号：US12130023
申请日：2008-05-30
申请人： David Stefanchik , James T. Spivey
发明人： David Stefanchik , James T. Spivey
IPC分类号： A61B17/10
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B17/12009 , A61B2017/0649
摘要： Various embodiments are directed to a surgical device including an end effector. The end effector may include a first jaw member defining a first groove and a second jaw member defining a second groove. The first jaw member and the second jaw member may be selectively pivotable between an open position and a closed position. Also, the first groove and the second groove may align to form a combined helical groove when the first jaw member and the second jaw member are in the closed position. In addition, the first jaw member may define a wire opening aligned with the first groove. Further, the first jaw member may define a beveled edge directed distally and substantially parallel to a distal portion of the wire opening.
摘要翻译：各种实施例涉及包括端部执行器的手术装置。端部执行器可以包括限定第一槽的第一钳口构件和限定第二槽的第二钳口构件。第一钳口构件和第二钳口构件可以在打开位置和关闭位置之间选择性地枢转。此外，当第一钳口构件和第二钳口构件处于关闭位置时，第一槽和第二槽可对准以形成组合的螺旋槽。此外，第一钳口构件可以限定与第一凹槽对准的线开口。此外，第一钳口构件可以限定朝向远侧并基本平行于线开口的远端部分的倾斜边缘。

43. 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。

44. 发明授权

US08037591B2 Surgical scissors 有权
标题翻译：手术剪刀
公开(公告)号：US08037591B2
公开(公告)日：2011-10-18
申请号：US12364172
申请日：2009-02-02
申请人： James T. Spivey , Thomas T. Washburn
发明人： James T. Spivey , Thomas T. Washburn
IPC分类号： B23P11/00 , A61B17/32
CPC分类号： A61B17/3201 , A61B17/320016 , A61B2017/0034 , A61B2017/00526 , A61B2017/2936 , Y10T29/49947
摘要： Surgical scissors devices are disclosed. The surgical scissors devices may comprise an end effector with first and second blade members. The first and second blade members may respectively comprise proximally positioned cams and distally positioned blade ends. Also, the first and second blade members may be coupled at a pivot point by a fastener held in tension along its longitudinal axis by the blade members. A reciprocating shuttle may comprise at least one pin positioned within slots defined by the respective cams of the blade members. Distally-directed motion of the shuttle may cause the first and second blade members to open and proximally-directed motion of the shuttle may cause the first and second blade members to close. Methods and apparatuses for forming the surgical scissors device are also disclosed.
摘要翻译：公开了外科剪刀装置。手术剪刀装置可以包括具有第一和第二叶片构件的端部执行器。第一和第二叶片构件可以分别包括向近侧定位的凸轮和远侧定位的叶片端部。此外，第一和第二叶片构件可以通过由叶片构件沿其纵向轴线保持张紧的紧固件在枢转点处联接。往复运动梭可以包括定位在由叶片构件的相应凸轮限定的槽内的至少一个销。梭子的远侧导向的运动可能导致第一和第二叶片构件打开，并且梭子的近端导向的运动可导致第一和第二叶片构件关闭。还公开了用于形成外科剪刀装置的方法和装置。

