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    Methods and Devices for Articulating Laparoscopic Energy Device
    83.
    发明申请
    Methods and Devices for Articulating Laparoscopic Energy Device 审中-公开
    腹腔镜能量装置的方法和装置

    公开(公告)号：US20160100882A1

    公开(公告)日：2016-04-14

    申请号：US14511924

    申请日：2014-10-10

    Applicant: Ethicon Endo-Surgery, Inc.

    Inventor： Chad P. Boudreaux ,  Scott R. Bingham ,  Matthew C. Miller

    IPC: A61B18/14

    CPC classification number: A61B18/1445 ,  A61B2017/00314 ,  A61B2017/2902 ,  A61B2017/2929 ,  A61B2017/2938 ,  A61B2017/294 ,  A61B2018/00202 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/1455

    Abstract: Electrosurgical instruments and associated methods are disclosed herein. Embodiments of the electrosurgical instruments can include an elongate shaft that can articulate an end effector relative to the elongate shaft, with the end effector including opposed jaws and positioned at a distal end of the elongate shaft. In addition, electrosurgical instruments are provided that include a cutting feature or knife that is coupled to the end effector and can axially translate relative to the elongate shaft. Furthermore, the knife can be rotated relative to the elongate shaft, which can cause simultaneous rotation of the end effector. Electrosurgical instruments are also provided that include an end effector including opposed jaws that are configured to rotate relative to the elongate shaft and grasp objects (i.e., via opening and closing the opposed jaws). Electrical energy can also be passed through the electrosurgical instrument for performing electrosurgical procedures.

    Abstract translation: 本文公开了电外科手术器械和相关方法。 电外科器械的实施例可以包括细长轴，该细长轴可以相对于细长轴连接端部执行器，其中端部执行器包括相对的钳口并且定位在细长轴的远端。 此外，提供电外科器械，其包括切割特征或刀，其联接到末端执行器并且可相对于细长轴轴向平移。 此外，刀可以相对于细长轴旋转，这可以引起端部执行器的同时旋转。 还提供了电外科器械，其包括端部执行器，其包括相对的钳口，该钳口构造成相对于细长轴旋转并且抓住物体（即，通过打开和关闭相对的钳口）。 电能还可以通过电外科手术器械进行电外科手术。

    METHODS AND SYSTEMS FOR REDUCING NEURAL ACTIVITY IN AN ORGAN OF A SUBJECT
    87.
    发明申请
    METHODS AND SYSTEMS FOR REDUCING NEURAL ACTIVITY IN AN ORGAN OF A SUBJECT 有权
    用于减少受试者的一个机构的神经活动的方法和系统

    公开(公告)号：US20150359594A1

    公开(公告)日：2015-12-17

    申请号：US14763514

    申请日：2014-01-30

    Applicant: DIGMA MEDICL LTD.

    Inventor： Ilan Ben-Oren ,  Avia Herschkovitz ,  Tamir Wolf ,  Irit Yaniv

    IPC: A61B18/24

    CPC classification number: A61B18/24 ,  A61B2018/00202 ,  A61B2018/00273 ,  A61B2018/00434 ,  A61B2018/00494 ,  A61B2018/00577 ,  A61B2018/00773 ,  A61B2018/00982 ,  A61B2018/20359 ,  A61B2018/2272

    Abstract: The present disclosure provides, according to some embodiments, methods and systems for selectively reducing, blocking or inhibiting at least part of the neural activity in an organ of a subject. In preferred embodiments, the method and system are used for selectively blocking at least part of the neural activity in a duodenum of a subject in need thereof. According to some embodiments, the selective blocking occurs through use of laser radiation. According to some embodiments, the selective blocking comprises causing damage to at least part of sensory nerves located within a target area while maintaining functional activity of tissue surrounding the sensory nerves. According to some embodiments, the sensory nerves include neurons configured to transmit signals triggered by food passing through the duodenum, such as, but not limited to, neurohormonal signals.

    Abstract translation: 根据一些实施方案，本公开提供了用于选择性地减少，阻断或抑制受试者器官中的至少一部分神经活性的方法和系统。 在优选实施方案中，所述方法和系统用于选择性阻断需要其的受试者的十二指肠中的至少一部分神经活性。 根据一些实施例，通过使用激光辐射发生选择性阻塞。 根据一些实施例，选择性阻塞包括对位于目标区域内的感觉神经的至少部分造成损伤，同时保持围绕感觉神经的组织的功能活动。 根据一些实施例，感觉神经包括被配置为传送由通过十二指肠的食物触发的信号的神经元，例如但不限于神经激素信号。

    APPARATUS, SYSTEMS, AND METHODS FOR DISSECTION AND MODIFICATION OF TISSUES
    88.
    发明申请
    APPARATUS, SYSTEMS, AND METHODS FOR DISSECTION AND MODIFICATION OF TISSUES 审中-公开
    装置，系统和组织的分离和修改方法

    公开(公告)号：US20150359585A1

    公开(公告)日：2015-12-17

    申请号：US14301609

    申请日：2014-06-11

    Applicant: Paul J. Weber

    Inventor： Paul J. Weber

    IPC: A61B18/14

    CPC classification number: A61B18/1402 ,  A61B90/50 ,  A61B2018/00202 ,  A61B2018/00404 ,  A61B2018/00589 ,  A61B2018/00708 ,  A61B2018/1467 ,  A61B2018/1475

    Abstract: Apparatus for tissue separation and/or modification. In some embodiments, the apparatus comprises a tip comprising a plurality of protrusions and at least one lysing element positioned between at least two adjacent protrusions. The apparatus may further comprise a spot coagulator comprising a spot coagulator tip for delivering energy for coagulating a blood vessel during a surgical procedure. The spot coagulator tip may be movable with respect to the plurality of protrusions to allow a surgeon to selectively deliver coagulating energy as desired.

