公开(公告)号：US20180153578A1

公开(公告)日：2018-06-07

申请号：US15866158

申请日：2018-01-09

申请人： INTUITIVE SURGICAL OPERATIONS, INC.

发明人： Thomas G. Cooper ,  Anthony K. McGrogan ,  Paul E. Lilagan ,  Daniel H. Gomez ,  Giuseppe Maria Prisco

IPC分类号： A61B17/34 ,  A61B1/00 ,  A61B17/00

CPC分类号： A61B17/3421 ,  A61B1/00064 ,  A61B17/3474 ,  A61B34/30 ,  A61B90/11 ,  A61B2017/00278 ,  A61B2017/003 ,  A61B2017/00309 ,  A61B2017/00323 ,  A61B2017/00362 ,  A61B2017/3445 ,  A61B2017/3466

摘要： A surgical access port comprises an instrument guide. The instrument guide comprises a proximal end, a distal end, a plurality of instrument guide channels between the proximal and distal ends of the instrument guide, and an outside surface that fits closely to an inner wall surface of a cannula into which the instrument guide is inserted. A first guide channel of the plurality of instrument guide channels is configured to support a first surgical instrument at a first defined position within the cannula. A second guide channel of the plurality of instrument guide channels is configured to support a second surgical instrument at a second defined position within the cannula. A first guide channel opening is defined along a length of the first guide channel to be open to the outside surface of the instrument guide and to place a portion of the first surgical instrument supported by the first guide channel of the instrument guide adjacent the inner wall surface of the cannula.

公开(公告)号：US20170273717A1

公开(公告)日：2017-09-28

申请号：US15621925

申请日：2017-06-13

申请人： Cannuflow, Inc.

发明人： Theodore R. Kucklick

IPC分类号： A61B17/34

CPC分类号： A61B17/3423 ,  A61B17/3421 ,  A61B17/3496 ,  A61B2017/3466

摘要： A flexible cannula device and delivery system for use in arthroscopic surgery. The delivery system engages the flexible cannula from the inside near the distal tip and pushes it into the surgical portal, essentially pulling the proximal portion of the cannula from the distal tip while being pushed from the proximal end with the specialized driver. The delivery system provides for single point engagement at the distal tip as well as a multiplicity of engagement points along the length of the system.

公开(公告)号：US09744317B2

公开(公告)日：2017-08-29

申请号：US14573673

申请日：2014-12-17

申请人： Covidien LP

发明人： Gregory Okoniewski

IPC分类号： A61B1/32 ,  A61M13/00 ,  A61B17/34 ,  A61B17/02 ,  A61B17/00

CPC分类号： A61M13/003 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/00238 ,  A61B2017/3429 ,  A61B2017/3445 ,  A61B2017/3466 ,  A61B2017/3492 ,  A61M2202/02

摘要： A seal anchor member defines a housing defining a longitudinal axis, the housing having leading and trailing ends, and including a plurality of lumens extending between the leading and trailing ends, each lumen being adapted for substantially sealed reception of an object therein and defining a longitudinal axis, wherein at least two of the lumens define longitudinal axes that are non-parallel to facilitate angled, at-rest placement of multiple instruments within the seal anchor member.

公开(公告)号：US09700295B2

公开(公告)日：2017-07-11

申请号：US14556360

申请日：2014-12-01

申请人： Covidien LP

发明人： Gennady Kleyman ,  Gregory G. Okoniewski

IPC分类号： A61B17/34 ,  A61B17/02

CPC分类号： A61B17/0293 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3462 ,  A61B2017/3429 ,  A61B2017/3435 ,  A61B2017/3443 ,  A61B2017/3445 ,  A61B2017/3466

摘要： A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity is adapted to tissues having different thicknesses. The surgical apparatus is configured to have different lengths. In one embodiment, the surgical includes a seal anchor member having two ends, and one of which is adapted to fold resulting in a plurality of folded states. Each folded state corresponds to a different length of the seal anchor member. The seal anchor member includes a slot to facilitate transition within the plurality of folded states. The seal anchor member further includes an aperture and a pin configured to further facilitate transition within the plurality of folded states.

公开(公告)号：US09468426B2

公开(公告)日：2016-10-18

申请号：US14032747

申请日：2013-09-20

申请人： Ethicon Endo-Surgery, Inc.