45. 发明授权

US07976458B2 Independent articulating accessory channel 有权
标题翻译：独立铰接附件通道
公开(公告)号：US07976458B2
公开(公告)日：2011-07-12
申请号：US11566954
申请日：2006-12-05
申请人： David Stefanchik , James T. Spivey
发明人： David Stefanchik , James T. Spivey
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/00073 , A61B1/00135 , A61B1/0014 , A61B1/00154
摘要： Devices and methods useful for delivering tools and/or materials to a surgical site are disclosed. In one embodiment, an accessory device for an endoscope is provided and can include an elongate sheath and an accessory channel. The elongate sheath can be adapted to receive an endoscope therein, and it can include a mating element extending longitudinally between proximal and distal ends thereof. The accessory channel can be adapted to receive a tool therethrough and it can also have a mating element extending between proximal and distal ends thereof and adapted to slidably mate to the mating element formed on the elongate sheath. In certain exemplary embodiments, a distal portion of the accessory channel can be adapted to derail from at least a distal portion of the elongate sheath while a proximal portion of the accessory channel remains mated to a proximal portion of the elongate sheath. In use, the elongate sheath and the accessory channel can each provide a pathway for delivering tools and/or materials to a surgical site. The distal ends of elongate sheath and the accessory channel can be detached and positioned independently of one another to afford improved positioning or placement of the tools and/or materials received therethrough.
摘要翻译：公开了用于将工具和/或材料递送到手术部位的装置和方法。在一个实施例中，提供了一种用于内窥镜的附件装置，并且可以包括细长护套和附件通道。细长护套可以适于在其中容纳内窥镜，并且其可以包括在其近端和远端之间纵向延伸的配合元件。附件通道可以适于接收穿过其中的工具，并且其还可以具有在其近端和远端之间延伸并且适于滑动地配合到形成在细长护套上的配合元件的配合元件。在某些示例性实施例中，附件通道的远侧部分可以适于从细长护套的至少远侧部分脱轨，而附件通道的近侧部分保持配合到细长护套的近端部分。在使用中，细长护套和附件通道可以各自提供用于将工具和/或材料递送到手术部位的路径。细长护套的远端和附件通道可以彼此独立地拆卸和定位，以提供通过其接收的工具和/或材料的改进的定位或放置。

46. 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。

47. 发明申请

US20110087223A1 MAGNETIC SURGICAL SLED WITH LOCKING ARM 有权
标题翻译：带锁定臂的磁性手术套
公开(公告)号：US20110087223A1
公开(公告)日：2011-04-14
申请号：US12576514
申请日：2009-10-09
申请人： James T. Spivey
发明人： James T. Spivey
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B17/320068 , A61B18/1442 , A61B34/73 , A61B2017/00278 , A61B2017/00283 , A61B2017/003 , A61B2017/00876 , A61B2017/22014 , A61B2017/2923 , A61B2017/2927 , A61B2018/00595 , A61B2090/306 , A61M25/0127
摘要： A surgical device comprises an ex vivo magnet and an in vivo sled magnetically attracted to the ex vivo magnet. The sled can be positioned and anchored within a patient by moving the ex vivo magnet. The sled defines a longitudinal axis. An arm extends from the sled. The arm being moveable relative the sled between a retracted position and an extended position. The arm comprises an end effector. A locking mechanism operatively connected to the arm to lock the arm in the retracted and extended positions. The mechanism may include a rack that both rotates about a pinion and translates tangentially about the pinion.
摘要翻译：手术装置包括离体磁体和磁性吸引到体外磁体的体内滑板。可以通过移动离体磁体将雪橇定位并锚定在患者体内。滑雪板限定纵向轴线。手臂从雪橇延伸。臂可以在缩回位置和延伸位置之间相对于滑板移动。臂包括端部执行器。锁定机构，可操作地连接到臂上，以将臂锁定在缩回和伸出位置。该机构可以包括一个齿条，它们围绕小齿轮转动并围绕小齿轮相切地平移。

48. 发明授权

US07815662B2 Surgical suture anchors and deployment device 有权
标题翻译：外科缝合锚和部署装置
公开(公告)号：US07815662B2
公开(公告)日：2010-10-19
申请号：US11715710
申请日：2007-03-08
申请人： James T. Spivey , David Stefanchik , Christopher Paul Swain
发明人： James T. Spivey , David Stefanchik , Christopher Paul Swain
IPC分类号： A61B17/04 , A61B17/08
CPC分类号： A61B17/0401 , A61B2017/0406 , A61B2017/0409 , A61B2017/0414 , A61B2017/0445 , A61B2017/0446 , A61B2017/0488 , Y10T24/3916
摘要： A suture anchor is provided which includes a hollow member having an outer surface defining an enclosure, the member having a longitudinal axis and a slot through a portion of the outer surface in a direction transverse to the longitudinal axis, the slot providing an opening into the enclosure. The suture anchor further includes a one-way valve positioned within the enclosure at the slot to allow entry of a suture through the slot into the enclosure and to prevent the exit of the suture from the enclosure. A device is provided for deploying the suture anchor. The deployment device includes an elongate hollow member having a suture anchor release zone positioned at the distal end, a launch bar having at least a portion positioned in the release zone. The launch bar is movable within the release zone between a resting position and a launching position and is operatively connected to an actuation member positioned proximally to the elongate member. The hollow elongate member defines a housing for receiving a plurality of suture anchors in tandem.
摘要翻译：提供了缝合锚，其包括具有限定外壳的外表面的中空构件，所述构件具有纵向轴线和穿过外表面的横向于纵向轴线的方向的一部分的狭槽，所述狭槽提供到外壳。缝合锚还包括位于外壳内的单向阀，该单向阀位于狭槽处，以允许缝线通过狭槽进入外壳并防止缝合线从外壳排出。提供了用于展开缝线锚的装置。展开装置包括细长的中空构件，其具有位于远端的缝合线锚释放区，发射杆具有至少一部分位于释放区中。发射杆可在释放区域内在静止位置和发射位置之间移动，并且可操作地连接到定位在细长构件的近侧的致动构件。中空细长构件限定用于串联接收多个缝合锚的壳体。

