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11. 发明申请

WO2008137531A2 ENDOSCOPIC GUIDE DEVICE 审中-公开
标题翻译：内窥镜指导装置
公开(公告)号：WO2008137531A2
公开(公告)日：2008-11-13
申请号：PCT/US2008062195
申请日：2008-05-01
申请人： ETHICON ENDO SURGERY INC , BAKOS GREGORY J , CUNNINGHAM CHRISTIE M , STEFANCHIK DAVID , VOEGELE JAMES W , STOKES MICHAEL J , HESS CHRISTOPHER J , SPIVEY JAMES T , LONG GARY L , BALLY KURT R , GHABRIAL RAGAE M , NOBIS RUDOLPH H
发明人： BAKOS GREGORY J , CUNNINGHAM CHRISTIE M , STEFANCHIK DAVID , VOEGELE JAMES W , STOKES MICHAEL J , HESS CHRISTOPHER J , SPIVEY JAMES T , LONG GARY L , BALLY KURT R , GHABRIAL RAGAE M , NOBIS RUDOLPH H
IPC分类号： A61B1/01 , A61B17/00 , A61M25/04
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。

12. 发明申请

WO2008091995A9 ENDOSCOPIC ACCESSORY CONTROL MECHANISM 审中-公开
标题翻译：内窥镜附件控制机构
公开(公告)号：WO2008091995A9
公开(公告)日：2008-10-23
申请号：PCT/US2008051902
申请日：2008-01-24
申请人： ETHICON ENDO SURGERY INC , VAKHARIA OMAR J , STEFANCHIK DAVID , SPIVEY JAMES T
发明人： VAKHARIA OMAR J , STEFANCHIK DAVID , SPIVEY JAMES T
IPC分类号： A61B1/018 , A61B17/00 , A61B17/34
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：披露了用于在手术部位操纵工具的装置和方法。在一个示例性实施例中，附件设备被提供并且可以包括插入构件和控制线。插入构件可具有用于接收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构造，并且在某些示例性实施例中，控制线可以可滑动地容纳在穿过插入构件形成的一个或多个控制线内腔中。在使用中，例如可以通过将控制线在一个或多个控制线腔中轴向滑动以控制工具来操纵控制线。

13. 发明申请

WO2013055515A1 METHODS AND DEVICES FOR MANIPULATING TISSUE IN VIVO 审中-公开
标题翻译：用于在体液中操作组织的方法和装置
公开(公告)号：WO2013055515A1
公开(公告)日：2013-04-18
申请号：PCT/US2012/056890
申请日：2012-09-24
申请人： ETHICON ENDO-SURGERY, INC. , NOBIS, Rudolph H. , TRUSTY, Robert M. , SPIVEY, James T. , HESS, Christopher J. , VAKHARIA, Omar J. , PARK, Per Ola
发明人： NOBIS, Rudolph H. , TRUSTY, Robert M. , SPIVEY, James T. , HESS, Christopher J. , VAKHARIA, Omar J. , PARK, Per Ola
IPC分类号： A61B17/29 , A61B17/00 , A61B17/072
CPC分类号： A61B17/29 , A61B17/07207 , A61B2017/00473 , A61B2017/00477
摘要： Methods and devices are provided for manipulating tissue in a body cavity, i.e., in vivo. In general, the methods and devices allow an end effector to engage tissue, be detached from a shaft used to control the end effector (380) to engage the tissue, and then be moved to another location in the body cavity by a separate component, such as an external control unit. In some embodiments the end effector can include one or more deployable hooks (382) that allow the end effector to remain at a surgical site independent of any shafts or external control units. Still further, in other embodiments the end effector can include a transverse bore (484) to allow a second shaft (422) to connect to the end effector to manipulate the tissue. Additional exemplary devices, kits, and methods related to manipulating tissue in vivo are also provided.
摘要翻译：提供了用于操作体腔中的组织，即体内的方法和装置。通常，方法和装置允许端部执行器接合组织，从用于控制末端执行器（380）的轴分离以接合组织，然后通过单独的部件移动到体腔中的另一位置，例如外部控制单元。在一些实施例中，末端执行器可以包括一个或多个可展开的钩（382），其允许末端执行器独立于任何轴或外部控制单元而保持在手术位置。此外，在其他实施例中，端部执行器可以包括横向孔（484），以允许第二轴（422）连接到端部执行器以操纵组织。还提供了与在体内操作组织相关的附加的示例性装置，试剂盒和方法。

