公开(公告)号：US09955995B2

公开(公告)日：2018-05-01

申请号：US14494384

申请日：2014-09-23

申请人： TERUMO KABUSHIKI KAISHA

发明人： Masakatsu Kawaura ,  Shigeki Ariura

IPC分类号： A61B17/34 ,  A61B17/04 ,  A61B17/06 ,  A61B17/42 ,  A61F2/02 ,  A61F2/00 ,  A61B17/00

CPC分类号： A61B17/3421 ,  A61B17/0482 ,  A61B17/06109 ,  A61B17/3468 ,  A61B17/42 ,  A61B2017/00805 ,  A61B2017/06042 ,  A61B2017/3443 ,  A61F2/0045 ,  A61F2/02

摘要： A puncture device and method are disclosed, the puncture device includes a puncture member having a puncture needle for puncturing a biological tissue, a shaft portion, and a connection portion for connecting the puncture needle and the shaft portion to each other. The puncture needle includes a needle main body for puncturing the biological tissue, and an extension needle provided for movement relative to the needle main body along a longitudinal direction of the needle main body and configured to puncture the biological tissue. The puncture device includes, as extension means for moving the extension needle in a direction toward the distal end of the needle main body with respect to the needle main body to extend the puncture needle, and/or a pusher for pushing the extension needle to move in the direction toward the distal end of the needle main body.

公开(公告)号：US09949876B2

公开(公告)日：2018-04-24

申请号：US14639663

申请日：2015-03-05

申请人： CYGNUS LP

发明人： Fouad Mansour

IPC分类号： A61F9/007 ,  A61B17/00 ,  A61F9/008 ,  A61B17/34

CPC分类号： A61F9/00821 ,  A61B17/3421 ,  A61B17/3462 ,  A61B2017/00305 ,  A61B2017/00477 ,  A61B2017/3443 ,  A61B2017/347 ,  A61F9/00736

摘要： A surgical system combines a cannula and an instrument in a manner that allows small gauge instruments to be used effectively, with little or no bending with respect to the manipulating proximal side of the instrument. Such design overcomes the shortcomings of prior art, and applies to various microsurgical procedures, including ophthalmology, allowing the use of smaller endo-photocoagulation probes, illumination probes, combination probes, vitrectors, scissors, manipulators, picks, diathermy, and others. By using smaller gauge, patient recovery is expected to be faster.

公开(公告)号：US09946979B2

公开(公告)日：2018-04-17

申请号：US12996818

申请日：2009-06-19

申请人： Karen Irene Trovato ,  Aleksandra Popovic

发明人： Karen Irene Trovato ,  Aleksandra Popovic

IPC分类号： G01C21/34 ,  G06Q10/04 ,  A61B17/34

CPC分类号： G06Q10/047 ,  A61B17/3421 ,  A61B2017/3443

摘要： A system (200) executes a method (130-180) to produce an optimal path for any type of path planning application. In operation, the system (200) constructs a configuration space node structure representing a discretized configuration space including a plurality of states characterized by one or more parameters, and augments the configuration space node structure with discrete parameter values explicitly quantifying each node of the configuration space node structure and/or with heuristic values serving as a search guide through a free space region of the discretized configuration space.

公开(公告)号：US20170252063A1

公开(公告)日：2017-09-07

申请号：US15594120

申请日：2017-05-12

申请人： KOREA UNIVERSITY RESEARCH AND BUSINESS FOUNDATION

发明人： Ki Hoon AHN

IPC分类号： A61B1/04 ,  A61B1/303

CPC分类号： A61B17/3423 ,  A61B1/00154 ,  A61B1/303 ,  A61B1/3132 ,  A61B17/0218 ,  A61B17/3431 ,  A61B17/3462 ,  A61B17/3498 ,  A61B17/42 ,  A61B90/40 ,  A61B2017/00278 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00862 ,  A61B2017/00867 ,  A61B2017/3425 ,  A61B2017/3441 ,  A61B2017/3443 ,  A61B2017/3449 ,  A61B2017/345 ,  A61B2017/3466 ,  A61B2017/347 ,  A61B2017/3488 ,  A61B2017/4216 ,  A61B2017/4233 ,  A61B2217/007 ,  A61M2039/0646

摘要： The present invention relates to a laparoscopic port unit module in which one end thereof and the other end are placed inside and outside the human body, respectively, through the vaginal inlet, and provides a vaginal endoscopic port unit module comprising: an outer unit of which the end is exposed to the outside of the vaginal inlet and which comprises one or more outer ports allowing the entry of a surgical instrument including an endoscope; an inner unit formed at the inner wall of the vaginal canal so as to be placed at an incision region connected to the abdominal cavity and allowing the surgical instrument entering through the outer port to come in and out of the abdominal cavity; and a runner unit for connecting the outer unit and the inner unit.

