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1. 发明申请

WO2012118837A8 A SURGICAL STAPLING AND CUTTING DEVICE 审中-公开
标题翻译：手术切割和切割装置
公开(公告)号：WO2012118837A8
公开(公告)日：2013-09-06
申请号：PCT/US2012026985
申请日：2012-02-28
申请人： ETHICON ENDO SURGERY INC , ORTIZ MARK S , SHELTON FREDERICK E IV , SPIVEY JAMES T
发明人： ORTIZ MARK S , SHELTON FREDERICK E IV , SPIVEY JAMES T
IPC分类号： A61B17/072 , A61B19/00
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 (12) with proximal and distal ends (12a, 12b). The distal end of the shaft has a flexible neck extending therefrom. The device includes an end effector (16) disposed on a proximal end of the flexible neck (26). The end effector includes opposed first (18) and second jaws (20) 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：具有具有近端和远端（12a，12b）的细长轴（12）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（26）的近端上的端部执行器（16）。末端执行器包括适于在其间接收组织的相对的第一（18）和第二钳口（20）。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，以被驱动进入组织。第二钳口包括用于使钉钉变形的砧座。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，使得远程控制的使用者界面的移动被柔性颈部模仿。

2. 发明申请

WO2012033925A1 NON-CLUMPING UNIT FOR USE WITH A MAGNETIC SURGICAL SYSTEM 审中-公开
标题翻译：非磁性手术用非磁性手术系统
公开(公告)号：WO2012033925A1
公开(公告)日：2012-03-15
申请号：PCT/US2011/050844
申请日：2011-09-08
申请人： ETHICON ENDO-SURGERY, INC. , GHABRIAL, Ragae, M. , SPIVEY, James, T. , HESS, Christopher, J. , CONLON, Sean, P.
发明人： GHABRIAL, Ragae, M. , SPIVEY, James, T. , HESS, Christopher, J. , CONLON, Sean, P.
IPC分类号： A61B17/02 , A61B17/00
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/0281 , A61B34/73 , A61B2017/00106 , A61B2017/00876 , A61B2018/00273 , A61B2034/302
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 is 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离体磁体的体内滑板。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伸出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。

