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Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft

InactiveUS6517565B1Reduce waste of resourceLess fatigueExcision instrumentsSurgical veterinaryDrive motorCombined use
A carriage assembly for controlling a steering wire steering mechanism within a flexible shaft, for use in gastrointestinal tract surgery, comprises a plurality of selectably engageable motors, including two drive motors for selectably rotating drive shafts of a surgical attachment, two steering motors mechanically communicating with corresponding pulleys around which are coiled directional steering wires communicating with a flexible shaft to enable the selective direction of the flexible shaft within a spatial plane, wherein within the assembly housing the steering motors travel on a steering motor carriage and the pulleys travel on a pulley carriage which is biased by a spring means away from the interior wall of the housing, which biases the steering wires toward a taut state. The bias can be overcome by a carriage motor mechanically communicating with the pulley carriage to cause the flexible shaft to go limp. Also disclosed are a series of surgical attachments which may be coupled to and utilized in conjunction with the carriage assembly.
Owner:DORROS GERALD M D

Electrosurgical system

An electrosurgical system comprises a radio frequency generator (1), an electrosurgical instrument (E1), and a fluid enclosure (42). The generator (1) has a radio frequency output for delivery of power to the electrosurgical instrument (E1) when immersed in an electrically-conductive fluid. The electrosurgical instrument (E1) has an electrode assembly (32) at the distal end thereof, the electrode assembly comprising a tissue treatment electrode (34), and a return electrode (38) axially spaced therefrom in such a manner as to define, in use, a conductive fluid path that completes an electrical circuit between the tissue treatment electrode and the return electrode. The fluid enclosure (42) is adapted to surround an operation site on the skin of a patient or an incision leading to a cavity surgically created within the patient's body. The fluid enclosure (42) includes sealing means (44) for sealing against the patient's tissue, and the fluid enclosure includes at least one port (50a, 52a) through which the electrosurgical (E1) is insertable, and through which the electrically-conductive fluid can enter and / or leave the enclosure.
Owner:GYRUS MEDICAL LTD

Automated-feed surgical clip applier and related methods

ActiveUS7211092B2Keeps the clips stabilizedShorter sectionDiagnosticsSurgical staplesSurgical departmentEngineering
A surgical clip applying apparatus comprises an actuator device, a ratchet mechanism, a locking mechanism, and a clip driving device. The actuator device comprises an interior and a cam mechanism disposed therein. The cam mechanism comprises an axial cam surface. The locking mechanism is movable by the actuator device within the interior in a distal direction and in a proximal direction. While moving in the distal direction, the locking mechanism contacts the axial cam surface, thereby causing the locking mechanism to engage the ratchet mechanism to limit movement of the locking mechanism in the proximal direction. Continued movement of the locking mechanism in the distal direction causes the locking mechanism to move off the axial cam surface, thereby enabling the locking mechanism to bypass the ratchet mechanism during a return stroke.
Owner:TELEFLEX MEDICAL INC

Electrosurgical system and method

An electrosurgical system comprises a radio frequency generator (1), an electrosurgical instrument (E1), and a fluid enclosure (42). The generator (1) has a radio frequency output for delivery of power to the electrosurgical instrument (E1) when immersed in an electrically-conductive fluid. The electrosurgical instrument (E1) has an electrode assembly (32) at the distal end thereof, the electrode assembly comprising a tissue treatment electrode (34), and a return electrode (38) axially spaced therefrom in such a manner as to define, in use, a conductive fluid path that completes an electrical circuit between the tissue treatment electrode and the return electrode. The fluid enclosure (42) is adapted to surround an operation site on the skin of a patient or an incision leading to a cavity surgically created within the patient's body. The fluid enclosure (42) includes sealing means (44) for sealing against the patient's tissue, and the fluid enclosure includes at least one port (50a, 52a) through which the electrosurgical (E1) is insertable, and through which the electrically-conductive fluid can enter and / or leave the enclosure. The fluid enclosure device of the present invention can also be used to treat tumours within the colon. The enclosure, which includes a proximal and a distal bung, is inserted into the colon in a deflated condition and then inflated with a conductive fluid or gas. The colon can be supported against the pressure of the fluid or gas with a pressure sleeve that has been inserted to surround the region of the colon being treated. An electrosurgical instrument is then inserted into the colon and manipulated to vaporize the tumor.
Owner:GYRUS MEDICAL LTD

Centrifugal communication and collaboration method

A method of facilitating communications and collaboration of a group of plural remote participants comprises steps of receiving information over an information communications network from a first group participant; pushing, over the network to at least one other group participant, an access via an access channel; and allowing the other group participant to access at least some of the received information via said access channel in response to selective activation of the access channel by the other group participant.
Owner:SAMPO IP

Electrosurgical instrument

A system and method are disclosed for removing a uterus using a fluid enclosure inserted in the peritoneal cavity of a patient so as to enclose the uterus. The fluid enclosure includes a distal open end surrounded by an adjustable loop, that can be tightened, a first proximal opening for inserting an electrosurgical instrument into the fluid enclosure, and a second proximal opening for inserting an endoscope. The loop is either a resilient band extending around the edge of the distal open end or a drawstring type of arrangement that can be tightened and released. The fluid enclosure is partially inserted into the peritoneal cavity of a patient in a deflated condition and then manipulated within the peritoneal cavity over the body and fundus of the uterus to the level of the uterocervical junction. The loop is tightened around the uterocervical junction, after which the enclosure is inflated using a conductive fluid. The loop forms a pressure seal against the uterocervical junction to contain the conductive fluid used to fill the fluid enclosure. Endoscopically inserted into the fluid enclosure is an electrosurgical instrument that is manipulated to vaporize and morcellate the fundus and body of the uterus. The fundus and body tissue that is vaporized and morcellated is then removed from the fluid enclosure through the shaft of the instrument, which includes a hollow interior that is connected to a suction pump The fundus and body are removed after the uterus has been disconnected from the tissue surrounding uterus.
Owner:GYRUS MEDICAL LTD

