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1. 发明授权

US08182476B2 In vivo accessories for minimally invasive robotic surgery 有权
标题翻译：用于微创机器人手术的体内附件
公开(公告)号：US08182476B2
公开(公告)日：2012-05-22
申请号：US12727060
申请日：2010-03-18
申请人： Christopher A. Julian , Daniel T. Wallace , Frederick H. Moll , Dean F. Hoornaert , David J. Rosa , John G. Freund , John W. Hill
发明人： Christopher A. Julian , Daniel T. Wallace , Frederick H. Moll , Dean F. Hoornaert , David J. Rosa , John G. Freund , John W. Hill
IPC分类号： A61B18/18
CPC分类号： A61B18/18 , A61B1/00149 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B17/062 , A61B17/064 , A61B17/068 , A61B17/11 , A61B17/1285 , A61B17/29 , A61B17/320016 , A61B17/32053 , A61B17/54 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/70 , A61B34/72 , A61B34/76 , A61B90/36 , A61B90/361 , A61B2017/00252 , A61B2017/00287 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135 , A61B2017/2825 , A61B2017/2829 , A61B2017/2902 , A61B2017/2927 , A61B2017/2929 , A61B2017/2931 , A61B2017/2937 , A61B2017/294 , A61B2017/2946 , A61B2034/305 , B66C23/48
摘要： Surgical accessories are presented in vivo and used by surgical tools in the surgical site to perform additional tasks without the need to remove the tools from the surgical site for tool change or instrument loading. Examples of in vivo accessories include fastening accessories such as surgical clips for use with a clip applier, single working member accessories such as a blade which can be grasped and manipulated by a grasping tool for cutting, sheath accessories that fit over working members of a tool, flow tubes for providing suction or introducing a fluid into the surgical site, and a retraction member resiliently biased to retract a tissue to expose an area in the surgical site for treatment. The accessories can be introduced into the surgical site by a dedicated accessory introducer, or can be supported on the body of a surgical tool inserted into the surgical site and be manipulated using another surgical tool in the surgical site. The accessory introducer can be resiliently biased to bias the accessories toward a predetermined position in the surgical site.
摘要翻译：手术附件在体内呈现，并在手术部位使用外科手术工具进行附加任务，而无需从手术部位移除刀具以进行换刀或仪器装载。体内附件的实例包括紧固附件，例如用于夹子施放器的手术夹子，单个工作构件附件，例如可被抓取工具抓握并操纵的刀片，用于切割，护套附件适合工具的工作构件用于提供抽吸或将流体引入手术部位的流动管，以及弹性偏压以缩回组织以露出外科手术部位中用于治疗的区域的缩回构件。附件可以通过专用的辅助引导器被引入外科手术部位，或者可以被支撑在插入手术部位的外科手术工具的主体上，并且使用外科手术部位中的另一外科手术工具进行操作。附件引导器可以被弹性地偏置以将附件偏压到手术部位中的预定位置。

2. 发明授权

US07722599B2 In vivo accessories for minimally invasive robotic surgery 有权
标题翻译：用于微创机器人手术的体内附件
公开(公告)号：US07722599B2
公开(公告)日：2010-05-25
申请号：US11522852
申请日：2006-09-18
申请人： Christopher A. Julian , Daniel T. Wallace , Frederick H. Moll , Dean F. Hoornaert , David J. Rosa , John G. Freund , John W. Hill
发明人： Christopher A. Julian , Daniel T. Wallace , Frederick H. Moll , Dean F. Hoornaert , David J. Rosa , John G. Freund , John W. Hill
IPC分类号： A61B17/00
CPC分类号： A61B18/18 , A61B1/00149 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B17/062 , A61B17/064 , A61B17/068 , A61B17/11 , A61B17/1285 , A61B17/29 , A61B17/320016 , A61B17/32053 , A61B17/54 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/70 , A61B34/72 , A61B34/76 , A61B90/36 , A61B90/361 , A61B2017/00252 , A61B2017/00287 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135 , A61B2017/2825 , A61B2017/2829 , A61B2017/2902 , A61B2017/2927 , A61B2017/2929 , A61B2017/2931 , A61B2017/2937 , A61B2017/294 , A61B2017/2946 , A61B2034/305 , B66C23/48
摘要： Surgical accessories are presented in vivo and used by surgical tools in the surgical site to perform additional tasks without the need to remove the tools from the surgical site for tool change or instrument loading. Examples of in vivo accessories include fastening accessories such as surgical clips for use with a clip applier, single working member accessories such as a blade which can be grasped and manipulated by a grasping tool for cutting, sheath accessories that fit over working members of a tool, flow tubes for providing suction or introducing a fluid into the surgical site, and a retraction member resiliently biased to retract a tissue to expose an area in the surgical site for treatment. The accessories can be introduced into the surgical site by a dedicated accessory introducer, or can be supported on the body of a surgical tool inserted into the surgical site and be manipulated using another surgical tool in the surgical site. The accessory introducer can be resiliently biased to bias the accessories toward a predetermined position in the surgical site.
摘要翻译：手术附件在体内呈现，并在手术部位使用外科手术工具进行附加任务，而无需从手术部位移除刀具以进行换刀或仪器装载。体内附件的实例包括紧固附件，例如用于夹子施放器的手术夹子，单个工作构件附件，例如可被抓取工具抓握并操纵的刀片，用于切割，护套附件适合工具的工作构件用于提供抽吸或将流体引入手术部位的流动管，以及弹性偏压以缩回组织以露出外科手术部位中用于治疗的区域的缩回构件。附件可以通过专用的辅助引导器被引入外科手术部位，或者可以被支撑在插入手术部位的外科手术工具的主体上，并且使用外科手术部位中的另一外科手术工具进行操作。附件引导器可以被弹性地偏置以将附件偏压到手术部位中的预定位置。

