91 results about "Therapeutic Endoscopic Surgery" patented technology

An apparatus for application of surgical clips to body tissue has a handle portion with a body extending distally from the handle portion defining a longitudinal axis and a plurality of surgical clips disposed within the body. The apparatus also has a jaw assembly mounted adjacent a distal end portion of the body with the jaw assembly including first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus further has a wedge plate longitudinally movable between the first and the second jaw portions, and a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position with an actuator. The actuator is at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion and has a cam link. The apparatus also has a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position. The cam link longitudinally moves wedge plate between the first and the second jaw portions.

A bipolar electrosurgical scissors for use in open or endoscopic surgery has a pair of opposed blade members pivotally joined to one another and to the distal end of the scissors itself by a rivet which extends through a insulated bushing member. Each of the blade members comprises a blade support and a blade itself, each fabricated from metal, such as stainless steel. The blades are affixed to their associated supports by means of a suitable adhesive or adhesive composite material such as a fiberglass reinforced epoxy exhibiting dielectric properties. Cutting is performed, steel-on-steel, without causing a short circuit between the two blade supports which themselves function as the bipolar electrodes.

An apparatus for application of surgical clips to body tissue has a handle portion and a body extending distally from the handle portion and defining a longitudinal axis. The apparatus also has a plurality of surgical clips disposed within the body, and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, and a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position. The apparatus still further has an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position.

A trocar tube, trocar, obturator, rectoscope is suitable for transluminal endoscopic surgery via natural body cavities. A trocar tube (2) has a distal section (22) for positioning at least in the region of or outside the body cavity, and a proximal section (21) for positioning within the human or animal, wherein at least the proximal section has a substantially rigid or inflexible curvature. An obturator (3) and a rectoscope (5) may be adapted for use with such a trocar tube for this purpose.

The invention in certain aspects relates to a one-piece coil-shaped surgical fastener for fastening tissue segments, especially suitable for fastening segments of the lower esophogeal sphincter and fundus in an endoscopic procedure for the treatment of GERD. The invention also relates to related methods and devices for insertion of such a fastener, especially along a juncture of the surfaces of such tissue segments.

An apparatus for application of surgical clips to body tissue has a handle portion and a body extending distally from the handle portion and defining a longitudinal axis. The apparatus also has a plurality of surgical clips disposed within the body, and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, and a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position. The apparatus still further has an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position.

An apparatus for application of surgical clips to body tissue has a handle portion with a body extending distally from the handle portion defining a longitudinal axis and a plurality of surgical clips disposed within the body. The apparatus also has a jaw assembly mounted adjacent a distal end portion of the body with the jaw assembly including first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus further has a wedge plate longitudinally movable between the first and the second jaw portions, and a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position with an actuator. The actuator is at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion and has a cam link. The apparatus also has a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position. The cam link longitudinally moves wedge plate between the first and the second jaw portions.

A method according to one embodiment for maintaining patency of an opening inside the human body comprises introducing a radially self-expanding hollow stent into the opening through an endoscope that radially compresses the stent, wherein the stent has enlarged ends and a reduced intermediate portion. The stent is introduced into the opening such that its intermediate portion extends through the opening and the enlarged ends are positioned outside of the opening. Once deployed, the stent expands such that the enlarged ends of the stent abut against opposing faces of the opening to resist dislodgement of the stent from the opening after expansion. The stent is preferably biodegradable, such that it is eliminated from the surgical site over a period of weeks to months, by which time the patency of the opening is more assured. The method can be used in combination with, for example, an endoscopic surgical method such as endoscopic third ventriculostomy for treating hydrocephalus of a brain.

Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing a surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues. The exemplary device includes two needle grasping clamps extending from an elongate distal portion for endoscopic surgeries, including ear, nose and throat procedures. The two clamps alternate holding the suture needle, as the surgeon sutures the tissues, each clamp having a proximal and distal gripping jaw for grasping the needle. Preferably, the gripping surfaces of the proximal and distal gripping jaws are substantially parallel to the needle's plane of curvature and exert a holding force on the needle substantially along an axis of the device.