49. 发明申请

US20100249700A1 SURGICAL INSTRUMENTS FOR IN VIVO ASSEMBLY 审中-公开
标题翻译：生殖器官手术器械
公开(公告)号：US20100249700A1
公开(公告)日：2010-09-30
申请号：US12413479
申请日：2009-03-27
申请人： James T. Spivey
发明人： James T. Spivey
IPC分类号： A61M25/00 , A61M29/00
CPC分类号： A61B17/00234 , A61B17/0281 , A61B17/29 , A61B17/2909 , A61B17/3421 , A61B2017/00265 , A61B2017/00278 , A61B2017/00283 , A61B2017/00362 , A61B2017/00407 , A61B2017/0046 , A61B2017/00473 , A61B2017/2923 , A61B2017/2929 , A61B2017/2931 , A61B2017/294 , A61B2017/2941 , A61B2017/2946 , A61B2018/00553
摘要： A method of assembling a surgical instrument inside a patient and a device likewise configured to be assembled in vivo through a body wall of the patient is provided. In at least one embodiment, the method includes delivering an end effector to a body cavity of the patient, inserting a shaft into the body cavity, and connecting the shaft to the end effector inside the body cavity. In such embodiments, the end effector can be operably engaged with a flexible member, wherein pulling the flexible member can cause the end effector to move toward the shaft such that the end effector connects to the shaft.
摘要翻译：提供了一种将外科器械组装在患者体内的方法，以及同样构造成通过患者的身体壁在体内组装的装置。在至少一个实施例中，该方法包括将末端执行器递送到患者的体腔，将轴插入体腔中，以及将轴连接到体腔内的末端执行器。在这样的实施例中，末端执行器可以与柔性构件可操作地接合，其中拉动柔性构件可以使端部执行器朝向轴移动，使得末端执行器连接到轴。

50. 发明申请

US20100010299A1 ENDOSCOPIC TRANSLUMENAL ARTICULATABLE STEERABLE OVERTUBE 有权
标题翻译：内窥镜翻转式可转换超导体
公开(公告)号：US20100010299A1
公开(公告)日：2010-01-14
申请号：US12172782
申请日：2008-07-14
申请人： Gregory J. Bakos , James T. Spivey , William D. Fox , Bernard C. McDermott , Micheal E. Kelly , Michelle M. Guinan
发明人： Gregory J. Bakos , James T. Spivey , William D. Fox , Bernard C. McDermott , Micheal E. Kelly , Michelle M. Guinan
IPC分类号： A61B1/00
CPC分类号： A61B1/005 , A61B1/00135
摘要： An apparatus having an elongate hollow metal body extending along a longitudinal axis is disclosed. The hollow body defines a central opening and has a predetermined wall thickness. A pattern of laser cut slits is formed into the body. The slits define a plurality of articulatable elements. The plurality of articulatable elements enable active articulation of the body in a first plane and passive deflection in planes orthogonal to the first plane.
摘要翻译：公开了一种具有沿着纵向轴线延伸的细长中空金属体的装置。中空体限定中心开口并具有预定的壁厚。激光切割狭缝的图案形成在体内。狭缝限定多个可铰接元件。多个可铰接元件使得主体能够在第一平面中主动地铰接并且在与第一平面垂直的平面中的被动偏转。

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