3. 发明授权

US08551116B2 In vivo accessories for minimally invasive robotic surgery 有权
标题翻译：用于微创机器人手术的体内附件
公开(公告)号：US08551116B2
公开(公告)日：2013-10-08
申请号：US13454312
申请日：2012-04-24
申请人： Christopher A. Julian , Daniel T. Wallace , Frederick H. Moll , Dean F. Hoornaert , David J. Rosa , John G. Freund , John W. Hill
发明人： Christopher A. Julian , Daniel T. Wallace , Frederick H. Moll , Dean F. Hoornaert , David J. Rosa , John G. Freund , John W. Hill
IPC分类号： A61B19/00
CPC分类号： A61B18/18 , A61B1/00149 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B17/062 , A61B17/064 , A61B17/068 , A61B17/11 , A61B17/1285 , A61B17/29 , A61B17/320016 , A61B17/32053 , A61B17/54 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/70 , A61B34/72 , A61B34/76 , A61B90/36 , A61B90/361 , A61B2017/00252 , A61B2017/00287 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135 , A61B2017/2825 , A61B2017/2829 , A61B2017/2902 , A61B2017/2927 , A61B2017/2929 , A61B2017/2931 , A61B2017/2937 , A61B2017/294 , A61B2017/2946 , A61B2034/305 , B66C23/48
摘要： Surgical accessories are presented in vivo and used by surgical tools in the surgical site to perform additional tasks without the need to remove the tools from the surgical site for tool change or instrument loading. The accessories can be introduced into the surgical site by a dedicated accessory introducer, or can be supported on the body of a surgical tool inserted into the surgical site and be manipulated using another surgical tool in the surgical site. The accessory introducer can be resiliently biased to bias the accessories toward a predetermined position in the surgical site.
摘要翻译：手术附件在体内呈现，并在手术部位使用外科手术工具进行附加任务，而无需从手术部位移除刀具以进行换刀或仪器装载。附件可以通过专用的辅助引导器被引入外科手术部位，或者可以被支撑在插入手术部位的外科手术工具的主体上，并且使用外科手术部位中的另一外科手术工具进行操作。附件引导器可以被弹性地偏置以将附件偏压到手术部位中的预定位置。

