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1. 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。

2. 发明申请

WO2012031114A3 IMPROVED MINIMALLY INVASIVE SURGERY 审中-公开
公开(公告)号：WO2012031114A3
公开(公告)日：2012-03-08
申请号：PCT/US2011/050198
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 , A61B17/32 , A61B17/128 , A61B17/29 , A61B17/072 , A61B18/14 , A61B17/04 , A61B17/00 , A61B17/02 , A61B19/00
摘要： A single port surgical method comprises inserting only a single trocar (22) through the abdominal wall; inserting a camera (42) into the abdominal cavity; magnetically anchoring the camera to the abdominal wall; obtaining a first instrument (54) 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 (52) to the distal end of the first surgical instrument; obtaining a second instrument (64) comprising an elongate shaft with a distal end with an end effector (62) 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 (121, 122) each having an elongate shaft with a distal end and a proximal end connected to a handle; at least two end effectors (124) attachable and detachable to the distal ends of the percutaneous instruments; a laparoscopic loader (123) adapted to receive the end effectors; a trocar; and a laparoscopic surgical stapler (125). The surgical kit may further comprise laparoscopic energy based clamping and coagulating device (327) and/or a laparoscopic suture device (524). 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.

4. 发明申请

WO2011044353A1 LAPAROSCOPIC INSTRUMENT WITH ATTACHABLE END EFFECTOR 审中-公开
标题翻译：具有附加功能的LAPAROSCOPIC仪器
公开(公告)号：WO2011044353A1
公开(公告)日：2011-04-14
申请号：PCT/US2010/051812
申请日：2010-10-07
申请人： ETHICON ENDO-SURGERY, INC. , NOBIS, Rudolph, H. , SPIVEY, James, T. , HUEY, Kevin, M. , HESS, Christopher, J. , CONLON, Sean, P.
发明人： NOBIS, Rudolph, H. , SPIVEY, James, T. , HUEY, Kevin, M. , HESS, Christopher, J. , CONLON, Sean, P.
IPC分类号： A61B1/00 , A61B17/00
CPC分类号： A61B17/29 , A61B17/320092 , A61B17/3201 , A61B2017/00464 , A61B2017/00473 , A61B2017/0053
摘要： A laparoscopic surgical device comprises an elongate shaft defining a longitudinal axis, the shaft comprising a distal end and a proximal end. A plurality of arms project distally from the distal end of the elongate shaft, the arms each comprising a lateral notch. The elongate pin is axially slideable relative the arms between a locked position preventing medial deflection of the arms and an unlocked position allowing medial deflection of the arms. A surgical end effector is selectively attachable in vivo and detachable in vivo to the mating feature of the arms, the surgical end effector comprising jaws that open and close in response to the axial movement of the two arms when attached to the surgical end effector.
摘要翻译：腹腔镜手术装置包括限定纵向轴线的细长轴，该轴包括远端和近端。多个臂从细长轴的远端向远侧突出，所述臂各自包括侧向凹口。细长销相对于臂在可防止臂的内侧偏转的锁定位置和允许臂的内侧偏转的解锁位置之间轴向滑动。手术末端执行器可选择性地附接到体内并且能够在体内可拆卸到臂的配合特征，所述外科末端执行器包括当连接到手术端部执行器时响应于两个臂的轴向运动而打开和关闭的钳口。

5. 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。

6. 发明申请

WO2010077561A1 POSITIONABLE IMAGING MEDICAL DEVICES 审中-公开
标题翻译：可定位成像医疗器械
公开(公告)号：WO2010077561A1
公开(公告)日：2010-07-08
申请号：PCT/US2009/066678
申请日：2009-12-04
申请人： ETHICON ENDO-SURGERY, INC. , GHABRIAL, Ragae, M. , STOKES, Michael, J. , NOBIS, Rudolph, H. , ZWOLINSKI, Andrew, M. , WEIR, Michael, P. , PLESCIA, David, N. , CUNNINGHAM, Christie, M. , VAKHARIA, Omar, J. , FOX, William, D. , SPIVEY, James, T.
发明人： GHABRIAL, Ragae, M. , STOKES, Michael, J. , NOBIS, Rudolph, H. , ZWOLINSKI, Andrew, M. , WEIR, Michael, P. , PLESCIA, David, N. , CUNNINGHAM, Christie, M. , VAKHARIA, Omar, J. , FOX, William, D. , SPIVEY, James, T.
IPC分类号： A61B1/05 , A61B5/07
CPC分类号： A61B1/041 , A61B1/00029 , A61B1/00147 , A61B5/073 , A61B5/6882 , A61B34/73 , A61B2017/00283
摘要： A positionable imaging device includes a body defining a first end and a second end. The body is configured to be received within an internal body cavity. An imaging device is located at the first end of the body. A releasable fastener is coupled to the body to removably attach the imaging device to tissue within the internal body cavity. A release mechanism is coupled to the releasable fastener to detach the imaging device from the tissue.
摘要翻译：可定位成像装置包括限定第一端和第二端的主体。身体构造成被容纳在内部体腔内。成像装置位于身体的第一端。可拆卸紧固件联接到主体以将成像装置可移除地附接到内部体腔内的组织。释放机构联接到可释放紧固件以将成像装置与组织分离。