14. 发明申请

WO2012087668A1 PILL CATCHERS 审中-公开
公开(公告)号：WO2012087668A1
公开(公告)日：2012-06-28
申请号：PCT/US2011/064630
申请日：2011-12-13
申请人： ETHICON ENDO-SURGERY, INC. , ORTIZ, Mark, S. , HESS, Christopher, J. , HARRIS, Jason, L. , SPIVEY, James, T. , STOKES, Michael, J. , ALBRECHT, Thomas, E. , VOEGELE, James, W. , WEISENBURGH, William, B. , NOBIS, Rudolph, H. , ZEINER, Mark, S. , OVERMYER, Mark, D. , POWELL, Darrel, M. , KRAIMER, Joseph, Bernard , TOPICH, James, Anthony , JARRETT, Jeremy, D. , PRENGER, Daniel, James , DANIEL, Matthew, D. Rohr
发明人： ORTIZ, Mark, S. , HESS, Christopher, J. , HARRIS, Jason, L. , SPIVEY, James, T. , STOKES, Michael, J. , ALBRECHT, Thomas, E. , VOEGELE, James, W. , WEISENBURGH, William, B. , NOBIS, Rudolph, H. , ZEINER, Mark, S. , OVERMYER, Mark, D. , POWELL, Darrel, M. , KRAIMER, Joseph, Bernard , TOPICH, James, Anthony , JARRETT, Jeremy, D. , PRENGER, Daniel, James , DANIEL, Matthew, D. Rohr
IPC分类号： A61M31/00 , A61J3/07 , A61B1/04
CPC分类号： A61M31/002 , A61B1/041
摘要： Devices and related methods are provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as "catchers," are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs.

15. 发明申请

WO2012087658A1 PILL CATCHERS 审中-公开
公开(公告)号：WO2012087658A1
公开(公告)日：2012-06-28
申请号：PCT/US2011/064601
申请日：2011-12-13
申请人： ETHICON ENDO-SURGERY, INC. , ORTIZ, Mark, S. , HESS, Christopher, J. , HARRIS, Jason, L. , SPIVEY, James, T. , STOKES, Michael, J. , ALBRECHT, Thomas, E. , ZEINER, Mark, S. , KRAIMER, Joseph, Bernard , TOPICH, James, Anthony , PRENGER, Daniel, James
发明人： ORTIZ, Mark, S. , HESS, Christopher, J. , HARRIS, Jason, L. , SPIVEY, James, T. , STOKES, Michael, J. , ALBRECHT, Thomas, E. , ZEINER, Mark, S. , KRAIMER, Joseph, Bernard , TOPICH, James, Anthony , PRENGER, Daniel, James
IPC分类号： A61M31/00 , A61J3/07 , A61B1/04
CPC分类号： A61M31/002 , A61B1/00147 , A61B1/041 , A61B5/07 , A61B5/4839
摘要： Devices and related methods are provided for the controlled delivery of a therapeutic to a targeted location within a body. More particularly, methods and devices are provided for controlling the rate of passage of an orally administered pill through a body, as well as for controlling the delivery of a therapeutic within the pill at a specific location within the body. Various types of devices, generally referred to herein as "catchers," are provided that can actively catch a pill as it passes through a body. The catcher can hold the pill at a specific location within the body until a predetermined event occurs, such as partial or complete administration of a therapeutic within the pill. The catcher can then release the pill upon command and/or upon the occurrence of the predetermined event to allow the pill to pass out of the body. In other embodiments, various types of pills are provided that can actively engage a catcher and remain engaged with the catcher until a predetermined event occurs.
摘要翻译：提供了用于将治疗剂控制输送到身体内的目标位置的装置和相关方法。更具体地说，提供了用于控制口服药丸通过身体的速率的方法和装置，以及用于控制药物在体内特定位置处的治疗剂递送的方法和装置。各种类型的设备，在本文中通常称为“捕捉器”，“ 提供可以在通过身体时主动捕获药丸。捕捉器可以将药丸保持在身体内的特定位置，直到发生预定的事件，例如药丸内的治疗剂的部分或完全给药。然后捕捉器可以根据命令和/或在发生预定事件时释放药丸，以允许药丸从身体中传出。在其他实施例中，提供了各种类型的药丸，其可以主动地接合捕捉器并保持与捕捉器接合，直到发生预定事件。