公开(公告)号：US20170100162A1

公开(公告)日：2017-04-13

申请号：US15284683

申请日：2016-10-04

申请人： COVIDIEN LP

发明人： EUGENE CAMPBELL ,  JOHN O. MCWEENEY ,  BRIAN TINKHAM ,  STEPHEN J. TULLY

IPC分类号： A61B17/34 ,  A61B90/00

CPC分类号： A61B17/3468 ,  A61B17/3417 ,  A61B17/3478 ,  A61B90/03 ,  A61B90/39 ,  A61B2017/3419 ,  A61B2017/3443 ,  A61B2090/034 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/3925 ,  A61B2090/3966 ,  A61B2090/3987

摘要： Methods, apparatuses and systems are described for implanting a plurality of fiducial markers into a tissue. Systems include a needle, a stylet sized to slide within a lumen of the needle, and a multi-stop stylet spacer having stopping features configured to engage with the stylet to stop the distal end of the stylet at one or more predetermined distances from the distal end of the needle. Methods for implanting a plurality of fiducial markers into a tissue are described and include inserting a needle preloaded with fiducial markers into a tissue, adjusting a multi-stop stylet spacer from a safety position to a first deployment position, deploying a first fiducial marker into the tissue, adjusting the stylet spacer from the first deployment position to a second deployment position, and deploying a second fiducial marker into the tissue.

公开(公告)号：US20170065269A1

公开(公告)日：2017-03-09

申请号：US15254877

申请日：2016-09-01

申请人： DePuy Synthes Products, Inc.

发明人： DANIEL THOMMEN ,  JOERN RICHTER ,  MICHAEL WANG ,  RICHARD ASSAKER ,  RICHARD FESSLER ,  CHRISTOPHER MEHREN ,  TAN SEANG BENG ,  WILLIAM TAYLOR ,  ERIC BUEHLMANN ,  MICHAEL WHITE

IPC分类号： A61B17/02

CPC分类号： A61B17/025 ,  A61B1/00045 ,  A61B1/00091 ,  A61B1/00096 ,  A61B1/00103 ,  A61B1/00128 ,  A61B1/00133 ,  A61B1/00135 ,  A61B1/00149 ,  A61B1/00154 ,  A61B1/012 ,  A61B1/018 ,  A61B1/05 ,  A61B1/051 ,  A61B1/055 ,  A61B1/07 ,  A61B1/126 ,  A61B1/233 ,  A61B1/2676 ,  A61B1/3132 ,  A61B1/3135 ,  A61B1/317 ,  A61B1/32 ,  A61B5/04001 ,  A61B5/068 ,  A61B5/4041 ,  A61B5/407 ,  A61B17/00234 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/1637 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/320068 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/60 ,  A61B17/70 ,  A61B17/7032 ,  A61B17/7074 ,  A61B17/708 ,  A61B17/7083 ,  A61B18/1815 ,  A61B34/70 ,  A61B90/03 ,  A61B90/30 ,  A61B90/361 ,  A61B90/50 ,  A61B90/57 ,  A61B2017/00261 ,  A61B2017/00314 ,  A61B2017/0034 ,  A61B2017/00345 ,  A61B2017/00407 ,  A61B2017/00477 ,  A61B2017/00557 ,  A61B2017/00738 ,  A61B2017/00831 ,  A61B2017/00858 ,  A61B2017/00871 ,  A61B2017/00946 ,  A61B2017/00991 ,  A61B2017/0256 ,  A61B2017/0262 ,  A61B2017/320075 ,  A61B2017/3443 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3454 ,  A61B2017/3484 ,  A61B2017/564 ,  A61B2018/00339 ,  A61B2018/00565 ,  A61B2018/00577 ,  A61B2018/1861 ,  A61B2018/1869 ,  A61B2034/2055 ,  A61B2090/034 ,  A61B2090/036 ,  A61B2090/08021 ,  A61B2090/3983 ,  A61F2/4455 ,  A61F2/4611 ,  A61F2002/4635

摘要： An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

摘要翻译： 一种用于访问椎间盘的进入装置，其具有外屏蔽件，该外屏蔽件包括具有从皮肤到小平面线到达的较大直径（〜16-30mm）的进入屏蔽件，内屏蔽件具有第二较小直径（〜5 -12 mm）延伸穿过接入屏蔽，并达到光盘水平。 这结合了直观的视觉显微外科/迷你开放方法的优点和经皮的“超MIS”技术。

公开(公告)号：US20160220271A1

公开(公告)日：2016-08-04

申请号：US15000549

申请日：2016-01-19

申请人： SurgiQuest, Inc.