4. 发明申请

US20120259345A1 IN VIVO ACCESORIES FOR MINIMALLY INVASIVE ROBOTIC SURGERY 有权
公开(公告)号：US20120259345A1
公开(公告)日：2012-10-11
申请号：US13454312
申请日：2012-04-24
申请人： Christopher A. Julian , Daniel T. Wallace , Frederick H. Moll , Dean F. Hoornaert , David J. Rosa , John G. Freund , John W. Hill
发明人： Christopher A. Julian , Daniel T. Wallace , Frederick H. Moll , Dean F. Hoornaert , David J. Rosa , John G. Freund , John W. Hill
IPC分类号： A61B19/00
CPC分类号： A61B18/18 , A61B1/00149 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B17/062 , A61B17/064 , A61B17/068 , A61B17/11 , A61B17/1285 , A61B17/29 , A61B17/320016 , A61B17/32053 , A61B17/54 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/70 , A61B34/72 , A61B34/76 , A61B90/36 , A61B90/361 , A61B2017/00252 , A61B2017/00287 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135 , A61B2017/2825 , A61B2017/2829 , A61B2017/2902 , A61B2017/2927 , A61B2017/2929 , A61B2017/2931 , A61B2017/2937 , A61B2017/294 , A61B2017/2946 , A61B2034/305 , B66C23/48
摘要： Surgical accessories are presented in vivo and used by surgical tools in the surgical site to perform additional tasks without the need to remove the tools from the surgical site for tool change or instrument loading. The accessories can be introduced into the surgical site by a dedicated accessory introducer, or can be supported on the body of a surgical tool inserted into the surgical site and be manipulated using another surgical tool in the surgical site. The accessory introducer can be resiliently biased to bias the accessories toward a predetermined position in the surgical site.
摘要翻译：手术附件在体内呈现，并在手术部位使用外科手术工具进行附加任务，而无需从手术部位移除刀具以进行换刀或仪器装载。附件可以通过专用的辅助引导器被引入外科手术部位，或者可以被支撑在插入手术部位的外科手术工具的主体上，并且使用外科手术部位中的另一外科手术工具进行操作。附件引导器可以被弹性地偏置以将附件偏压到手术部位中的预定位置。

5. 发明授权

US4784118A Optical viewing device 失效
标题翻译：光学观察装置
公开(公告)号：US4784118A
公开(公告)日：1988-11-15
申请号：US43335
申请日：1987-04-28
申请人： Steven D. Fantone , Peter F. Costa , William A. Holmes , Frederick H. Moll
发明人： Steven D. Fantone , Peter F. Costa , William A. Holmes , Frederick H. Moll
IPC分类号： G02B23/26 , A61B1/00 , A61B1/002
CPC分类号： A61B1/002 , A61B1/00165
摘要： An apparatus for viewing a region within a body cavity or the like. The apparatus includes an elongate light pipe having a distal end and a proximal end, which light pipe illuminates the region to be viewed adjacent the distal end of the pipe. An objective lens system is carried at that distal end which in a preferred embodiment forms a focused real image of the illuminated region. This image is transmitted to the viewer through a series of relay lenses and, at the proximal end of the apparatus, through a viewing lens system. The light pipe and the lenses are composed of a polymeric material such as styrene, polycarbonate, acrylic, or the like, and are preferably aspheric lenses.
摘要翻译：一种用于观察体腔等内的区域的装置。该设备包括具有远端和近端的细长光管，该光管照亮邻近管道远端的区域。在该远端承载物镜系统，其在优选实施例中形成照明区域的聚焦实像。该图像通过一系列中继透镜并在设备的近端通过观察透镜系统传输给观看者。光管和透镜由诸如苯乙烯，聚碳酸酯，丙烯酸等的聚合材料组成，并且优选为非球面透镜。

