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：US09662003B2

公开(公告)日：2017-05-30

申请号：US14479457

申请日：2014-09-08

申请人： Covidien LP

发明人： Mark Russo

IPC分类号： A61B1/04 ,  A61B1/32 ,  A61B1/313 ,  A61B17/34 ,  A61B34/20 ,  A61B1/00 ,  A61B17/29

CPC分类号： A61B1/32 ,  A61B1/3132 ,  A61B17/3423 ,  A61B34/20 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/3429

摘要： A surgical device including a seal anchor that includes leading and trailing portions. A plurality of ports longitudinally extends between the leading and trailing portions. The ports are adapted and configured to receive surgical objects therein. At least one of the surgical objects is a viewing instrument including a viewing portion. During a surgical procedure, surgical objects inserted in the other ports are selectively positionable with respect to the viewing instrument.

公开(公告)号：US20170112530A1

公开(公告)日：2017-04-27

申请号：US15396869

申请日：2017-01-03

申请人： Covidien LP

发明人： David N. Fowler ,  David Farascioni ,  Daniel Galel

IPC分类号： A61B17/34

CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B2017/0225 ,  A61B2017/3429 ,  A61B2017/3441 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/346 ,  A61B2017/348 ,  A61B2017/3488

摘要： A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity includes a seal anchor member including leading portion, a trailing portion, and an intermediate portion disposed between the leading and trailing portions. The leading portion of the seal anchor member is configured and adapted to ease insertion of the seal anchor member into the tissue tract. Subsequent to insertion of the seal anchor member, the leading portion of the seal anchor member is also configured and adapted to facilitate securing and/or anchoring of the seal anchor member within the tissue tract.

公开(公告)号：US09526521B2

公开(公告)日：2016-12-27

申请号：US14831394

申请日：2015-08-20

申请人： Covidien LP

发明人： Robert C. Smith

IPC分类号： A61B17/34 ,  A61B17/02 ,  A61B1/32 ,  A61M13/00 ,  A61M39/02 ,  A61B17/00

CPC分类号： A61B17/3423 ,  A61B1/32 ,  A61B17/0218 ,  A61B17/0293 ,  A61B2017/00477 ,  A61B2017/00862 ,  A61B2017/0225 ,  A61B2017/3419 ,  A61B2017/3429 ,  A61B2017/3433 ,  A61B2017/3443 ,  A61B2017/3445 ,  A61B2017/3486 ,  A61M13/003 ,  A61M39/0247 ,  A61M2039/0261 ,  A61M2202/0225

摘要： A surgical access assembly includes an access port and a seal anchor. The access port includes a proximal ring, an intermediate ring, a distal ring, and a sleeve defining a passage therethrough. In particular, the proximal, intermediate and distal rings are concentrically arranged with the passage of the sleeve, and the sleeve extends between the proximal and distal rings. The seal anchor is adapted to be at least partially disposed in the access port, and defines a lumen therethrough. At least one of the proximal, intermediate, and distal rings is configured and dimensioned to engage the seal anchor in a sealing relation therewith.

公开(公告)号：US09451980B2

公开(公告)日：2016-09-27

申请号：US13950320

申请日：2013-07-25

申请人： Covidien LP

发明人： Francesco Alfieri

IPC分类号： A61B17/34 ,  A61B17/00

CPC分类号： A61B17/3423 ,  A61B2017/00265 ,  A61B2017/3429

摘要： A device for accessing a body cavity through an opening in tissue is provided. The access device includes a unitary compressible body configured to be received in an opening in tissue. The compressible body includes a central portion, an upper rim located on a proximal end of the body and a lower rim located on a distal end of the body. The central portion defines a slit configured to permit the passage of a hand therethrough in a sealing manner.

