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1. 发明申请

WO2018130978A1 CATHETER COMPRISING A BENDABLE DISTAL PART 审中-公开
公开(公告)号：WO2018130978A1
公开(公告)日：2018-07-19
申请号：PCT/IB2018/050198
申请日：2018-01-12
申请人： MERLINI, Marco
发明人： MERLINI, Marco
IPC分类号： A61M25/01 , A61B17/3207 , A61B1/005 , A61B17/00
CPC分类号： A61B17/3207 , A61B1/0052 , A61B1/0056 , A61B1/0057 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61M25/0136 , A61M25/0138 , A61M25/0147 , A61M2025/0161
摘要： The present invention concerns a catheter (10) comprising: a proximal part (12), a distal part (11) and a shaft part (14) extending between the proximal part (12) and the distal part (11); the distal part (11) comprising a flexible, tubular hollow body (15) extending along an axis (100) and that can be bent in a predetermined bending direction that is offset from the axis (100);a plurality of longitudinally adjacent unconnected elements (16) arranged within the tubular hollow body (15) such that the elements (16) can be moved apart from each other and compressed against each other along the axis (100); each element (16) having a section (160) parallel to the axis (100), such that compressing the elements (16) against each other causes the distal part (11) to bend in at least one predetermined bending direction that is determined by the section (160) of each element of the plurality of elements (16).

2. 发明申请

WO2017216877A1 処置具审中-公开
标题翻译：治疗仪器
公开(公告)号：WO2017216877A1
公开(公告)日：2017-12-21
申请号：PCT/JP2016/067685
申请日：2016-06-14
申请人：オリンパス株式会社
发明人：川口　佑樹
IPC分类号： A61B17/29
CPC分类号： A61B17/29 , A61B17/064 , A61B2017/00314 , A61B2017/00327 , A61B2017/0042 , A61B2017/2901 , A61B2017/2912 , A61B2017/2929 , A61B2017/293 , A61B2017/2936 , A61B2017/2937 , A61B2017/2946
摘要：シャフト（3）がハウジング（2）に対して所定の回転軸回りに回転可能であり、エンドエフェクタ（5）が、前記シャフト（3）に対して屈曲可能又は湾曲可能に取付けられる処置具（1）において、エンドエフェクタ（5）が屈曲又は湾曲しているときに、所定の回転軸回りの回転を抑制する。　連動部材（51A,51b）を前記シャフト（3）とは独立して設け、前記ハウジング（2）に対する回転が規制された状態又は前記シャフト（3）に対する回転が規制された状態で受け部(52)を設ける。前記エンドエフェクタ（5）の屈曲動作又は湾曲動作に前記連動部材（51A，51b）が連動することにより、前記連動部材（51A，51b）が前記受け部（52）に係合することで、前記シャフト（3）の前記所定の回転軸回りの回転が抑制される。
摘要翻译：
轴（3）是在预定的相对于所述壳体（2）中，端部执行器（5），可弯曲的一个旋转轴旋转或相对于所述轴弯曲的（3）在安装有可能是处理器具（1）中，当端部执行器（5）是弯折或弯曲，以抑制旋转预定轴线的转动。互锁构件（51A，51B）独立地设置的所述轴（3），所述外壳（2）时的旋转速度相对于调节或所述在旋转相对于限制的状态接收到的轴（3）部分（52 ）提供。其特征在于所述联锁部件（51A，51B）连接到末端执行器的弯曲操作或弯曲操作（5）互锁，该互锁部件（51A，51B），其与所述接收部（52），其特征在于，接合轴（3）围绕预定旋转轴线的旋转被抑制。