    Abstract translation: 用于组织分离和/或修饰的装置。 在一些实施例中，该装置包括尖端，其包括多个突起和位于至少两个相邻突起之间的至少一个裂解元件。 该装置还可以包括点凝结器，其包括用于在外科手术过程中输送用于凝血血管的能量的点凝结器尖端。 斑点凝结器尖端可以相对于多个突起移动，以允许外科医生根据需要选择性地输送凝血能量。

    VESSEL SEALER AND DIVIDER FOR USE WITH SMALL TROCARS AND CANNULAS
    89.
    发明申请
    VESSEL SEALER AND DIVIDER FOR USE WITH SMALL TROCARS AND CANNULAS 有权
    船用密封件和分隔器，用于小型卡车和卡车

    公开(公告)号：US20150257820A1

    公开(公告)日：2015-09-17

    申请号：US14725271

    申请日：2015-05-29

    Applicant: COVIDIEN AG

    Inventor： SEAN T. DYCUS ,  DUANE E. KERR ,  DARION R. PETERSON

    IPC: A61B18/14

    CPC classification number: A61B18/1445 ,  A61B17/32 ,  A61B18/00 ,  A61B18/085 ,  A61B18/1482 ,  A61B2017/2902 ,  A61B2017/294 ,  A61B2018/00196 ,  A61B2018/00202 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00916 ,  A61B2018/1412 ,  A61B2018/1452 ,  A61B2018/1455 ,  A61B2018/1861 ,  A61B2090/034

    Abstract: An endoscopic bipolar forceps includes a housing and a shaft affixed to the housing. The shaft includes a longitudinal axis defined therethrough and a pair of jaw members attached to a distal end thereof. The forceps also includes a drive assembly for moving one of the jaw members relative to the other jaw member from a first position wherein the movable jaw members are disposed in spaced relation relative to each other to a second position wherein the jaw members are closer one another for manipulating tissue. A movable handle is included which is rotatable about a pivot to force a drive flange of the movable handle into mechanical cooperation with the drive assembly to move the jaw members from the open and closed positions. The pivot is located a fixed distance from the longitudinal axis and the drive flange is located generally along the longitudinal axis. The forceps is connected to a source of electrosurgical energy connected to each jaw member such that the jaw members are capable of conducting bipolar energy through tissue held therebetween to effect a tissue seal.

    Abstract translation: 内窥镜双极镊子包括壳体和附接到壳体的轴。 该轴包括一个通过其限定的纵向轴线和一对连接到其远端的钳口构件。 镊子还包括驱动组件，用于从第一位置相对于另一钳口构件移动钳口构件中的一个，其中可动钳口构件相对于彼此以间隔开的关系设置到第二位置，其中钳口构件彼此靠近 用于操纵组织。 包括可移动手柄，其可围绕枢轴旋转，以迫使可移动手柄的驱动凸缘与驱动组件机械配合，以使夹爪构件从打开和关闭位置移动。 枢轴位于距纵向轴线固定的距离处，并且驱动凸缘大致沿着纵向轴线定位。 镊子连接到连接到每个钳口构件的电外科能量源，使得钳口构件能够通过保持在其间的组织传导双极能以实现组织密封。

    NERVE AND SOFT TISSUE ABLATION DEVICE HAVING RELEASE INSTRUMENT
    90.
    发明申请
    NERVE AND SOFT TISSUE ABLATION DEVICE HAVING RELEASE INSTRUMENT 有权
    具有释放仪器的神经和软组织消除装置

    公开(公告)号：US20150230850A1

    公开(公告)日：2015-08-20

    申请号：US14703199

    申请日：2015-05-04

    Applicant: Warsaw Orthopedic, Inc.

    Inventor： William F. McKay

    IPC: A61B18/02 ,  A61B17/00

    CPC classification number: A61B18/02 ,  A61B17/00234 ,  A61B18/0218 ,  A61B2018/00041 ,  A61B2018/00095 ,  A61B2018/00166 ,  A61B2018/00202 ,  A61B2018/00351 ,  A61B2018/00434 ,  A61B2018/00529 ,  A61B2018/00541 ,  A61B2018/00565 ,  A61B2018/00577 ,  A61B2018/00821 ,  A61B2018/00875 ,  A61B2018/0262 ,  A61B2018/0293 ,  A61B2034/2051 ,  A61B2034/2055 ,  A61B2090/062

    Abstract: Ablation devices useful tor destroying nerve and soft tissue via a minimally invasive procedure to alleviate pain are provided. The device comprises a probe comprising an ulterior surface, that defines an internal passage and an exterior surface comprising a tip. The internal passage has a filament comprising an opening configured to release a pressurized material into the interior surface of the probe so as to cool the exterior surface of the probe to a selected temperature. A release instrument is provided comprising a sheath that comprises an exterior surface and an interior surface configured for engagement with the probe. The probe tip is configured for ablating nerve and/or soft tissue by forming an ice ball, and the release instrument is configured to release the probe tip from the ice ball. Methods for ablating nerve and/or soft tissue utilizing the ablation devices are also provided.

    Abstract translation: 提供了通过微创手术来破坏神经和软组织以消除疼痛的消融装置。 该装置包括探针，其包括限定内部通道的外表面和包括尖端的外表面。 内部通道具有灯丝，其包括构造成将加压材料释放到探针的内表面中的开口，以便将探针的外表面冷却到所选择的温度。 提供了一种释放器械，其包括护套，其包括外表面和构造成用于与探针接合的内表面。 探针尖端被配置为通过形成冰球来消融神经和/或软组织，并且释放装置构造成从冰球释放探针尖端。 还提供了利用消融装置消融神经和/或软组织的方法。

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