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1. 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。

2. 发明申请

WO2009067649A3 BIPOLAR FORCEPS HAVING A CUTTING ELEMENT 审中-公开
标题翻译：具有切割元件的双极性力
公开(公告)号：WO2009067649A3
公开(公告)日：2009-08-27
申请号：PCT/US2008084311
申请日：2008-11-21
申请人： ETHICON ENDO SURGERY INC , GHABRIAL RAGAE M , VAKHARIA OMAR J , LONG GARY L , BALLY KURT R , ZWOLINSKI ANDREW M
发明人： GHABRIAL RAGAE M , VAKHARIA OMAR J , LONG GARY L , BALLY KURT R , ZWOLINSKI ANDREW M
IPC分类号： A61B18/14 , A61B18/12
CPC分类号： A61B18/1445 , A61B2018/1412 , A61B2018/1455
摘要： In various surgical techniques, a bipolar forceps can be used to seal a vessel in two locations such that the vessel can be incised at a location positioned intermediate the two seal locations. The bipolar forceps can include a cutting element which can be configured to incise the vessel. In various embodiments, the cutting element can include a sharp edge which can be moved relative to the vessel. In at least one embodiment, the cutting element can be electrically connected to a source of energy. The bipolar forceps can include first and second electrodes positioned within first and second jaw members, respectively, wherein at least one of the jaw members can include a substantially tapered profile and can be configured to pull the vessel away from the surrounding soft tissue. Such jaw members can include ridges, teeth, and/or a textured outer surface configured to grip the soft tissue and/or vessel.
摘要翻译：在各种手术技术中，可以使用双极镊子将容器密封在两个位置，使得容器可以在位于两个密封位置之间的位置切开。双极镊子可以包括切割元件，该切割元件可配置成切割血管。在各种实施例中，切割元件可以包括相对于容器移动的尖锐边缘。在至少一个实施例中，切割元件可以电连接到能量源。双极镊子可以包括分别位于第一和第二钳口构件内的第一和第二电极，其中至少一个钳口构件可以包括基本上锥形的轮廓，并且可以构造成将容器拉离周围的软组织。这种钳口构件可以包括构造成夹持软组织和/或血管的脊，齿和/或织构化的外表面。

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。

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