16. 发明申请

WO2011084411A1 SELECTIVELY POSITIONABLE CAMERA FOR SURGICAL GUIDE TUBE ASSEMBLY 审中-公开
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：WO2011084411A1
公开(公告)日：2011-07-14
申请号：PCT/US2010/060242
申请日：2010-12-14
申请人： ETHICON ENDO-SURGERY, INC. , KARL STORZ ENDOVISION, INC. , TRUSTY, Robert M. , BAKOS, Gregory J. , SPIVEY, James T. , VAKHARIA, Omar J. , BIRNKRANT, Dashiell A. , ELLIOTT, John J.
发明人： TRUSTY, Robert M. , BAKOS, Gregory J. , SPIVEY, James T. , VAKHARIA, Omar J. , BIRNKRANT, Dashiell A. , ELLIOTT, John J.
IPC分类号： A61B1/005 , G02B23/24
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：一种用于与导管组件结合使用的选择性定位的相机组件，其具有引导管手柄部分和至少一个从其突出的引导管。在各种实施例中，相机包括细长柔性相机部分，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。

17. 发明申请

WO2010056601A1 METHODS AND DEVICES FOR ENDOSCOPE CONTROL IN A BODY CAVITY 审中-公开
标题翻译：身体内腔内控制的方法和装置
公开(公告)号：WO2010056601A1
公开(公告)日：2010-05-20
申请号：PCT/US2009/063543
申请日：2009-11-06
申请人： ETHICON ENDO-SURGERY, INC. , STEFANCHIK, David , SPIVEY, James, T. , VAKHARIA, Omar, J.
发明人： STEFANCHIK, David , SPIVEY, James, T. , VAKHARIA, Omar, J.
IPC分类号： A61B1/005
CPC分类号： A61B1/0052 , A61B1/00073 , A61B1/00135 , A61B1/0056
摘要： Methods and devices are provided for controlling an endoscope in a body cavity. In one exemplary embodiment an endoscopic surgical system is provided that includes an endoscope and a steering tether coupled to at least a portion of the endoscope. The steering tether is configured to be manipulatable to effect directional movement of a distal end of the endoscope. The steering tether can include a loop formed on a distal end thereof such that a proximal portion of the steering tether can control the loop, which in turn controls the movement of the distal end of the endoscope. An overtube can optionally be included in the system. The overtube can be coupled to endoscope and adapted to receive at least a portion of the endoscope and the steering tether. In one embodiment, the endoscope includes an accessory mount extending over at least a portion of a length of the endoscope and the steering tether can be disposed on the accessory mount. Various methods for controlling movement of an endoscope in a body cavity are also provided.
摘要翻译：提供了用于控制体腔内窥镜的方法和装置。在一个示例性实施例中，提供内窥镜手术系统，其包括联接到内窥镜的至少一部分的内窥镜和转向系绳。转向系绳构造成可操纵以实现内窥镜远端的定向运动。转向系绳可以包括形成在其远端上的环，使得转向系绳的近端部分可以控制回路，其又控制内窥镜的远端的移动。可以可选地在系统中包括一个外套管。外套管可以联接到内窥镜并且适于接收内窥镜和转向系绳的至少一部分。在一个实施例中，内窥镜包括在内窥镜的长度的至少一部分上延伸的附件安装件，并且转向系绳可以设置在附件安装件上。还提供了用于控制体腔内窥镜运动的各种方法。