7. 发明申请

WO2010036566A1 METHODS AND DEVICES FOR DELIVERING AND APPLYING MULTIPLE SUTURE ANCHORS 审中-公开
标题翻译：用于交付和应用多个固定锚杆的方法和装置
公开(公告)号：WO2010036566A1
公开(公告)日：2010-04-01
申请号：PCT/US2009/057415
申请日：2009-09-18
申请人： ETHICON ENDO-SURGERY, INC. , SPIVEY, James, T. , LINENKUGEL, Duane , ZWOLINSKI, Andrew, M. , FOX, William, D. , CONLON, Sean, P.
发明人： SPIVEY, James, T. , LINENKUGEL, Duane , ZWOLINSKI, Andrew, M. , FOX, William, D. , CONLON, Sean, P.
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464
摘要： Methods and devices are provided for deploying and applying multiple suture anchors (10). In one embodiment, a surgical device (24) is provided having a shaft (40) configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels (30), with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures (42) attached to the respective anchors.
摘要翻译：提供了用于部署和应用多个缝合锚（10）的方法和装置。在一个实施例中，提供了一种手术装置（24），其具有构造成被引入到身体中的轴（40），例如通过观察装置，并且将多个缝合锚固件输送到组织中，优选地不需要移除轴从身体。所述轴可以具有多个通道（30），所述多个通道中的每一个被构造成座位于多个缝线锚固件中的至少一个。每个锚固件可以可移除地安置在通道中，使得锚固件可以从装置移除，例如通过拉动附接到各个锚固件的缝合线（42）。

8. 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.

9. 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。

10. 发明申请

WO2012040183A1 LAPAROSCOPIC INSTRUMENT WITH ATTACHABLE END EFFECTOR 审中-公开
标题翻译：具有附加功能的LAPAROSCOPIC仪器
公开(公告)号：WO2012040183A1
公开(公告)日：2012-03-29
申请号：PCT/US2011/052327
申请日：2011-09-20
申请人： ETHICON ENDO-SURGERY, INC. , NOBIS, Rudolph, H. , SPIVEY, James, T. , HESS, Christopher, J. , HUEY, Kevin, M.
发明人： NOBIS, Rudolph, H. , SPIVEY, James, T. , HESS, Christopher, J. , HUEY, Kevin, M.
IPC分类号： A61B17/29 , A61B17/00
CPC分类号： A61B17/29 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/2931 , A61B2017/294 , A61B2017/3454
摘要： A laparoscopic surgical device comprises an elongate shaft defining a longitudinal axis, the shaft comprising a distal end and a proximal end. A plurality of arms project distally from the distal end of the elongate shaft, the arms each comprising a lateral notch. The arms are axially slideable relative the elongate shaft and are medially deflectable. An elongate pin is positioned medially relative the arms. The elongate pin is axially slideable relative the arms between a locked position preventing medial deflection of the arms and an unlocked position allowing medial deflection of the arms. A surgical end effector is selectively attachable in vivo and detachable in vivo to the mating feature of the arms, the surgical end effector comprising a torque transfer means and tissue contact apparatus that open and close in response to the axial movement of the two arms when attached to the surgical end effector.
摘要翻译：腹腔镜手术装置包括限定纵向轴线的细长轴，该轴包括远端和近端。多个臂从细长轴的远端向远侧突出，所述臂各自包括侧向凹口。臂相对于细长轴可轴向滑动并且可内向偏转。细长销相对于臂中间定位。细长销相对于臂在可防止臂的内侧偏转的锁定位置和允许臂的内侧偏转的解锁位置之间轴向滑动。手术末端执行器可选择性地附接到体内并且能够在体内可拆卸到臂的配合特征，外科末端执行器包括扭矩传递装置和组织接触装置，其在附接时响应于两个臂的轴向运动而打开和关闭到手术末端执行器。

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