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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

WO2010027895A2 SURGICAL GRASPING DEVICE 审中-公开
标题翻译：手术抓取装置
公开(公告)号：WO2010027895A2
公开(公告)日：2010-03-11
申请号：PCT/US2009055140
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 , A61B17/29
CPC分类号： A61B18/1445 , A61B18/1492 , A61B2017/2934 , A61B2017/2936 , A61B2017/2939 , A61B2017/2944
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.
摘要翻译：包括限定纵向轴线的U形夹和包括第一构件和第二构件的钳夹的外科装置。滑块可滑动地接合到U形夹，滑块包括销。销可接收地接合在第一槽中，并且钳口通过滑动件的纵向移动可选择性地在第一位置和第二位置之间移动。在各种实施例中，第一和第二构件可在角度打开位置，平行打开位置和平行闭合位置之间移动。

3. 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。

4. 发明申请

WO2007076126A3 ENDOSCOPE ENDCAP ATTACHMENT TOOL 审中-公开
标题翻译： ENDOSCOPE ENDCAP附件工具
公开(公告)号：WO2007076126A3
公开(公告)日：2007-09-13
申请号：PCT/US2006049270
申请日：2006-12-22
申请人： ETHICON ENDO SURGERY INC , APPLEGATE RICK D , SPIVEY JAMES T , STEFANCHIK DAVID
发明人： APPLEGATE RICK D , SPIVEY JAMES T , STEFANCHIK DAVID
IPC分类号： A61B1/00
CPC分类号： A61B1/00142 , A61B1/00135
摘要： A tool and method is provided for attaching an endcap to a medical instrument such as an endoscope tip, wherein the endcap includes an elastically deformable, endcap opening having an unexpanded diameter that is smaller than the diameter of the instrument tip and an expanded diameter that is greater than the diameter of the instrument tip. The tool has a first component adapted to hold the endcap and to receive the instrument tip and a second component operatively associated with the first component and movable with respect to the first component, wherein the second component is adapted to apply a force to the first component. The endcap opening may be elastically deformed to have the expanded diameter prior to positioning the endcap at a desired longitudinal location and angular orientation with respect to the endoscope tip.
摘要翻译：提供了一种用于将端盖安装到诸如内窥镜尖端的医疗器械的工具和方法，其中端盖包括具有小于仪器尖端直径的未膨胀直径的可弹性变形的端盖开口，大于仪器尖端的直径。工具具有适于保持端盖并接收仪器尖端的第一部件和与第一部件可操作地相关联并可相对于第一部件移动的第二部件，其中第二部件适于向第一部件施加力。在将端盖定位在相对于内窥镜末端的期望的纵向位置和角度取向之前，端盖开口可以弹性变形以具有扩大的直径。

5. 发明申请

WO2008070654A3 INDEPENDENT ARTICULATING ACCESSORY CHANNEL 审中-公开
标题翻译：独立的联想通道
公开(公告)号：WO2008070654A3
公开(公告)日：2008-07-24
申请号：PCT/US2007086370
申请日：2007-12-04
申请人： ETHICON ENDO SURGERY INC , STEFANCHIK DAVID , SPIVEY JAMES T
发明人： STEFANCHIK DAVID , SPIVEY JAMES T
IPC分类号： A61B1/018 , A61B1/01
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/或材料递送至手术部位的装置和方法。在一个实施例中，提供了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。细长护套可适于在其中接收内窥镜，并且其可包括在其近端和远端之间纵向延伸的配合元件。辅助通道可以适于接收穿过其中的工具，并且它还可以具有在其近端和远端之间延伸并适于可滑动地匹配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侧部分。在使用中，细长护套和辅助通道可各自提供用于将工具和/或材料输送到手术部位的通道。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

6. 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。

7. 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。

8. 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。

9. 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。

10. 发明申请

WO2011044468A3 MAGNETIC SURGICAL SLED WITH LOCKING ARM 审中-公开
标题翻译：带锁定臂的磁性手术套
公开(公告)号：WO2011044468A3
公开(公告)日：2011-10-20
申请号：PCT/US2010051990
申请日：2010-10-08
申请人： ETHICON ENDO SURGERY INC , UNIV TEXAS , 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：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。

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