Electrosurgical system and method

InactiveUS7001380B2Lower impedanceMinimizing char formationCannulasDiagnosticsBenign conditionEnlarged tonsils
A method is disclosed for treating benign conditions, such as enlarged tonsils and / or adenoids located in a patient's throat or nasopharynx, or soft tissue lesions located in a patient's oropharynx or larynx. According to the method, a space containing the patient's nasopharynx, oropharynx or pharynx and larynx is isolated from the patient's trachea and lungs using an inflatable cuff tracheostomy tube or nasotracheal tube inserted in the patient's trachea. The cuff is inflated to occlude the trachea. The patient is placed in a supine position, whereupon at least a portion of the space containing the nasopharynx and / or oropharynx and larynx is filled with saline. An endoscope is then inserted into the space to view the operative site in which the tonsils or tissue lesion are to be treated. An electrosurgical instrument having an active tissue treatment electrode and a return electrode connected to an electrosurgical generator is then inserted into the space, either along side the endoscope or through the endoscope's working channel. The generator is then operated to apply a radio frequency voltage between the active and return electrodes of the electrosurgical instrument, whereby a conduction path is formed between the active and return electrodes, at least partially through the saline, whereupon the active electrode is manipulated to debulk or otherwise treat the soft tissue lesion or enlarged tonsils and / or adenoids.
Owner:GYRUS MEDICAL LTD

Performing cardiac surgery without cardioplegia

A surgical system or assembly for performing cardiac surgery includes a surgical instrument; a servo-mechanical system engaged to the surgical instrument for operating the surgical instrument; and an attachment assembly for removing at least one degree of movement from a moving surgical cardiac worksite to produce a resultant surgical cardiac worksite. The surgical system or assembly also includes a motion tracking system for gathering movement information on a resultant surgical cardiac worksite. A control computer is engaged to the attachment assembly and to the motion tracking system and to the servo-mechanical system for controlling movement of the attachment assembly and for feeding gathered information to the servo-mechanical system for moving the surgical instrument in unison with the resultant surgical cardiac worksite such that a relative position of the moving surgical instrument with respect to the resultant surgical cardiac worksite is generally constant. A video monitor is coupled to the control computer; and an input system is coupled to the servo-mechanical system and to the control computer for providing a movement of the surgical instrument. The video monitor displays movement of the surgical instrument while the resultant surgical cardiac worksite appears substantially stationary, and while a relative position of the surgical instrument moving in unison with the resultant surgical cardiac worksite, as a result from the movement information gathered by the motion tracking system, remains generally constant. A method of performing cardiac surgery without cardioplegia comprising removing at least one degree of movement freedom from a moving surgical cardiac worksite to produce at least a partially stationary surgical cardiac worksite while allowing a residual heart section, generally separate from the at least partially stationary surgical cardiac worksite, to move as a residual moving heart part. Cardiac surgery is performed on the at least partially stationary cardiac worksite with a surgical instrument such as needle drivers, forceps, blades and scissors.
Owner:INTUITIVE SURGICAL OPERATIONS INC

System and method for generating voice pages with included audio files for use in a voice page delivery system

A content provider system for enabling content providers to create voice pages with audio files included for use in a network for voice page delivery through which subscribers request a voice page and a voice page server system delivers the voice page audibly to the subscriber. A content provider selects a voice page into which the audio file is to be incorporated, selects the audio file and the content provider system then transfers the audio file to a voice page server system which generates a voice page with the audio file included using XML-based tags designated for audio files. The audio files are uploaded from a number of user devices including a telephony device, a web-based system and a PDA.
Owner:GENESYS TELECOMMUNICATIONS LABORATORIES INC

Camera using multiple lenses and image sensors to provide improved focusing capability

An electronic camera for producing an output image of a scene from a captured image signal includes: (a) a first imaging stage comprising a first image sensor for generating a first sensor output; a first lens for forming a first image of the scene on the first image sensor; and a first lens focus adjuster for adjusting focus of the first lens responsive to a first focus detection signal; and (b) a second imaging stage comprising a second image sensor for generating a second sensor output; a second lens for forming a second image of the scene on the second image sensor; and a second lens focus adjuster for adjusting focus of the second lens responsive to a second focus detection signal. A processing stage either (a) selects the sensor output from the first imaging stage as the captured image signal and uses the sensor output from the second imaging stage to generate the first focus detection signal for the selected imaging stage, or (b) selects the sensor output from the second imaging stage as the captured image signal and uses the sensor output from the first imaging stage to generate the second focus detection signal for the selected imaging stage.
Owner:INTELLECTUAL VENTURES FUND 83 LLC

Method and apparatus for measuring heart related parameters

A monitor device and associated methodology are disclosed which provide a self contained, relatively small and continuously wearable package for the monitoring of heart related parameters, including ECG. The detection of heart related parameters is predicated on the location of inequipotential signals located within regions of the human body conventionally defined as equivalent for the purpose of detection of heart related electrical activity, such as on single limbs. Amplification, filtering and processing methods and apparatus are described in conjunction with analytical tools for beat detection and display.
Owner:J FITNESS LLC
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