A handle assembly for use with a surgical instrument is provided and includes a housing, a movable handle, a plunger, and a linkage. The movable handle is pivotably mounted to the housing. The plunger is disposed at least partially within the housing. Distal translation of the plunger relative to the housing is configured to affect a function of the surgical instrument. The linkage is disposed at least partially within the housing. A first portion of the first linkage is pivotable about the movable handle. A second portion of the first linkage is slidable relative to the plunger. A third portion of the linkage includes a stepped portion configured to selectively engage the plunger.

A handle assembly for use with a surgical instrument includes a housing, a movable handle, and a plunger assembly. The plunger assembly is disposed at least partially within the housing. The plunger assembly includes a proximal portion defining a longitudinal axis, a distal portion and a biasing element. The biasing element is positioned between a part of the proximal portion and a part of the distal portion. Distal translation of the distal portion of the plunger assembly relative to the housing is configured to affect a function of the surgical instrument.

A miniature in-vivo robotic module to be used for conducting dexterous manipulations on organs and other target entities in a patient's abdominal or peritoneal cavity as part of Natural Orifice Transluminal Endoscopic Surgery (NOTES) is disclosed in this invention. The robotic module is a serial manipulator consisting of seven cylindrical links and six actively controllable rotational degrees of freedom, thereby enabling an end effector equipped with a laparoscopic type instrument to assume a commanded position and orientation within the robot's workspace. After overtube navigation starting from a natural orifice or preexisting wound, the module must be anchored and guided to a designated location along the inner abdominal cavity wall. This is accomplished via magnetic coupling forces between internal embedded magnets and magnets fixed to the end of a different robotic manipulator located external to the patient.

A sheath assembly for different fields of endoscopic surgery involving suction, irrigation and material removal which would on one hand enable reducing the size of keyhole to do the endoscopic surgery making it minimally invasive surgery, minimal damage to surrounding organ and practically no bleeding, faster recovery and early discharge and yet on the other hand provide for the advantages of big hole surgery. The sheath assembly of the invention would enable using variety of sheath sizes of different length and width of working sheath and thus facilitate applying to neonates as well as morbidly obese patients. The sheath assembly would enable endoscopic surgery such as percutaneous renal surgery with even about 3.0 mm inner diameter tubular sheath for large varieties of stones which would further add comfort and extra safety both for the patient as well as the surgeons.

Use of near-infrared fluorescence imaging in performing an endoscopic surgery, such as laparoscopic cholecystectomy. A composite video image of the surgical field (e.g. the biliary anatomy) is shown on a display screen. The composite video image combines a visible color image and a fluorescence image of the surgical field. Using various techniques, selective fluorescence imaging of a particular area of interest in the surgical field is made possible. For example, in a cholecystectomy procedure, the biliary ducts may be the particular area of interest for the selective fluorescence imaging.

The invention discloses a contour perception multi-organ segmentation network construction method based on class-by-class convolution operation. The contour perception multi-organ segmentation networkconstruction method comprises the following steps: 1, performing region coarse segmentation and edge detection on multiple organs of the abdomen; 2, introducing a semantic-guided class-by-class multi-scale attention mechanism; step 3, performing class-by-class fusion of multi-branch information; step 4, performing introduction of multi-task loss. According to the invention, the advantages of a convolutional neural network and a gated recurrent neural unit are utilized, and for the characteristics and difficulties of a multi-organ segmentation task, via the contour information assisted multi-scale feature extraction, a class-by-class multi-scale semantic attention mechanism, a class-by-class cavity convolution fusion mechanism and a plurality of loss functions can be introduced to relievethe inter-class imbalance problem of organs; multi-organ segmentation is performed on a three-dimensional CT image more efficiently and accurately, and the advantages of the invention are verified ona data set containing 14 types of organ labels; the invention can be widely applied to computer-aided diagnosis and treatment application, such as endoscopic surgery, interventional therapy and radiotherapy plan making.

Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner.