3. 发明申请

WO2017098270A1 SURGICAL INSTRUMENT ARTICULATION 审中-公开
标题翻译：外科手术器械
公开(公告)号：WO2017098270A1
公开(公告)日：2017-06-15
申请号：PCT/GB2016/053897
申请日：2016-12-09
申请人： CAMBRIDGE MEDICAL ROBOTICS LTD
发明人： CHAPLIN, Ben Robert , MARSHALL, Keith , HARES, Luke David Ronald
IPC分类号： A61B34/30 , B25J9/10
CPC分类号： A61B34/71 , A61B34/30 , A61B2017/00327 , A61B2017/2908 , A61B2017/2927 , A61B2017/2932 , A61B2017/2947 , A61B2034/305 , A61B2034/715 , B25J9/1045
摘要： A robotic surgical instrument comprising: a shaft; an end effector element; an articulation connecting the end effector element to the shaft, the articulation comprising: a first joint driveable by a first pair of driving elements, the first joint permitting the end effector element to rotate about a first axis transverse to a longitudinal axis of the shaft, and a second joint driveable by a second pair of driving elements; the robotic surgical instrument further comprising a pulley arrangement comprising: a first set of pulleys rotatable about the first axis, the second pair of driving elements being constrained to move around the first set of pulleys, and a redirecting pulley between the first set of pulleys and the second joint, the redirecting pulley rotatable about a redirecting pulley axis, the second pair of driving elements being constrained to move around the redirecting pulley, the redirecting pulley axis at an angle to the first axis so as to cause the redirecting pulley to redirect a first one of the second pair of driving elements from a take-off point of a first pulley of the first set of pulleys to a pick-up point of the second joint.
摘要翻译：一种机器人手术器械，包括：轴; 末端执行器元件; 将所述末端执行器元件连接至所述轴的关节，所述关节包括：第一关节，所述第一关节可由第一对驱动元件驱动，所述第一关节允许所述末端执行器元件围绕横向于所述轴的纵向轴线的第一轴线旋转，以及由第二对驱动元件驱动的第二接头; 所述机器人手术器械还包括滑轮装置，所述滑轮装置包括：围绕所述第一轴线可旋转的第一组滑轮，所述第二对驱动元件被限制为围绕所述第一组滑轮移动，以及位于所述第一组滑轮之间的改向滑轮，所述第二关节，所述重定向滑轮可围绕重定向滑轮轴线旋转，所述第二对驱动元件被约束为围绕所述重定向滑轮移动，所述重定向滑轮轴线与所述第一轴线成一定角度，以便使所述重定向滑轮重定向第二对驱动元件中的第一个从第一组滑轮的第一滑轮的起飞点到第二关节的拾取点。

4. 发明申请

WO2017070183A1 ENDOSCOPE CAP WITH DEFLECTING CHANNELS FOR ENDOSCOPIC THERAPY 审中-公开
标题翻译：带内窥镜治疗通道的内窥镜盖
公开(公告)号：WO2017070183A1
公开(公告)日：2017-04-27
申请号：PCT/US2016/057662
申请日：2016-10-19
申请人： COOK MEDICAL TECHNOLOGIES LLC
发明人： SURTI, Vihar, C. , SIGMON, John, C., Jr.
IPC分类号： A61B1/00 , A61B1/018 , A61B1/273 , A61B17/00 , A61M25/01
CPC分类号： A61B1/00098 , A61B1/00089 , A61B1/00101 , A61B1/00137 , A61B1/0014 , A61B1/018 , A61B1/2736 , A61B17/295 , A61B17/3205 , A61B2017/00269 , A61B2017/00296 , A61B2017/00327
摘要： A medical device configured to facilitate a minimally invasive surgical procedure is provided. The medical device includes a housing (22) having an attachment portion (24) configured to removably engage with a scope (10). The medical device also includes a first deflector (28) engaged with the housing and configured to engage with a distal end of a first treatment tool. The first deflector permits movement of the distal end of the first treatment tool independent of the housing. The medical device further includes a second deflector (26) engaged with the housing and configured to engage with a distal end of a second treatment tool. The second deflector permits movement of the distal end of the second treatment tool independent of the housing.
摘要翻译：提供了一种配置成促进微创手术程序的医疗装置。该医疗装置包括具有被配置为与镜体（10）可移除地接合的附接部分（24）的壳体（22）。医疗装置还包括第一偏转器（28），第一偏转器（28）与外壳接合并且构造成与第一治疗工具的远端接合。第一偏转器允许第一治疗工具的远端独立于壳体运动。医疗装置还包括第二偏转器（26），该第二偏转器与壳体接合并构造成与第二治疗工具的远端接合。第二偏转器允许独立于壳体的第二处理工具的远端移动。

5. 发明申请

WO2016205166A2 SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSING FEATURES 审中-公开
标题翻译：手术终止效果与双凸轮激活JAW关闭功能
公开(公告)号：WO2016205166A2
公开(公告)日：2016-12-22
申请号：PCT/US2016/037318
申请日：2016-06-14
申请人： ETHICON ENDO-SURGERY, LLC
发明人： BAXTER, III, Chester O. , SWAYZE, Jeffrey S. , DUNKI-JACOBS, Adam R.
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/105 , A61B34/71 , A61B2017/00323 , A61B2017/00327 , A61B2017/00398 , A61B2017/0046 , A61B2017/00734 , A61B2017/07214 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2927 , A61B2017/2933 , A61B2017/2939 , A61B2017/2943 , A61B2017/2946 , A61B2090/0818
摘要： A surgical instrument comprising an elongate shaft assembly that defines a shaft axis. An end effector mounting assembly may be movably coupled to the elongate shaft assembly for selective articulation about an articulation axis that is transverse to the shaft axis. First and second jaws may be movably coupled to the end effector mounting assembly such that the first and second jaws are each movable relative to each other and the shaft axis about a common pivot axis between an open position and closed positions. The first and second jaws may close at different closure rates upon the simultaneous application of closure motions thereto.
摘要翻译：一种外科器械，包括限定轴线的细长轴组件。端部执行器安装组件可以可移动地联接到细长轴组件，用于围绕横向于轴线的关节运动轴线选择性地铰接。第一和第二钳口可以可移动地联接到末端执行器安装组件，使得第一和第二钳口各自可相对于彼此运动，并且轴线围绕位于打开位置和关闭位置之间的公共枢转轴线运动。当同时施加关闭运动时，第一和第二钳口可以以不同的闭合速率闭合。