发明人： Sean P. Conlon ,  William B. Weisenburgh, II

IPC分类号： A61B19/00 ,  A61B17/00 ,  A61B17/29 ,  A61B17/34 ,  A61B17/28

CPC分类号： A61B17/29 ,  A61B17/00234 ,  A61B17/28 ,  A61B17/3421 ,  A61B17/3423 ,  A61B2017/00367 ,  A61B2017/00738 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/2908 ,  A61B2017/2927 ,  A61B2017/3466 ,  A61B2090/035

摘要： Methods and devices are provided for performing minimally invasive surgical procedures. In one embodiment, a surgical device is provided that include an elongate shaft having a distal portion configured to be movable between a first configuration in which the distal portion of the shaft is substantially straight or linear and a second configuration in which the distal portion of the shaft is articulated at a compound angle. The shaft's distal portion can include two articulation joints to facilitate formation of the compound angle.

公开(公告)号：US20160262794A1

公开(公告)日：2016-09-15

申请号：US15068366

申请日：2016-03-11

申请人： Applied Medical Resources Corporation

发明人： Serene Wachli ,  Tracy Breslin ,  Steven C. Kessler ,  Nikolai Poulsen ,  Nathan Collins ,  Alexandra Do ,  Eduardo Bolanos ,  Boun Pravong ,  Patrick Elliott ,  Matthew A. Wixey ,  Wayne Young ,  Jacob Filek ,  Kevin B. Castelo ,  Adam Hoke ,  Gregory K. Hofstetter ,  Jacqueline DeMarchi ,  Amy Garces ,  Heidi Holmes ,  Alexander Sheehan

IPC分类号： A61B17/34

CPC分类号： A61B17/3462 ,  A61B17/00234 ,  A61B17/0293 ,  A61B17/320016 ,  A61B17/3211 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3494 ,  A61B17/3496 ,  A61B90/50 ,  A61B2017/00287 ,  A61B2017/00557 ,  A61B2017/320024 ,  A61B2017/3466 ,  A61B2017/347 ,  A61B2017/349 ,  A61B2017/4216 ,  A61B2090/08021

摘要： Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently.

摘要翻译： 提供了用于防止在患者体内的组织标本脱毛期间癌细胞接种的系统和方法，并且通过向患者外部的微创身体从病人内部去除组织标本。 一个系统包括可拆卸地插入到安全壳中的防切割组织护罩。 组织样本被分离并包含在容纳袋内，并且保护罩被配置为保护容纳袋和周围组织免受与组织样本的脱毛和抽出期间使用的尖锐仪器的偶然接触。 防护罩可调节，便于插入和拆卸，并构造成可靠地锚固在车身开口处。 提供了用于组织去除的基于保护重点和基于遏制的系统，其能够安全有效地进行微创程序。

公开(公告)号：US09421034B2

公开(公告)日：2016-08-23

申请号：US14213602

申请日：2014-03-14

申请人： Applied Medical Resources Corporation

发明人： Charles C. Hart ,  John R. Brustad ,  Jeremy J. Albrecht

IPC分类号： A61B17/34 ,  A61B17/02

CPC分类号： A61B17/3439 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3462 ,  A61B2017/0225 ,  A61B2017/3441 ,  A61B2017/3445 ,  A61B2017/3466

摘要： A trocar surgical seal or surgical access device is provided. The trocar surgical seal comprises first and second supports coupled together by a film passageway. The trocar surgical seal provides an instrument seal for instruments inserted therethrough. The trocar surgical seal occupies minimal surgical space.

摘要翻译： 提供一种套管针外科手术封口或手术进入装置。 套管针外科密封件包括通过胶片通道联接在一起的第一和第二支撑件。 套管针外科密封件为插入其中的器械提供仪器密封。 套管针手术密封件占用最小的手术空间。

公开(公告)号：US20160183932A1

公开(公告)日：2016-06-30

申请号：US15060231

申请日：2016-03-03

申请人： Atropos Limited

发明人： Kirk Anthony SHIBLEY ,  Frank BONADIO ,  Trevor VAUGH ,  Shane Joseph MACNALLY

