公开(公告)号：WO1994018893A1

公开(公告)日：1994-09-01

申请号：PCT/US1994001362

申请日：1994-01-25

Applicant: VALLEYLAB, INC.

Inventor： VALLEYLAB, INC. ,  FITTON, Lois ,  GORMAN, William, J. ,  MAKOWER, Joshua ,  SODICKSON, Aaron

IPC: A61B17/02

CPC classification number: A61B17/29 ,  A61B17/0218 ,  A61B2017/00353 ,  A61B2017/2906 ,  A61B2017/306 ,  A61B2017/3445

Abstract: A minimally invasive retractor and dissector (10) for internal surgical use on a patient has a tubular support (11) for passing into the body; the tubular support (11) has a passage (16) for access along an axis "A" thereof during operative procedures on the patient's internal tissue. A proximal end (12) on the tubular support (11) is located outside the patient in position to be accessed by the surgeon when a distal end (13) is inside. One or more jointed articulated members (15) are movably positioned and capable of holding and pulling tissue disposed beyond the distal end (13) and each member has a distal tip (17) to hold tissue. An instrument capable of moving independent of any member functions cooperatively on the tissue and passes through the passage (16) from the proximal end (12) to beyond the distal end (13) as the members position the tissue. The instrument is a surgical tool and the tissue is maneuvered by the members within the body into a position relative to the tool. A control (19) at the proximal end (12) manipulates the members relative to the axis "A" permitting holding and pulling tissue disposed beyond the distal end (13); the control (19) is capable of moving the instrument independent of the members for operating on the held and maneuvered tissue. A grip (34) manipulates the members and positions the instrument. A method for using the minimally invasive retractor and dissector (10) has the steps of making an opening for a tubular support (11) to pass into the body, leaving the proximal end (12) on the tubular support (11) outside the body, positioning the distal end (13) thereof inside, and moving members carried on the tubular support (11). Holding and pulling tissue disposed beyond the distal end (13) and using the passage (16) for access along the axis thereof for operating on internal tissue are added steps. Another step is moving an instrument in the passage (16) independent of the members.

Abstract translation: 用于患者内部手术使用的微创牵开器和解剖器（10）具有用于进入身体的管状支撑件（11） 管状支撑件（11）具有通道（16），用于在患者内部组织的操作过程中沿其轴线“A”进入。 管状支撑件（11）上的近端（12）位于患者外部的位置，以便当远端（13）在内部时被外科医生接近。 一个或多个接合的铰接构件（15）可移动地定位并且能够保持和拉动设置在远端（13）之外的组织，并且每个构件具有用于保持组织的远侧末端（17）。 当所述构件定位所述组织时，所述仪器能够协调地独立于所述组织上的任何构件功能移动并从所述近端（12）穿过所述通道（16）超过所述远端（13）。 该仪器是外科手术工具，并且组织被身体内的构件操纵到相对于工具的位置。 在近端（12）处的控制器（19）相对于允许保持和拉动设置在远端（13）之外的组织的轴线“A”来操纵构件; 控制器（19）能够独立于用于在被保持和操纵的组织上操作的构件移动仪器。 手柄（34）操纵构件并定位仪器。 使用微创牵开器和解剖器（10）的方法具有使管状支撑件（11）的开口进入身体的步骤，使近端（12）离开身体的管状支撑件（11） 将其远端（13）定位在内部，以及移动构件承载在管状支撑件（11）上。 保持和拉动设置在远端（13）之外并且使用通道（16）沿着其轴线进入以在内部组织上操作的组织被添加。 另一个步骤是在文章（16）中独立于成员移动文书。

公开(公告)号：WO1995014436A1

公开(公告)日：1995-06-01

申请号：PCT/IB1994000311

申请日：1994-10-12

Applicant: VALLEYLAB, INC.

Inventor： VALLEYLAB, INC. ,  RHUM, David ,  WELLS, Rodney ,  MAKOWER, Joshua

IPC: A61B17/39

CPC classification number: A61K31/195 ,  A61B17/320725 ,  A61B17/32075 ,  A61B17/3211 ,  A61B17/3417 ,  A61B17/3474 ,  A61B17/3476 ,  A61B17/3496 ,  A61B18/1487 ,  A61B2018/0019 ,  A61K38/063 ,  A61K38/21 ,  A61K38/212 ,  A61K45/06 ,  A61M13/003 ,  A61K2300/00 ,  A61K38/06

Abstract: A device (10) for retrograde hole opening through tissue has a member (11) elongate on an axis with a cross section shaped to insert axially through external tissue. A distal and a proximal end (13) of the member (11) respectively enter the tissue during placement and remain outside the tissue for control (26). A tip (14) at the distal end (12) has a deployable tissue divider (16) with one or more tissue parting elements (17) and each has a splitter (18). The tissue parting elements (17) are located within the cross-sectional dimensions of the member (11) in a storage position and are movable relative to the tip (14) for placement in an exposed position relative to the tip (14) when shifted from storage so that the splitter (18) thereof splits tissue during retrograde extraction along the axis and contact with tissue. Linkage (19) between the proximal end (13) and the deployable tissue divider (16) retains each of the tissue parting elements (17) with its splitter (18) exposed. The deployable tissue divider (16) has an electrode (23) for transmitting radio frequency energy received from the proximal end (13) to at least each splitter (18). A return path (27) completes the circuit to provide an electrosurgical effect during the retrograde extraction. A method of placing the device (10) for retrograde hole opening aligns the axis of the elongate member (11) normal to the outside abdominal wall of the body, places the distal end (12) through the tissue and leaving the proximal end (13) outside of the tissue, deploys the tissue divider (16) having one or more tissue parting elements (17) that are first located in a storage position within the cross section to an exposed position with the splitter (18) of each element positioned to split tissue, moves each element axially while exposed and fixed and splits tissue during extraction from the body cavity.