6. 发明申请

WO2016205162A1 SURGICAL END EFFECTORS WITH POSITIVE JAW OPENING ARRANGEMENTS 审中-公开
标题翻译：具有积极性开放安定的外科终末效应
公开(公告)号：WO2016205162A1
公开(公告)日：2016-12-22
申请号：PCT/US2016/037314
申请日：2016-06-14
申请人： ETHICON ENDO-SURGERY, LLC
发明人： HENSEL, Adam, D. , WISE, Austin, E. , CARPER, Kenneth, E. , WEANER, Laura, S. , SHELTON, IV, Frederick, E. , BAXTER, III, Chester, O. , SWAYZE, Jeffrey, S. , DUNKI-JACOBS, Adam, R. , BRINKERHOFF, Josiah, J. , JONES, Daniel, V.
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/105 , A61B34/71 , A61B2017/00323 , A61B2017/00327 , A61B2017/00398 , A61B2017/0046 , A61B2017/00734 , A61B2017/07214 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2927 , A61B2017/2933 , A61B2017/2939 , A61B2017/2943 , A61B2017/2946 , A61B2090/0818
摘要： A surgical instrument comprising a surgical end effector that comprises a first jaw and a second jaw that is movably supported relative to the first jaw for selective movement between an open position and closed positions. The surgical instrument further comprises a closure member that is axially movable in response to closing and opening motions. The closure member comprises at least one opening cam that protrudes therefrom to movably engage a corresponding cam surface on the second jaw such that upon application of the opening motion, the at least one opening cam movably engages the corresponding cam surface to move the second jaw to an open position, even when the jaws are under a load.
摘要翻译：一种手术器械，其包括外科末端执行器，其包括第一钳口和第二钳口，所述第二钳口相对于所述第一钳口可移动地被支撑，以在打开位置和关闭位置之间选择性地运动。手术器械还包括可响应于闭合和打开运动而轴向移动的封闭构件。封闭构件包括至少一个从其突出的开口凸轮，以可移动地接合第二钳口上的对应的凸轮表面，使得在施加开口运动时，所述至少一个开口凸轮可移动地接合相应的凸轮表面以将第二钳口移动到即使下颚处于负荷状态，也是一个开放的位置。

7. 发明申请

WO2016187056A1 MANIPULATOR DEVICE AND THERAPEUTIC AND DIAGNOSTIC METHODS 审中-公开
标题翻译：手术器械和治疗与诊断方法
公开(公告)号：WO2016187056A1
公开(公告)日：2016-11-24
申请号：PCT/US2016/032512
申请日：2016-05-13
申请人： THE JOHNS HOPKINS UNIVERSITY
发明人： HE, Xingchi , IORDACHITA, Iulian, I. , GEIRT, Vincent, Van , GEHLBACH, Peter , TAYLOR, Russell
IPC分类号： A61B17/00
CPC分类号： A61B34/77 , A61B17/29 , A61B34/30 , A61B34/71 , A61B34/72 , A61B2017/00314 , A61B2017/00327 , A61B2034/306 , A61B2034/715 , A61F9/0008 , A61F9/00727 , A61M25/0084 , A61M25/0147 , A61M2210/0612
摘要： Dexterous manipulation devices are provided having an end effector enabling large curvature with a diameter of 1 mm or less that can articulate about an axis in a working space of about or less than 4 mm by 4 mm. Preferred devices are robotically actuated and controlled and can be used for a variety of therapeutic and diagnostic applications.
摘要翻译：提供了灵活的操纵装置，其具有端部执行器，其能够实现具有1mm或更小直径的大曲率，其能够在大约或小于4mm乘以4mm的工作空间中绕轴线关节。优选的装置被机器人致动和控制，并且可以用于各种治疗和诊断应用。