摘要翻译： 提供了一种用于通过组织中的开口进入体腔的装置。 进入装置包括被构造成容纳在组织中的开口中的单一可压缩主体。 所述可压缩体包括中心部分，位于所述主体的近端上的上边缘和位于所述主体的远端上的下边缘。 中心部分限定了狭缝，其被构造成允许手以其密封方式通过。

公开(公告)号：US09402612B2

公开(公告)日：2016-08-02

申请号：US14209393

申请日：2014-03-13

申请人： Prescient Surgical, Inc. ,  The Leland Stanford Junior University

发明人： Jeremy Koehler ,  Jonathan Coe ,  Insoo Suh

IPC分类号： A61B1/32 ,  A61B17/02 ,  A61M3/02 ,  A61M1/00 ,  A61B17/34

CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3431 ,  A61B2017/0225 ,  A61B2017/3429 ,  A61M1/0023 ,  A61M1/0058 ,  A61M1/0084 ,  A61M3/0279

摘要： A surgical access device for facilitating access through an incision to a surgical site in a patient's body has a pliable membrane which is configured to engage and expand the incision. The pliable membrane includes a base layer, a permeable membrane attached to the base layer, and a fluid channel disposed between the layers. The fluid channel is fluidly coupled to a fluid source. The fluid is delivered to the surgical site via the permeable membrane. The surgical access device may also have a locking mechanism for holding the device in a desired configuration.

摘要翻译： 用于促进通过切口进入到患者体内的手术部位的手术进入装置具有柔性膜，其被配置为接合和扩张切口。 柔性膜包括基底层，连接到基底层的可渗透膜以及设置在层之间的流体通道。 流体通道流体地联接到流体源。 流体通过渗透膜输送到手术部位。 外科进入装置还可以具有用于将装置保持在期望的构造的锁定机构。

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：US09289115B2

公开(公告)日：2016-03-22

申请号：US13865854

申请日：2013-04-18

申请人： Kevin K. Dang ,  Jeremy J. Albrecht ,  Blaze Brown ,  Adam Hoke ,  Adeeb Saiduddin ,  Gary M. Johnson ,  Jacob J. Filek

发明人： Kevin K. Dang ,  Jeremy J. Albrecht ,  Blaze Brown ,  Adam Hoke ,  Adeeb Saiduddin ,  Gary M. Johnson ,  Jacob J. Filek

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

CPC分类号： A61B17/3423 ,  A61B1/32 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3421 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/00889 ,  A61B2017/00907 ,  A61B2017/0225 ,  A61B2017/3419 ,  A61B2017/3429 ,  A61B2017/3443 ,  A61B2017/3445 ,  A61B2017/345 ,  A61B2017/3452 ,  A61B2017/3466 ,  A61B2017/347 ,  A61B2017/3482 ,  A61B2017/3486 ,  A61B2017/3492

摘要： Embodiments of a surgical access port system that comprises a retractor that is adapted for being coupled to a cap and that is particularly useful in natural orifice surgery are described. The retractor comprises an outer ring, wherein the outer ring is configured to be disposed proximate the natural orifice of the patient and substantially surround the orifice; a tubular body; a funnel segment extending between and coupling the outer ring and the tubular body, wherein the funnel segment provides a diametric reduction between the relatively large diameter of the outer ring and the relatively smaller diameter of the tubular body, which is sized to fit within a natural orifice with minimal distention of the orifice; and an inflatable member disposed around the distal end of the tubular body, the inflatable member sized and configured to fit snugly around the tubular body in the deflated condition and to expand against the wall of the natural orifice in the inflated state to thereby stabilize and retain the retractor within the orifice.

摘要翻译： 描述了外科进入口系统的实施例，其包括适于联接到帽并且在自然孔口手术中特别有用的牵开器。 牵开器包括外环，其中外环被配置成靠近患者的自然孔并且基本上围绕孔; 管状体 漏斗段，其在所述外环和所述管状主体之间延伸并联接，其中所述漏斗段在所述外环的相对较大直径和所述管状体的相对较小直径之间提供直径减小，其尺寸设定成适合于自然界 小孔膨胀小孔; 以及可膨胀构件，其围绕所述管状体的远端设置，所述可膨胀构件的尺寸和构造适于在所述放气状态下紧密地配合在所述管状体周围，并且在膨胀状态下抵靠所述自然孔的壁膨胀，从而稳定和保持 收缩器在孔内。