3. 发明申请

WO2012031114A2 IMPROVED MINIMALLY INVASIVE SURGERY 审中-公开
标题翻译：改进的最小的入侵手术
公开(公告)号：WO2012031114A2
公开(公告)日：2012-03-08
申请号：PCT/US2011050198
申请日：2011-09-01
申请人： ETHICON ENDO SURGERY INC , CONLON SEAN P , CARROLL KEMPTON K II , SPIVEY JAMES T , GHABRIAL RAGAE M
发明人： CONLON SEAN P , CARROLL KEMPTON K II , SPIVEY JAMES T , GHABRIAL RAGAE M
IPC分类号： A61B17/34 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/072 , A61B17/128 , A61B17/29 , A61B17/32 , A61B18/14 , A61B19/00
CPC分类号： A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/068 , A61B17/07207 , A61B17/29 , A61B17/320016 , A61B17/34 , A61B17/3474 , A61B50/30 , A61B50/33 , A61B90/361 , A61B2017/00283 , A61B2017/00362 , A61B2017/00473 , A61B2017/00876 , A61B2017/0688 , A61B2017/07271
摘要： A single port surgical method comprises inserting only a single trocar through the abdominal wall; inserting a camera into the abdominal cavity; magnetically anchoring the camera to the abdominal wall; obtaining a first instrument comprising an elongate shaft with a distal end and a proximal end connected to a first handle; passing the distal end of the first instrument through the abdominal wall independent of a trocar; attaching in vivo an end effector to the distal end of the first surgical instrument; obtaining a second instrument comprising an elongate shaft with a distal end with an end effector and a proximal end connected to a second handle; passing the distal end of the second instrument through the trocar; and manipulating tissue in the abdominal cavity with the first and second surgical instrument end effectors under visualization from the magnetically anchored camera. A surgical kit comprises two percutaneous instruments each having an elongate shaft with a distal end and a proximal end connected to a handle; at least two end effectors attachable and detachable to the distal ends of the percutaneous instruments; a laparoscopic loader adapted to receive the end effectors; a trocar; and a laparoscopic surgical stapler. The surgical kit may further comprise laparoscopic energy based clamping and coagulating device and/or a laparoscopic suture device. Optionally, the surgical kit may further comprised a third percutaneous instrument having an elongate shaft with a distal end and a proximal end connected to a handle, and at least three end effectors attachable and detachable to the distal ends of the percutaneous instruments. The surgical kit may further comprise a magnetic camera and/or a magnetic external control unit adapted to anchor a magnetic camera. The components of the surgical kit may be contained in a sterile sealed package.
摘要翻译：单端口手术方法包括仅穿过单个套管针穿过腹壁; 将相机插入腹腔; 将相机磁性地固定在腹壁上; 获得包括细长轴的第一仪器，其具有连接到第一手柄的远端和近端; 使第一个器械的远端通过腹壁独立于套管针; 将末端执行器体内附接到第一外科器械的远端; 获得包括具有远端的细长轴的第二仪器，所述远端具有端部执行器，并且近端连接到第二手柄; 使第二台仪器的远端穿过套管针; 并且使用第一和第二外科器械终端执行器在磁力锚定相机可视化下操纵腹腔中的组织。手术套件包括两个经皮器械，每个具有细长轴，其具有远端和近端连接到手柄; 至少两个末端执行器可附接和可拆卸到经皮器械的远端; 一种适于接收末端执行器的腹腔镜装载器; 套管针和腹腔镜手术吻合器。手术套件还可以包括基于腹腔镜能量的夹紧和凝固装置和/或腹腔镜缝合装置。任选地，手术套件还可以包括第三经皮器械，其具有细长轴，其具有连接到手柄的远端和近端，以及可附接和可拆卸到经皮器械的远端的至少三个末端执行器。手术套件还可以包括适于锚定磁性相机的磁性相机和/或磁性外部控制单元。手术套件的组件可以包含在无菌密封包装中。

4. 发明申请

WO2011056848A1 KITS AND PROCEDURES FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY 审中-公开
标题翻译：自然手术治疗内镜手术的手套和手术
公开(公告)号：WO2011056848A1
公开(公告)日：2011-05-12
申请号：PCT/US2010/055267
申请日：2010-11-03
申请人： ETHICON ENDO-SURGERY, INC. , GHABRIAL, Ragae, M. , SPIVEY, James, T. , BALLY, Kurt, R. , LINENKUGEL, Duane, A. , BAKOS, Gregory, J. , CARROLL, Kempton, K. , VAKHARIA, Omar, J. , TRUSTY, Robert, M.
发明人： GHABRIAL, Ragae, M. , SPIVEY, James, T. , BALLY, Kurt, R. , LINENKUGEL, Duane, A. , BAKOS, Gregory, J. , CARROLL, Kempton, K. , VAKHARIA, Omar, J. , TRUSTY, Robert, M.
IPC分类号： A61B17/34 , A61B1/005 , A61B17/00 , A61B17/04 , A61M25/10 , A61B17/128 , A61B17/32 , A61B18/14 , A61B17/29
CPC分类号： A61B17/3478 , A61B1/00135 , A61B1/00154 , A61B1/018 , A61B17/1285 , A61B17/320016 , A61B17/32056 , A61B17/3421 , A61B17/3423 , A61B18/1442 , A61B2017/00278 , A61B2017/00287 , A61B2017/003 , A61B2017/00336 , A61B2017/00358 , A61B2017/0412 , A61B2017/0417 , A61B2017/0437 , A61B2017/0438 , A61B2017/0464 , A61B2017/2905 , A61B2017/2908 , A61B2017/2927 , A61B2017/2936 , A61B2017/2939 , A61B2017/3445 , A61M25/0084 , A61M25/0102 , A61M25/0133 , A61M25/0136 , A61M25/10 , A61M29/02 , A61M2025/0681 , A61M2025/1093
摘要： Various surgical devices, kits, and/or methods are provided herein that may be useful in performing a surgical procedure through a natural orifice. Such a surgical procedure may utilize one or more devices, kits, and/or methods to create an access port to a body cavity of a patient, to perform a specific surgical procedure, and to close the access port. In various embodiments, the specific surgical procedure may comprise a sleeve gastrectomy, a ventral hernia repair, a hybrid transgastric cholecystectomy, and/or a hybrid transgastric appendectomy.
摘要翻译：本文提供的各种手术装置，试剂盒和/或方法可用于通过天然孔进行外科手术。这种外科手术可以利用一个或多个装置，套件和/或方法来创建到患者的体腔的进入端口，以执行特定的外科手术并且关闭进入端口。在各种实施例中，具体的外科手术可以包括套管胃切除术，腹侧疝修补术，混合性经胃胆囊切除术和/或混合性经胃阑尾切除术。

