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1. 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。

2. 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。

3. 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。

4. 发明申请

WO2012051292A1 METHODS AND DEVICES FOR MECHANICAL SPACE CREATION AT A SURGICAL SITE 审中-公开
标题翻译：在外科手术中机械空间创建的方法和装置
公开(公告)号：WO2012051292A1
公开(公告)日：2012-04-19
申请号：PCT/US2011/055957
申请日：2011-10-12
申请人： ETHICON ENDO-SURGERY, INC. , STEFANCHIK, David , SPIVEY, James, T. , TRUSTY, Robert, M. , SHIRES, Peter, K. , STOKES, Michael, J.
发明人： STEFANCHIK, David , SPIVEY, James, T. , TRUSTY, Robert, M. , SHIRES, Peter, K. , STOKES, Michael, J.
IPC分类号： A61B17/34 , A61B17/02
CPC分类号： A61B17/3421 , A61B17/0218 , A61B17/3403 , A61B2017/3407 , A61B2017/3454 , A61B2017/3484 , A61B2090/508
摘要： Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
摘要翻译：提供的方法和装置用于允许外科手术器械被外科支撑系统支撑，所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。提供了一种手术支撑系统，其包括限定枢轴点的引导端口，手术器械可以通过该枢轴点枢转。引导端口以及枢转点可以位于仪器前进的组织表面上方的距离处。还提供了用于允许体腔内注射而不在其中引入注射流体的方法和装置。提供了一种机械吹气装置，其包括构造成选择性地膨胀和展开以可机械地吹入体腔的可膨胀远侧构件。机械吹气装置可以可选地与外科支架系统一起使用。

5. 发明申请

WO2010099042A2 SHAPE CONTROL ENDOSCOPE 审中-公开
标题翻译：形状控制内窥镜
公开(公告)号：WO2010099042A2
公开(公告)日：2010-09-02
申请号：PCT/US2010/024731
申请日：2010-02-19
申请人： ETHICON ENDO-SURGERY, INC. , STEFANCHIK, David , SPIVEY, James, T. , STOKES, Michael, J.
发明人： STEFANCHIK, David , SPIVEY, James, T. , STOKES, Michael, J.
IPC分类号： A61B1/005 , A61B1/01
CPC分类号： A61B1/0055 , A61B1/00078 , A61B1/008 , A61B1/01
摘要： Methods and devices are provided for controlling an endoscope in a body cavity. In one exemplary embodiment, a stiffening element for an endoscopic surgical system includes an elongate member having a diameter configured for insertion and use in a channel of an endoscope. The elongate member can be movable between an unlocked position in which the elongate member is freely movable to assume a desired configuration, and a locked position in which the elongate member is maintained in a desired configuration. In one embodiment, the elongate member is formed from a plurality of links that are pivotally coupled to one another. Methods for controlling a surgical device in a body cavity, as well as systems for use in endoscopic surgeries, are also provided herein.
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，用于内窥镜手术系统的加强元件包括细长构件，该细长构件具有被构造用于在内窥镜的通道中插入和使用的直径。细长构件可以在其中细长构件可自由移动以呈现期望构造的解锁位置和锁定位置之间移动，在该位置中细长构件保持在期望的构型。在一个实施例中，细长构件由彼此枢转地联接的多个连杆形成。本文还提供了用于控制体腔内的手术装置的方法以及用于内窥镜手术的系统。

6. 发明申请

WO2008070654A2 INDEPENDENT ARTICULATING ACCESSORY CHANNEL 审中-公开
标题翻译：独立的附件通道
公开(公告)号：WO2008070654A2
公开(公告)日：2008-06-12
申请号：PCT/US2007/086370
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/或材料递送到手术部位的装置和方法。在一个实施例中，提供了一种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。细长护套可以适于在其中容纳内窥镜，并且其可以包括在其近端和远端之间纵向延伸的配合元件。附件通道可以适于接收穿过其中的工具，并且其还可以具有在其近端和远端之间延伸并且适于滑动地配合到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端部分。在使用中，细长护套和附件通道可以各自提供用于将工具和/或材料递送到手术部位的路径。细长护套的远端和附件通道可以彼此独立地拆卸和定位，以提供改进的工具和/或从其接收的材料的定位或放置

7. 发明申请

WO2007076126A2 ENDOSCOPE ENDCAP ATTACHMENT TOOL 审中-公开
标题翻译： ENDOSCOPE ENDCAP附件工具
公开(公告)号：WO2007076126A2
公开(公告)日：2007-07-05
申请号：PCT/US2006/049270
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：提供了一种工具和方法，用于将端盖附接到诸如内窥镜末端的医疗器械上，其中端盖包括可弹性变形的端盖开口，该端盖开口具有未扩张的直径，该直径小于仪器尖端和扩大的直径大于仪器尖端的直径。该工具具有第一部件和第二部件，第一部件适于保持端盖并接收器械尖端，第二部件可操作地与第一部件关联并且可相对于第一部件移动，其中第二部件适于将力施加到第一部件。在将端帽定位在相对于内窥镜末端的期望的纵向位置和角定向之前，端帽开口可以弹性变形以具有扩大的直径。