The invention discloses a mechanical arm for a minimally invasive surgical robot. The mechanical arm comprises a plurality of operating arm sections and a connecting seat which are sequentially connected in series, the adjacent arm sections are connected through a rotary joint or a movable joint, the arm sections and the connecting seat are connected through a rotary joint or a movable joint, and the connecting seat is used for mounting surgical instruments such as an endoscope and surgical forceps. An operating arm I, an operating arm II and an operation arm III of the mechanical arm are adjusted to achieve rapid positioning of the position where a surgical instrument extends into a wound, a light beam emitting device is installed at the tail end of a linear section structure of the operating arm III, and a light beam coincides with the axis of a linear section and is used for guiding arrangement and positioning of the mechanical arm before a surgery; and on the basis, an operation arm IV, an operation arm V and an operation arm VI are adjusted, so that the arm rod of the surgical instrument can rotate around the wound position and finally extend into the wound at a proper angle.

An embodiment of the invention includes a quantum fluid flow management apparatus which controls and facilitates delivery of liquid and / or air to the surgical site during a surgical procedure via a trumpet valve, various restriction (crimping) devices, and a network of tubing for selectively passing air or fluid through to the surgical site. The trumpet valve allows for selective control of air or fluid or both or neither. Additionally the flow management apparatus controls the application and suction of fluids from the surgical site which may be used in cooperation with the injection of a fluid such as water to irrigate the surgical site to remove body fluids, debrided material or the like.

A handle assembly for use with a surgical instrument includes a housing, a movable handle, and a plunger assembly. The plunger assembly is disposed at least partially within the housing. The plunger assembly includes a proximal portion defining a longitudinal axis, a distal portion and a biasing element. The biasing element is positioned between a part of the proximal portion and a part of the distal portion. Distal translation of the distal portion of the plunger assembly relative to the housing is configured to affect a function of the surgical instrument.

An endoscopic surgical apparatus and endoscopic surgery methods comprise an anchoring means for anchoring a living tissue, and a piercing means for piercing the living tissue, each means being driven by an independent driving means. The anchoring means and the piercing means are able to move along parallel axes that extend outside a distal end of a catheter, allowing piercing a living tissue on a short length without having to fold the living tissue.

A system for performing an endoscopic surgical procedure in a surgical cavity of a patient that includes a multi-lumen tube set including a dual lumen portion having a pressurized gas line and a return gas line for facilitating gas recirculation relative to the surgical cavity of the patient, and a single lumen portion having a gas supply and sensing line for delivering insufflation gas to the surgical cavity of the patient and for periodically sensing pressure within the surgical cavity of the patient, a first gas sealed single lumen access port communicating with the dual lumen portion of the tube set and a second valve sealed single lumen access port communicating with the single lumen portion of the tube set.

The invention relates to the field of design of medical training apparatus, in particular to a medical education training system of multiple intracavity therapeutic endoscopic surgeries. The system comprises an operating module, a processing module and a display module. The operating module comprises a handle and a support which supports the handle to move back and forth, up and down and side to side. A displacement sensor, a force feedback unit and a force feedback drive circuit are disposed between the handle and the support. The displacement sensor is used for acquiring location information of the handle and outputs the location information to the processing module; the processing module performs collision test for the handle and a virtual human organ and outputs a control signal to the force feedback drive circuit; the force feedback unit receives a drive signal output by the force feedback drive circuit and applies a feedback force to the handle through a wire; the processing module also receives an actuating signal input by a pedal, processes handle and virtual organ models, and outputs to the display module. The system and the model are independent of each other, and training for different subjects can be achieved just by setting different handle models and organ models in the processing module and changing the handle.

The present invention relates to a pharmaceutical composition in form of emulsion or microemulsion and the use thereof as aid during endoscopic procedures in which it is injected in a target tissue in order to form a cushion. More in details, the invention relates to a method for performing an endoscopic procedure, which comprises injecting said pharmaceutical composition in form of emulsion or microemulsion in a target tissue of a patient, in order to form a cushion, which cushion is then optionally subjected to an endoscopic surgical procedure, such as a resection.

