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1. 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。

2. 发明申请

US20080221619A1 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：US20080221619A1
公开(公告)日：2008-09-11
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
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 therein, 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 thereof, a launch bar having at least a portion thereof positioned in the release zone, wherein 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 along the longitudinal axis of the hollow member, wherein each of the suture anchors is configured for release from the release zone when such suture anchor is positioned within the release zone upon movement of the launch bar from the resting position to the launching position.
摘要翻译：提供了缝合锚，其包括具有限定其中的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一部分的狭槽，所述狭槽提供开口外壳。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，其具有位于其远端处的缝合线锚释放区，发射杆至少有一部分位于释放区中，其中发射杆可在释放区域内在静止位置和发射位置，并且可操作地连接到位于细长构件的近侧的致动构件。中空细长构件限定了用于沿着中空构件的纵向轴线串联地接收多个缝合锚的壳体，其中每个缝合线锚构件被构造成当这种缝合锚固件位于释放区域内时从释放区域释放，发射杆从静止位置移动到发射位置。

3. 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。

4. 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。

5. 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.

6. 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。

7. 发明授权

US07857754B2 Apparatus useful for positioning a device on an endoscope 有权
标题翻译：用于将装置定位在内窥镜上的装置
公开(公告)号：US07857754B2
公开(公告)日：2010-12-28
申请号：US11128704
申请日：2005-05-13
申请人： James T. Spivey , David Stefanchik , Omar J. Vakharia , Rick D. Applegate
发明人： James T. Spivey , David Stefanchik , Omar J. Vakharia , Rick D. Applegate
IPC分类号： A61B1/00
CPC分类号： A61B1/005 , A61B1/00073 , A61B1/00135 , A61B1/0014 , A61B1/012 , A61B2017/00296
摘要： A medical apparatus and method useful for positioning a device, such as an endcap, on an end of an endoscope, is disclosed. The apparatus can exert a pulling force on the endoscope through the endcap while a pushing force is applied to the endcap. The apparatus can be used to press an endcap onto the distal end of an endoscope without grasping by hand a sheath in those applications where the endoscope is disposed in a 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的端部上的医疗装置和方法。该装置可以通过端盖在内窥镜上施加拉力，同时向端盖施加推力。该装置可用于在将内窥镜设置在护套中的那些应用中用手将护套按压到内窥镜的远端而不用手抓住。

8. 发明申请

US20090248055A1 TISSUE PENETRATING SURGICAL DEVICE 有权
标题翻译：组织穿刺手术装置
公开(公告)号：US20090248055A1
公开(公告)日：2009-10-01
申请号：US12060601
申请日：2008-04-01
申请人： James T. Spivey , David Stefanchik
发明人： James T. Spivey , David Stefanchik
IPC分类号： A61B17/14 , A61B19/00 , A61B1/00
CPC分类号： A61B17/320016 , A61B17/00234 , A61B17/320758 , A61B2017/00278 , A61B2017/00858 , A61B2017/320044 , A61B2217/005
摘要： Devices and methods are provided for penetrating tissue and/or effecting movement of devices relative to tissue. In general, a surgical instrument is provided having an at least partially fabric-covered distal tip that be used to at least partially penetrate tissue by contacting the tissue with the fabric and rotating the fabric to “drill” into the tissue. The surgical instrument can be configured for delivery proximate to tissue through a working channel of a delivery device and can include an elongate shaft having in its distal portion an end effector at least partially covered in fabric. The fabric, the end effector, and/or the shaft can rotate, thereby allowing at least the fabric to penetrate the tissue and, if sufficiently rotated, causing an opening to form in the tissue. The surgical instrument and/or the delivery device can be advanced through the opening.
摘要翻译：提供了用于穿透组织和/或实现装置相对于组织的运动的装置和方法。通常，提供具有至少部分织物覆盖的远侧末端的外科器械，其用于通过使织物与织物接触并将织物“钻”成组织至少部分地穿透组织。手术器械可以被配置为通过输送装置的工作通道在组织附近输送，并且可以包括细长轴，其在其远端部分具有至少部分地覆盖在织物中的端部执行器。织物，末端执行器和/或轴可以旋转，从而允许至少织物穿透组织，并且如果充分旋转，则在组织中形成开口。手术器械和/或输送装置可以通过开口前进。

9. 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。

10. 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。

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