5. 发明申请

WO2011044468A2 MAGNETIC SURGICAL SLED WITH LOCKING ARM 审中-公开
标题翻译：带锁臂的磁性外科手术带
公开(公告)号：WO2011044468A2
公开(公告)日：2011-04-14
申请号：PCT/US2010/051990
申请日：2010-10-08
申请人： ETHICON ENDO-SURGERY, INC. , THE BOARD OF REGENTS OF THE UNIVERSITY OF TEXAS SYSTEM , SPIVEY, James, T. , CADEDDU, Jeffery , SCOTT, Daniel, J. , FERNANDEZ, Raul , BERGS, Richard
发明人： SPIVEY, James, T. , CADEDDU, Jeffery , SCOTT, Daniel, J. , FERNANDEZ, Raul , BERGS, Richard
IPC分类号： A61B18/08 , A61B18/00 , A61N2/08
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：外科手术装置包括体外磁体和磁体吸引到离体磁体的体内滑动体。通过移动离体磁体可以将雪橇定位并锚定在患者体内。滑车限定了纵向轴线。一只手臂从雪橇伸出。臂可相对于滑动件在缩回位置和延伸位置之间移动。该臂包括末端执行器。锁定机构可操作地连接到臂以将臂锁定在缩回和伸出位置。该机构可能包括一个齿条，它们都围绕一个小齿轮旋转并围绕小齿轮切向平移。

6. 发明申请

WO2010111319A1 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：WO2010111319A1
公开(公告)日：2010-09-30
申请号：PCT/US2010/028393
申请日：2010-03-24
申请人： ETHICON ENDO-SURGERY, INC. , SPIVEY, James, T.
发明人： SPIVEY, James, T.
IPC分类号： A61B17/29 , A61B17/00
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 (170) to a body cavity (50) of the patient, inserting a shaft (110) 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 (190), 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（170）输送到患者的体腔（50），将轴（110）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，端部执行器可以与柔性构件（190）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，使得端部执行器连接到轴。

7. 发明申请

WO2010088588A1 SURGICAL SCISSORS 审中-公开
标题翻译：手术科
公开(公告)号：WO2010088588A1
公开(公告)日：2010-08-05
申请号：PCT/US2010/022711
申请日：2010-02-01
申请人： ETHICON ENDO-SURGERY, INC. , SPIVEY, James, T. , WASHBURN, Thomas, T.
发明人： SPIVEY, James, T. , WASHBURN, Thomas, T.
IPC分类号： A61B17/32 , A61B17/3201 , A61B17/00 , A61B17/29
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。梭子的远程导向的运动可能导致第一和第二叶片构件打开，并且梭子的向近侧方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。

8. 发明申请

WO2009123962A1 TISSUE PENETRATING SURGICAL DEVICE 审中-公开
标题翻译：组织穿刺手术装置
公开(公告)号：WO2009123962A1
公开(公告)日：2009-10-08
申请号：PCT/US2009/038764
申请日：2009-03-30
申请人： ETHICON ENDO-SURGERY, INC. , SPIVEY, James, T. , STEFANCHIK, David
发明人： SPIVEY, James, T. , STEFANCHIK, David
IPC分类号： A61B17/32 , A61B17/00
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. 发明申请