6. 发明授权

US5555897A Peritoneal distension robotic arm 失效
标题翻译：腹膜扩张机器人手臂
公开(公告)号：US5555897A
公开(公告)日：1996-09-17
申请号：US308030
申请日：1994-09-16
申请人： Robert L. Lathrop, Jr. , Rick E. Emerson , James E. Wiley , James M. Sklenar , Albert K. Chin , Frederick H. Moll , David Forster
发明人： Robert L. Lathrop, Jr. , Rick E. Emerson , James E. Wiley , James M. Sklenar , Albert K. Chin , Frederick H. Moll , David Forster
IPC分类号： A61B17/00 , A61B17/02 , A61B19/00 , A61G15/00
CPC分类号： A61B34/30 , A61B34/76 , A61B17/00234 , A61B17/02 , A61B17/0218
摘要： The invention provides an apparatus and method for manipulating parts of the body in surgical procedures, particularly useful for peritoneal distension in laparoscopic surgery. The apparatus comprises a positionable support structure having an extendible horizontal arm rotatably mounted to an extendible vertical post, the post having a clamp at its lower end for mounting to a surgical table. An end segment at the distal end of the horizontal arm has a mount for mounting end-of-arm tooling, for example, peritoneal distension instruments. Locking mechanisms are disposed in the horizontal arm, vertical post and end segment to lock the support structure in a desired position. A motor is disposed within the vertical post for power-assisted extension and retraction of the vertical post. Preferably, the locking mechanisms and motor are controllable using switches mounted on the end segment. The method comprises providing a support structure as described mounted to a surgical table, positioning the distal end of the horizontal arm over a patient on the table, activating locking mechanisms in the horizontal arm and vertical post to lock the support structure in position, attaching peritoneal distension instruments to the distal end of the horizontal arm, and vertically extending the vertical post while the horizontal arm remains locked relative to the post, thereby distending the peritoneum of the patient.
摘要翻译：本发明提供了一种用于在外科手术中操作身体部位的装置和方法，其特别适用于腹腔镜手术中的腹膜扩张。该装置包括可定位的支撑结构，其具有可旋转地安装到可延伸的竖直立柱上的可伸缩水平臂，所述柱在其下端具有用于安装到外科手术台的夹具。在水平臂的远端处的端部段具有用于安装臂端工具的安装件，例如腹膜扩张器械。锁定机构设置在水平臂，垂直柱和端段中，以将支撑结构锁定在期望的位置。电动机设置在垂直柱内，用于垂直柱的动力辅助伸缩。优选地，使用安装在端部段上的开关来控制锁定机构和电动机。该方法包括提供如上所述安装到外科手术台上的支撑结构，将水平臂的远端定位在患者的桌子上，启动水平臂中的锁定机构和垂直柱以将支撑结构锁定在适当位置，将腹膜膨胀仪器到水平臂的远端，并且垂直延伸垂直杆，同时水平臂相对于柱保持锁定，从而膨胀患者的腹膜。

7. 发明授权

US5372147A Peritoneal distension robotic arm 失效
标题翻译：腹膜扩张机器人手臂
公开(公告)号：US5372147A
公开(公告)日：1994-12-13
申请号：US899556
申请日：1992-06-16
申请人： Robert L. Lathrop, Jr. , Rick E. Emerson , James E. Wiley , James M. Sklenar , Albert K. Chin , Frederick H. Moll , David Forster
发明人： Robert L. Lathrop, Jr. , Rick E. Emerson , James E. Wiley , James M. Sklenar , Albert K. Chin , Frederick H. Moll , David Forster
IPC分类号： A61B17/00 , A61B17/02 , A61B19/00
CPC分类号： A61B34/30 , A61B34/76 , A61B17/00234 , A61B17/02 , A61B17/0218
摘要： The invention provides an apparatus and method for manipulating parts of the body in surgical procedures, particularly useful for peritoneal distension in laparoscopic surgery. The apparatus comprises a positionable support structure having an extendible horizontal arm rotatably mounted to an extendible vertical post, the post having a clamp at its lower end for mounting to a surgical table. An end segment at the distal end of the horizontal arm has a mount for mounting end-of-arm tooling, for example, peritoneal distension instruments. Locking mechanisms are disposed in the horizontal arm, vertical post and end segment to lock the support structure in a desired position. A motor is disposed within the vertical post for power-assisted extension and retraction of the vertical post. Preferably, the locking mechanisms and motor are controllable using switches mounted on the end segment. The method comprises providing a support structure as described mounted to a surgical table, positioning the distal end of the horizontal arm over a patient on the table, activating locking mechanisms in the horizontal arm and vertical post to lock the support structure in position, attaching peritoneal distension instruments to the distal end of the horizontal arm, and vertically extending the vertical post while the horizontal arm remains locked relative to the post, thereby distending the peritoneum of the patient.
摘要翻译：本发明提供了一种用于在外科手术中操作身体部位的装置和方法，对腹腔镜手术中的腹膜扩张特别有用。该装置包括可定位的支撑结构，其具有可旋转地安装到可延伸的竖直立柱上的可伸缩水平臂，所述柱在其下端具有用于安装到外科手术台的夹具。在水平臂的远端处的端部段具有用于安装臂端工具的安装件，例如腹膜扩张器械。锁定机构设置在水平臂，垂直柱和端段中，以将支撑结构锁定在期望的位置。电动机设置在垂直柱内，用于垂直柱的动力辅助伸缩。优选地，使用安装在端部段上的开关来控制锁定机构和电动机。该方法包括提供如上所述安装到外科手术台上的支撑结构，将水平臂的远端定位在患者的桌子上，启动水平臂中的锁定机构和垂直柱以将支撑结构锁定在适当位置，将腹膜膨胀仪器到水平臂的远端，并且垂直延伸垂直杆，同时水平臂相对于柱保持锁定，从而膨胀患者的腹膜。

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