IPC分类号： A61B17/00 ,  A61B17/34

CPC分类号： A61B17/00234 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/22 ,  A61B17/3423 ,  A61B17/3474 ,  A61B2017/00287 ,  A61B2017/00557 ,  A61B2017/00659 ,  A61B2017/00946 ,  A61B2017/00951 ,  A61B2017/0225 ,  A61B2017/22061 ,  A61B2017/320024 ,  A61B2017/3429 ,  A61B2017/3447 ,  A61B2017/3466 ,  A61B2017/4216 ,  A61J1/10 ,  A61M13/003

摘要： A bag with one or more openings is placed within a body cavity. Excised tissue is placed within the opening of a deflated bag. One or more openings of the bag are withdrawn outside the body cavity and the bag is inflated. Instruments including laparoscopic visualization are placed within the inflated bag that remains within the body cavity. The tissue retained within the bag is morcellated/crushed/reduced and removed. The bag is deflated and removed with residual tissue/blood/fluids inside. The tissue to be removed is retained in the bag which prevents potentially harmful material such as cancerous cells from being released in the body cavity.

摘要翻译： 具有一个或多个开口的袋子放置在体腔内。 将排出的组织放置在放气袋的开口内。 袋子的一个或多个开口被抽出在体腔外部并且袋子被充气。 包括腹腔镜可视化的仪器放置在保持在体腔内的充气袋内。 保留在袋内的组织被磨碎/压碎/还原并除去。 袋子被放气并且被残留的组织/血液/流体内部去除。 要除去的组织保留在袋中，其防止潜在的有害物质例如癌细胞在体腔内释放。

公开(公告)号：US20160157950A1

公开(公告)日：2016-06-09

申请号：US15045184

申请日：2016-02-16

申请人： INTUITIVE SURGICAL OPERATIONS, INC.

发明人： Giuseppe Maria PRISCO ,  Samuel AU

IPC分类号： A61B34/37 ,  A61B34/10 ,  A61B90/00 ,  A61B34/00

CPC分类号： A61B34/37 ,  A61B1/00149 ,  A61B1/00193 ,  A61B1/313 ,  A61B17/0218 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/3474 ,  A61B17/3498 ,  A61B34/10 ,  A61B34/30 ,  A61B34/71 ,  A61B34/73 ,  A61B34/76 ,  A61B90/03 ,  A61B90/37 ,  A61B90/50 ,  A61B90/90 ,  A61B90/92 ,  A61B2017/00473 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/0419 ,  A61B2017/2904 ,  A61B2017/2905 ,  A61B2017/2929 ,  A61B2017/2936 ,  A61B2017/2948 ,  A61B2017/3419 ,  A61B2017/3429 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3454 ,  A61B2017/3466 ,  A61B2034/2061 ,  A61B2034/301 ,  A61B2034/305 ,  A61M25/0041 ,  A61M25/0105 ,  Y10S901/00

摘要： A robotic surgical system is configured with rigid, curved cannulas that extend through the same opening into a patient's body. Surgical instruments with passively flexible shafts extend through the curved cannulas. The cannulas are oriented to direct the instruments towards a surgical site. A teleoperation control system that moves the curved cannulas and their associated instruments in a manner that allows a surgeon to experience intuitive control is disclosed. The flexible shaft instruments are controlled as if extending along a virtual straight line insertion and withdrawal axis. Various port features that support the curved cannulas within the single opening are disclosed. Cannula support fixtures that support the cannulas during insertion into the single opening and mounting to robotic manipulators are disclosed.

公开(公告)号：US09351717B2

公开(公告)日：2016-05-31

申请号：US14571457

申请日：2014-12-16

申请人： Ethicon Endo-Surgery, Inc.

发明人： Christopher W. Widenhouse ,  Frederick E. Shelton, IV

IPC分类号： A61B1/32 ,  A61B17/02 ,  A61B17/34 ,  A61B17/00

CPC分类号： A61B17/0218 ,  A61B17/3423 ,  A61B17/3462 ,  A61B2017/00862 ,  A61B2017/3419 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3449 ,  A61B2017/3464 ,  A61B2017/3466

摘要： Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing coupled to a retractor. The housing can be have one or more movable sealing ports for receiving surgical instruments. Each movable sealing port can include one or more sealing elements therein for sealing the port and/or forming a seal around a surgical instrument disposed therethrough. Each movable sealing port can be rotatable relative to the housing and each sealing element can be rotatable relative to the housing along a predetermined orbital path.