8. 发明申请

WO2016100070A2 SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLE ARTICULATION SYSTEM 审中-公开
标题翻译：包含可锁定铰接系统的外科手术器械组件
公开(公告)号：WO2016100070A2
公开(公告)日：2016-06-23
申请号：PCT/US2015/064917
申请日：2015-12-10
申请人： ETHICON ENDO-SURGERY, LLC
发明人： BAXTER, III, Chester O. , DUNKI-JACOBS, Adam R. , SWAYZE, Jeffrey S. , BABER, Daniel L. , SHELTON, IV, Frederick E.
IPC分类号： A61B17/00 , A61B17/072 , A61B17/29
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/105 , A61B2017/00017 , A61B2017/00309 , A61B2017/00314 , A61B2017/00327 , A61B2017/00477 , A61B2017/2927 , A61B2017/2937
摘要： A surgical stapling apparatus is disclosed which comprises a shaft, an end effector, and an articulation joint, wherein the end effector is rotatable relative to the shaft about the articulation joint. The stapling apparatus further comprises a firing drive responsive to an input, an articulation drive, and a switch assembly configured to selectively couple the articulation drive to the input. The switch assembly is configured to lock the articulation drive in position when the articulation drive is not coupled to the input.
摘要翻译：公开了一种外科缝合器械，其包括轴，末端执行器和关节运动关节，其中末端执行器可相对于关节运动关节的轴旋转。吻合装置还包括响应于输入的击发驱动器，铰接驱动器和开关组件，开关组件被构造成选择性地将铰接驱动器联接到输入。当铰接驱动装置未连接到输入端时，开关组件被配置为将铰接驱动装置锁定在适当位置。

9. 发明申请

WO2016100066A1 SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS 审中-公开
标题翻译：具有改进闭合安排的手术器械
公开(公告)号：WO2016100066A1
公开(公告)日：2016-06-23
申请号：PCT/US2015/064901
申请日：2015-12-10
申请人： ETHICON ENDO-SURGERY, LLC
发明人： SHELTON, Frederick E., IV. , MORGAN, Jerome R. , BAXTER, Chester O., III
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B34/30 , A61B2017/00309 , A61B2017/00314 , A61B2017/00327 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/07257 , A61B2017/07278 , A61B2017/2902 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2937 , A61B2034/302
摘要： A surgical instrument that includes jaw members, at least one of which may be moved to closed positions relative to the other jaw member upon actuation of a closure actuator. Actuation of the closure actuator causes an axially moveable closure member to apply closure motions to at least one of the jaw members. In at least one form, the closure actuator includes a first actuator portion that is configured to move through a first range of axial travel upon actuation of the closure actuator. A second actuator portion interfaces with the axially movable closure member such that upon actuation of said closure actuator, the second actuator portion moves the axially movable closure member through a second range of axial travel that is greater than the first range of axial travel.
摘要翻译：一种手术器械，其包括钳口构件，其中至少一个可在闭合致动器致动时相对于另一钳口构件移动到关闭位置。闭合致动器的致动导致轴向可移动的闭合构件将闭合运动施加到至少一个钳口构件。在至少一种形式中，闭合致动器包括第一致动器部分，其构造成在致动闭合致动器时在第一轴向行程范围内移动。第二致动器部分与轴向移动的关闭构件相接合，使得在致动所述闭合致动器时，第二致动器部分使轴向移动的关闭构件移动比轴向行进的第一范围大的第二轴向行程。

10. 发明申请

WO2016053778A1 SURGICAL TOOL 审中-公开
标题翻译：手术工具
公开(公告)号：WO2016053778A1
公开(公告)日：2016-04-07
申请号：PCT/US2015/052152
申请日：2015-09-25
申请人： CLEARMIND BIOMEDICAL, INC.
发明人： YANG, Bing-Shiang
IPC分类号： A61B17/22 , A61B17/221 , A61M25/14
CPC分类号： A61B17/22 , A61B1/0051 , A61B1/015 , A61B1/05 , A61B1/0669 , A61B90/11 , A61B2017/00327 , A61B2017/22079 , A61B2090/036 , A61B2090/103 , A61B2090/306 , A61B2090/3614 , A61B2217/005 , A61B2217/007
摘要： A surgical tool for removing tissue, such as a blood clot, from a cranium of a patient. In some embodiments, the tool has a handle; a shaft extending from a distal end of the handle and comprising a bendable distal tip, the shaft having an outer diameter less than or equal to 15 mm; an aspiration lumen extending along the shaft; an irrigation lumen extending along the shaft; a first conductor extending along the shaft and connectable at its proximal end to an image display; and a second conductor extending along the shaft and connectable at its proximal end to illumination power.
摘要翻译：一种外科手术工具，用于从患者的颅骨上去除组织，如血块。在一些实施例中，该工具具有手柄; 从所述把手的远端延伸并且包括可弯曲的远侧末端的轴，所述轴具有小于或等于15mm的外径; 沿所述轴延伸的抽吸腔; 沿着轴延伸的冲洗腔; 第一导体，其沿着轴延伸并且在其近端处可连接到图像显示器; 以及沿着轴延伸并且在其近端可连接到照明功率的第二导体。

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