18. 发明申请

WO2010030542A1 SURGICAL GRASPING DEVICE 审中-公开
标题翻译：手术抓取装置
公开(公告)号：WO2010030542A1
公开(公告)日：2010-03-18
申请号：PCT/US2009055680
申请日：2009-09-02
申请人： ETHICON ENDO SURGERY INC 1 3 , SPIVEY JAMES T , APPLEGATE RICK D
发明人： SPIVEY JAMES T , APPLEGATE RICK D
IPC分类号： A61B17/122 , A61B17/00 , A61B17/128 , A61B17/29
CPC分类号： A61B17/29 , A61B17/00234 , A61B17/1227 , A61B17/1285 , A61B2017/00265 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/2931 , A61B2017/2933
摘要： A surgical grasping device is disclosed. The surgical grasping device may comprise a clevis; a first jaw member pivotably coupled to the clevis; a second jaw member pivotably coupled to the clevis; and an actuating mechanism coupled to the clevis, the first jaw member and the second jaw member and a translating member coupled to and extending proximally from the actuating mechanism. The actuating mechanism may be configured to cause the first jaw member and the second jaw member to close in response to a first proximally directed force received via the translating member. The actuating mechanism may also be configured to cause the first jaw member and the second jaw member to open in response to a subsequent proximally directed force received via the translating member.
摘要翻译：公开了一种手术抓握装置。手术抓握装置可以包括U形夹; 可枢转地联接到所述U形夹的第一钳口构件; 可枢转地联接到所述U形夹的第二钳口构件; 以及联接到所述U形夹，所述第一钳口构件和所述第二钳口构件的致动机构以及联接到所述致动机构并从所述致动机构向近侧延伸的平移构件。致动机构可构造成响应于经由平移构件接收的第一指向近侧的力而使第一钳构件和第二钳构件闭合。致动机构还可以构造成响应于经由平移构件接收的随后的指向近侧的力而使第一钳口构件和第二钳口构件打开。

19. 发明申请

WO2010027895A3 SURGICAL GRASPING DEVICE 审中-公开
公开(公告)号：WO2010027895A3
公开(公告)日：2010-03-11
申请号：PCT/US2009/055140
申请日：2009-08-27
申请人： ETHICON ENDO-SURGERY, INC. , HOLCOMB, Matthew, D. , SPIVEY, James, T. , VAKHARIA, Omar, J. , JOHNSON, Frederick, Q. , MANTRI, Surag, S. , NGUYEN, Hoang, V. , WOODARD, Steven, P.
发明人： HOLCOMB, Matthew, D. , SPIVEY, James, T. , VAKHARIA, Omar, J. , JOHNSON, Frederick, Q. , MANTRI, Surag, S. , NGUYEN, Hoang, V. , WOODARD, Steven, P.
IPC分类号： A61B18/14
摘要： A surgical device comprising a clevis defining a longitudinal axis and a jaw comprising a first member and a second member. A slider is slidably engaged to the clevis, the slider comprising a pin. The pin is receiveably engaged in the first slot and the jaw is selectively moveable between a first position and a second position through longitudinal movement of the slider. In various embodiments, the first and second members are movable between an angular open position, a parallel open position, and a parallel closed position.

20. 发明申请

WO2010025076A1 ARTICULATING END CAP 审中-公开
标题翻译：文字封面
公开(公告)号：WO2010025076A1
公开(公告)日：2010-03-04
申请号：PCT/US2009/054436
申请日：2009-08-20
申请人： ETHICON ENDO-SURGERY, INC. , SPIVEY, James, T.
发明人： SPIVEY, James, T.
IPC分类号： A61B1/00 , A61B17/34
CPC分类号： A61B1/018 , A61B1/00087 , A61B1/00089 , A61B1/0052 , A61B1/2736 , A61B17/00234 , A61B2017/00296 , A61B2017/003 , A61B2017/00327
摘要： Various embodiments of a surgical device and methods of using the surgical device are disclosed. The surgical device may comprise a collar configured to fit over a distal face of an endoscope and rotate about a longitudinal axis of the endoscope. The surgical device may also comprise a flexible, elongate translating mechanism coupled to the collar and extending proximally from the collar. Applying a linear force to the translating mechanism may cause the translating mechanism to exert a rotational force on the collar. In addition, the surgical device may comprise a hollow cap coupled to a distal end of the collar. The cap may be pivotable relative to the collar in a plane parallel to the axis. In addition, the cap may have a first open end configured to face the endoscope and a second open end configured to face distally.
摘要翻译：公开了外科装置的各种实施例和使用手术装置的方法。手术装置可以包括被配置成装配在内窥镜的远侧面上并围绕内窥镜的纵向轴线旋转的轴环。手术装置还可以包括耦合到套环并从套环向近侧延伸的柔性的细长的平移机构。向平移机构施加线性力可能导致平移机构在轴环上施加旋转力。此外，手术装置可以包括联接到轴环的远端的中空帽。帽可以在平行于轴线的平面中相对于套环枢转。此外，盖可以具有构造成面向内窥镜的第一开口端和被配置为朝向远侧的第二开口端。

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