A system for performing an endoscopic surgical procedure in a surgical cavity of a patient that includes a multi-lumen tube set including a dual lumen portion having a pressurized gas line and a return gas line for facilitating gas recirculation relative to the surgical cavity of the patient, and a single lumen portion having a gas supply and sensing line for delivering insufflation gas to the surgical cavity of the patient and for periodically sensing pressure within the surgical cavity of the patient, a first gas sealed single lumen access port communicating with the dual lumen portion of the tube set and a second valve sealed single lumen access port communicating with the single lumen portion of the tube set.

The present invention is related to an endoscopic treatment tool which is inserted to a body cavity endoscopically including a wire, a surgical section which is disposed on a first end of the wire and used for treatment inside the body cavity, and an operator section which is disposed on the second end of the wire and moves in conjunction with the wire so as to rotate by a rotary operation; and the movement of the operator section in conjunction with the wire is released upon exerting more than a predetermined torsional load on the wire.

The invention provides a soft endoscope surgical robot system based on closed-loop feedback. The soft endoscope surgical robot system comprises a surgical robot, an operating mechanism and a control module. The surgical robot comprises a first bearing bottom plate, a top plate, an endoscope fixing frame, an optical fiber driving module and a guide support. The operating mechanism comprises a second bearing bottom plate, an operating table and a seat; the first telescopic rod is connected with a first driving device for driving the first telescopic rod to vertically stretch; the displacement plate is connected with a second driving device for driving the displacement plate to displace; the rotating body is connected with a third driving device for driving the rotating body to rotate; the endoscope fixing frame is connected with a fourth driving device for driving the endoscope fixing frame to adjust the bending angle of the endoscope snake bone; and the optical fiber driving module is connected with a fifth driving device. According to the invention, intelligent control and flexible operation of the surgical robot are realized, so that an operation can be performed through the surgical robot.

The invention relates to a near-infrared imaging fused endoscopic surgery blood vessel enhancement detection method, which comprises the following steps: (A) turning off an endoscope near-infrared light source, turning on a panchromatic light source, and collecting a human body cavity colored image by using the panchromatic light source; (B) turning on a near-infrared light source of the endoscope, turning off the panchromatic light source, and collecting a near-infrared image of a human body cavity; (C) carrying out gray processing and noise reduction processing on the infrared image, and extracting a blood vessel region in the infrared image of the human body cavity by utilizing the penetration effect of near-infrared light on human tissues and the absorption effect of hemoglobin on the near-infrared light; (D) fusing an extracted blood vessel region image with a color image, so as to enable the blood vessel imaging in the color image to be more obvious; and (E) repeating the steps at a high speed, and outputting the endoscope video image after the blood vessel region is enhanced. By the adoption of the detection method, the problem that imaging of blood vessels and hemorrhagic spots of an in-vivo cavity is not obvious in an endoscopic surgery is solved, and the success rate of the surgery is increased.

The invention relates to a minimal-invasive bearer-channel gun. The minimal-invasive bearer-channel gun comprises a control wire, a double-membrane bearer, a conveying casing pipe and a control handle, wherein the double-membrane bearer comprises a wire mesh, an outer layer membrane and an inner layer membrane, and the wire mesh is arranged between the outer layer membrane and the inner layer membrane; the conveying casing pipe comprises a puncture head, a conveying rod and an outer casing pipe, the puncture head is arranged on the head part of the front end of the conveying rod, the double-membrane bearer sleeves the conveying rod, and the outer casing pipe detachably sleeves the exterior of the double-membrane support; the control handle comprises a casing pipe controller and a bearer top end controller, and the casing pipe controller and the bearer top end controller are rotatably installed on the control handle; the control wire comprises a bearer end wire, a casing pipe control wire and a bearer control wire. By adopting a minimal-invasive bearer-channel gun, a surgical cavity is provided for the endoscopic treatment, so that the surgical practical range of the endoscope can be greatly enlarged, and the tissue wound can be reduced.

A composition and method for cleansing a colon prior to endoscopic procedure. More particularly, a combination of bisacodyl, metoclopramide, sodium, and / or a phosphorus containing composition administered in sequential doses for preparing a colon prior to colonoscopy.