发明人： Dominick Mastri

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

CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/3431 ,  A61B17/3474 ,  A61B2017/00557 ,  A61B2017/3419 ,  A61B2017/3443 ,  A61B2017/3484 ,  A61B2017/3488 ,  A61M13/003 ,  A61M2205/3344

摘要： A surgical access device including a housing having a nozzle assembly, a gas supply plenum, a gas return plenum, and a pressure sensing plenum, as well as an elongated tubular body that extends from the housing portion and defines a central lumen communicating with the nozzle assembly and the gas return plenum, a telescopic cannula assembly associated with the tubular body and including a proximal section arranged coaxially within the tubular body and a distal section coaxially supported within the proximal section and mounted for movement relative to the proximal section between retracted and extended positions, and an elastomeric sheath associated with the telescopic cannula assembly and having a distal anchor portion for securing the surgical access device during a laparoscopic surgical procedure.

摘要翻译： 一种外科进入装置，包括具有喷嘴组件，气体供应气室，气体回流气室和压力感应气室的壳体，以及细长管状体，其从壳体部分延伸并限定与喷嘴连通的中心腔 组件和气体返回气室，与管状体相关联的伸缩套管组件，并且包括同轴地布置在管状体内的近侧部分和同轴支撑在近侧部分内的远侧部分，并且安装成用于相对于近端部分在缩回和延伸之间移动 位置，以及与伸缩套管组件相关联的弹性护套，并且具有用于在腹腔镜手术过程中固定外科进入装置的远侧锚固部分。

公开(公告)号：US09345870B2

公开(公告)日：2016-05-24

申请号：US14160033

申请日：2014-01-21

申请人： Northgate Technologies Inc.

发明人： Robert S. Mantell

IPC分类号： A61M39/02 ,  A61B17/34 ,  A61B17/00

CPC分类号： A61M39/0247 ,  A61B17/3415 ,  A61B17/3431 ,  A61B2017/00889 ,  A61B2017/3443 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3466 ,  A61B2017/3492 ,  A61B2090/037

摘要： An in-dwelling port for providing repeated entry to a body during and/or after an operation is described. The port may include an external portion secured to a body outside an incision and a collapsible insertion portion that is inserted through the incision. The collapsible portion collapses when no instrument or lumen is present to permits the body to return to substantially a normal profile around the incision.

摘要翻译： 描述了在操作期间和/或之后重复进入身体的住宅端口。 端口可以​​包括固定到切口外部的主体的外部部分和插入通过切口的可折叠插入部分。 当没有仪器或内腔存在时，可折叠部分塌陷，以允许身体返回到围绕切口的基本上正常的轮廓。

公开(公告)号：US20160135842A1

公开(公告)日：2016-05-19

申请号：US15001770

申请日：2016-01-20

申请人： DTherapeutics, LLC

发明人： Ghassan S. Kassab

IPC分类号： A61B17/34 ,  A61M25/09 ,  A61B5/1473 ,  A61B5/053 ,  A61B18/14

CPC分类号： A61B17/3496 ,  A61B5/0538 ,  A61B5/14542 ,  A61B5/14546 ,  A61B5/1473 ,  A61B17/3403 ,  A61B18/1477 ,  A61B2017/00026 ,  A61B2017/00867 ,  A61B2017/00907 ,  A61B2017/3405 ,  A61B2017/3443 ,  A61B2017/347 ,  A61M25/09

摘要： Transradial access devices, systems, and methods. An exemplary device of the present disclosure for providing access to a vessel or other luminal organ and to prevent overperforation of the same comprises a needle having a needle tip and at least one current element positioned thereon or embedded therein at or near the needle tip, a sheath positioned around at least part of the needle, and a protractor in communication with the needle, whereby engagement of the protractor causes the needle tip to protract from the sheath through the aperture, and whereby release of the protractor causes the needle tip to retract through the aperture into the sheath. Activation of the at least one current element can facilitation vasodilation of the vessel or other luminal organ.

摘要翻译： 经桡侧接入设备，系统和方法。 本公开的用于提供对容器或其他管腔器官的接近并防止其过度穿刺的本公开的示例性装置包括具有针尖和至少一个电流元件的针，所述针尖和至少一个电流元件定位在其上或者在针尖处或附近嵌入其中， 护套定位在针的至少一部分周围，以及与针相连的量角器，由此量角器的接合导致针尖通过孔从护套伸出，并且因此量角器的释放导致针尖缩回通过 孔进入护套。 至少一种当前元素的活化可促进血管或其它腔内器官的促血管舒张。

公开(公告)号：US09289200B2

公开(公告)日：2016-03-22

申请号：US13250398

申请日：2011-09-30

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

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

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

CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3431 ,  A61B17/3439 ,  A61B2017/3419 ,  A61B2017/3441 ,  A61B2017/3443 ,  A61B2017/3445 ,  A61B2017/345 ,  A61B2017/3452 ,  A61B2017/3456 ,  A61B2017/3484 ,  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; and 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.

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 以及在所述外环和所述管状体之间延伸并且联接所述外环和所述管状体之间的漏斗段，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，所述径向尺寸适于安装在 自然孔口，孔口膨胀小。