8. 发明申请

WO2013048953A1 METHODS AND DEVICES FOR REMOTELY CONTROLLING MOVEMENT OF SURGICAL TOOLS 审中-公开
标题翻译：用于远程控制外科手术运动的方法和装置
公开(公告)号：WO2013048953A1
公开(公告)日：2013-04-04
申请号：PCT/US2012/056867
申请日：2012-09-24
申请人： ETHICON ENDO-SURGERY, INC. , STOKES, Michael J. , PLESCIA, David N. , STEFANCHIK, David , VAKHARIA, Omar J. , YOO, Andrew , SPIVEY, James T. , HESS, Christopher J.
发明人： STOKES, Michael J. , PLESCIA, David N. , STEFANCHIK, David , VAKHARIA, Omar J. , YOO, Andrew , SPIVEY, James T. , HESS, Christopher J.
IPC分类号： A61B19/00
CPC分类号： A61B34/37 , A61B34/30 , A61B34/70 , A61B2017/00022 , A61B2017/00207
摘要： Methods and devices are provided for controlling movement of a distal end of a surgical instrument. In general, the methods and devices can allow for controlling movement of surgical tools, and in particular for causing mimicked motion between an external control unit and a surgical tool positioned within a patient's body. In one embodiment, a surgical system is provided having a master assembly including an input tool and a slave assembly including a surgical instrument. The master assembly and the slave assembly can be configured to be electronically coupled together such that movement of the master assembly can be electronically communicated to the slave assembly to cause mimicked movement of the slave assembly.
摘要翻译：提供了用于控制手术器械的远端的运动的方法和装置。通常，所述方法和装置可以允许控制手术工具的移动，并且特别是用于在外部控制单元和位于患者体内的外科手术工具之间引起模拟的运动。在一个实施例中，提供具有主组件的外科系统，所述主组件包括输入工具和包括外科器械的从属组件。主组件和从组件可以被配置为电子耦合在一起，使得主组件的运动可以电子地传递到从组件以引起从组件的模拟运动。

9. 发明申请

WO2011150159A1 METHODS AND DEVICES FOR PROVIDING MULTIPLE DEVICES ACCESS TO A SURGICAL SITE THROUGH A SINGLE PORT 审中-公开
标题翻译：通过单个端口提供多个设备访问外科手术站的方法和设备
公开(公告)号：WO2011150159A1
公开(公告)日：2011-12-01
申请号：PCT/US2011/038062
申请日：2011-05-26
申请人： ETHICON ENDO-SURGERY, INC. , STEFANCHIK, David , WEISENBURGH, William, B., II , SPIVEY, James, T.
发明人： STEFANCHIK, David , WEISENBURGH, William, B., II , SPIVEY, James, T.
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B2017/3445 , A61B2017/3466 , A61B2017/3484 , A61B2017/3492
摘要： Methods and devices are provided to assist in providing multiple devices access to a surgical site through a single port. In one exemplary embodiment an access device (10) includes a body having a plurality of ports (22, 24). The ports can include at least one primary instrument port (22) and at least one secondary instrument port (24). A self-sealing passageway (26) can be disposed between the primary and secondary instrument ports to allow communication between the two ports. As a result, a surgical instrument can be repositioned from one port to another without removing the instrument from the access device. In one embodiment a combined end effector nominal width of surgical instruments disposed in the ports can be greater than a diameter of the primary instrument port and/or a diameter of the body of the access device. Exemplary systems and methods for performing procedures using multiple devices in a single surgical opening are also provided.
摘要翻译：提供了方法和设备以帮助通过单个端口提供多个设备访问外科手术部位。在一个示例性实施例中，访问设备（10）包括具有多个端口（22,24）的主体。端口可以包括至少一个主要仪器端口（22）和至少一个辅助仪器端口（24）。自密封通道（26）可以设置在主要和第二仪器端口之间，以允许两个端口之间的通信。结果，外科器械可以从一个端口重新定位到另一个端口，而不需要从接入设备中移除仪器。在一个实施例中，设置在端口中的外科器械的组合的末端执行器标称宽度可以大于主要仪器端口的直径和/或进入装置的主体的直径。还提供了用于在单个手术开口中执行使用多个装置的程序的示例性系统和方法。

10. 发明申请

WO2009146397A1 SURGICAL FASTENING DEVICE 审中-公开
标题翻译：外科手术装置
公开(公告)号：WO2009146397A1
公开(公告)日：2009-12-03
申请号：PCT/US2009/045580
申请日：2009-05-29
申请人： ETHICON ENDO-SURGERY, INC. , STEFANCHIK, David , SPIVEY, James, T.
发明人： STEFANCHIK, David , SPIVEY, James, T.
IPC分类号： A61B17/00 , A61B17/04 , A61B17/12 , A61B17/064
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B17/12009 , A61B2017/0649
摘要： Various embodiments are directed to a surgical device comprising an end effector. The end effector may comprise a first jaw member defining a first groove and a second jaw member defining a second groove. The first jaw member and the second jaw member may be selectively pivotable between an open position and a closed position. Also, the first groove and the second groove align to form a combined helical groove when the first jaw member and the second jaw member are in the closed position. In addition, the first jaw member may define a wire opening aligned with the first groove.
摘要翻译：各种实施例涉及包括末端执行器的手术装置。端部执行器可以包括限定第一凹槽的第一钳口构件和限定第二凹槽的第二钳口构件。第一钳口构件和第二钳口构件可以在打开位置和关闭位置之间选择性地枢转。此外，当第一钳口构件和第二钳口构件处于关闭位置时，第一槽和第二槽对准以形成组合的螺旋槽。此外，第一钳口构件可以限定与第一凹槽对准的线开口。

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