WO2009088690A1 ARTICULATING SURGICAL DEVICE AND METHOD OF USE 审中-公开
标题翻译：治疗手术装置及其使用方法
公开(公告)号：WO2009088690A1
公开(公告)日：2009-07-16
申请号：PCT/US2008/087340
申请日：2008-12-18
申请人： ETHICON ENDO-SURGERY, INC. , STEFANCHIK, David , GHABRIAL, Ragae M. , SPIVEY, James T.
发明人： STEFANCHIK, David , GHABRIAL, Ragae M. , SPIVEY, James T.
IPC分类号： A61B17/28 , A61B17/29 , A61B17/34 , A61B17/00
CPC分类号： A61B17/3421 , A61B1/00073 , A61B1/0014 , A61B17/29 , A61B17/2909 , A61B2017/003 , A61B2017/00477 , A61B2017/3447
摘要： Various embodiments of an elongate surgical device configured to travel along a tortuous body lumen to a surgical site are provided herein. In one embodiment, the device can include a tensioning element extending through a channel formed along a length of the device and the tensioning element can translate an articulation force to the working end of the device. During such articulation of the device, a portion of the channel can be configured to allow the tensioning element to exit the channel and move away from a longitudinal axis of the device thereby optimizing a mechanical advantage relative to the distal end of the device and thus maximizing the force capable of being delivered thereto. Additionally, various embodiments of a method for articulating a working end of an elongate surgical device are provided herein.
摘要翻译：这里提供了构造成沿曲折的体腔行进到外科手术部位的细长手术装置的各种实施例。在一个实施例中，该装置可以包括延伸穿过沿着装置的长度形成的通道的张紧元件，并且张紧元件可以将铰接力平移到装置的工作端。在装置的这种关节过程中，通道的一部分可以构造成允许张紧元件离开通道并远离装置的纵向轴线移动，从而优化相对于装置的远端的机械优点，从而最大化能够传递给它的力。此外，本文提供了用于铰接细长外科手术装置的工作端的方法的各种实施例。

10. 发明申请

WO2009067433A2 ANAL SURGICAL INSTRUMENT GUIDES 审中-公开
标题翻译：手术仪器指南
公开(公告)号：WO2009067433A2
公开(公告)日：2009-05-28
申请号：PCT/US2008083873
申请日：2008-11-18
申请人： ETHICON ENDO SURGERY INC , SPIVEY JAMES T , WEISENBURGH II WILLIAM B
发明人： SPIVEY JAMES T , WEISENBURGH II WILLIAM B
IPC分类号： A61B17/34
CPC分类号： A61B17/3421 , A61B1/00137 , A61B1/00154 , A61B1/018 , A61B1/31 , A61B17/3417 , A61B17/3462 , A61B2017/00278 , A61B2017/3407 , A61B2017/3445 , A61B2017/3447 , A61B2017/3452 , A61B2017/3454 , A61B2017/3466
摘要： A surgical instrument guide configured to be at least partially inserted into a natural orifice of a patient to allow a surgeon to access a tissue treatment region with multiple surgical instruments during the course of a minimally invasive surgical procedure. In various embodiments, the surgical instruments can be inserted at various angles with respect to the tissue treatment region to provide the surgeon with better access to the surgical site during an operation. In at least one embodiment, the surgical instrument guide may include a body portion having a first port and a second port defined therein. In such embodiments, the first and second ports may each be configured to receive a surgical instrument there through. Additionally, in various embodiments, at least one of the first and second ports can be configured to allow for pivotal movement of the surgical instrument within the body of the surgical instrument guide.
摘要翻译：一种外科器械引导件，其构造成至少部分地插入患者的天然孔中，以允许外科医生在微创手术过程中使用多个手术器械进入组织治疗区域。在各种实施例中，可以相对于组织治疗区域以各种角度插入手术器械，以在手术期间使外科医生更好地进入手术部位。在至少一个实施例中，手术器械引导件可以包括主体部分，其具有限定在其中的第一端口和第二端口。在这样的实施例中，第一和第二端口可以各自构造成通过其接收外科器械。另外，在各种实施例中，第一和第二端口中的至少一个可以构造成允许手术器械在外科器械引导件的主体内的枢转运动。

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