Abstract translation: 用于通过组织的逆向开孔的装置（10）具有在轴线上延伸的构件（11），该构件具有成形为轴向穿过外部组织的横截面。 构件（11）的远端和近端（13）在放置期间分别进入组织并保留在组织外部用于控制（26）。 在远端（12）处的尖端（14）具有可展开的组织分配器（16），其具有一个或多个组织分离元件（17），并且每个具有分离器（18）。 组织分离元件（17）位于构件（11）的存储位置的横截面尺寸内，并且可相对于尖端（14）移动，用于当偏移时相对于尖端（14）放置在暴露位置 从而使得其分离器（18）沿着轴线在逆行提取期间分裂组织并与组织接触。 近端（13）和可展开的组织分隔器（16）之间的连接（19）保持其分离器（18）暴露的每个组织分离元件（17）。 可展开的组织分配器（16）具有用于将从近端（13）接收的射频能量传送到至少每个分离器（18）的电极（23）。 返回路径（27）完成电路以在逆行提取期间提供电外科效果。 放置用于逆行孔开口的装置（10）的方法使细长构件（11）的轴线垂直于身体的外侧腹壁对准，使远端（12）穿过组织并离开近端（13） ），组织具有一个或多个组织分离元件（17）的组织分隔器（16），该组织分离元件首先位于横截面内的存储位置中，到达暴露位置，每个元件的分离器（18）定位于 分裂的组织，在暴露和固定的同时轴向移动每个元件，并在从体腔抽取期间分裂组织。

公开(公告)号：WO1996019151A1

公开(公告)日：1996-06-27

申请号：PCT/IB1995000826

申请日：1995-10-02

Applicant: VALLEYLAB, INC.

Inventor： VALLEYLAB, INC. ,  MAKOWER, Joshua ,  ZIEVE, David, A. ,  BARBER, Frank

IPC: A61B17/36

CPC classification number: A61B18/1206 ,  A61B2218/008

Abstract: An electrosurgical generator is equipped with a smoke evacuator which becomes active upon acting either on the foot pedal (16) or on the activation button on the hand piece (32). Evacuation however only takes place when the suction motor (29a) is activated by a trigger device (14) via other components (25, 37, 27) whenever HF current begins to flow. The rate of suction is determined by a smoke detector (42) placed on the smoke passage (30). A similar system can be used for total or partial removal of liquids from the operation site.

Abstract translation: 电外科发生器配备有排烟器，其在作用在脚踏板（16）上或者在手部件（32）上的启动按钮上起作用。 然而，仅当HF电流开始流动时，仅通过其他部件（25,37,27）由触发装置（14）激活抽吸马达（29a）才发生抽空。 抽吸速率由放置在烟道（30）上的烟雾探测器（42）确定。 类似的系统可用于从操作现场全部或部分去除液体。

公开(公告)号：EP0798986A1

公开(公告)日：1997-10-08

申请号：EP95931385.0

申请日：1995-10-02

Applicant: VALLEYLAB, INC.

Inventor： MAKOWER, Joshua ,  ZIEVE, David, A. ,  BARBER, Frank

IPC: A61B17 ,  A61B18

CPC classification number: A61B18/1206 ,  A61B2218/008

Abstract: An electrosurgical generator is equipped with a smoke evacuator which becomes active upon acting either on the foot pedal (16) or on the activation button on the hand piece (32). Evacuation however only takes place when the suction motor (29a) is activated by a trigger device (14) via other components (25, 37, 27) whenever HF current begins to flow. The rate of suction is determined by a smoke detector (42) placed on the smoke passage (30). A similar system can be used for total or partial removal of liquids from the operation site.

Abstract translation: 电外科发生器配备有排烟器，该排烟器在脚踏板（16）或手持件（32）上的启动按钮上起作用时变为活动的。 然而，只有当HF电流开始流动时，抽吸马达（29a）经由其他部件（25,37,27）被触发装置（14）激活时才进行抽真空。 抽吸速率由放置在烟道（30）上的烟雾探测器（42）确定。 类似的系统可以用于全部或部分地从手术部位移除液体。

公开(公告)号：EP0684789A1

公开(公告)日：1995-12-06

申请号：EP94909562.0

申请日：1994-01-25

Applicant: VALLEYLAB, INC.

Inventor： FITTON, Lois ,  GORMAN, William, J. ,  MAKOWER, Joshua ,  SODICKSON, Aaron

IPC: A61B17

CPC classification number: A61B17/29 ,  A61B17/0218 ,  A61B2017/00353 ,  A61B2017/2906 ,  A61B2017/306 ,  A61B2017/3445

Abstract: A minimally invasive retractor and dissector (10) for internal surgical use on a patient has a tubular support (11) for passing into the body; the tubular support (11) has a passage (16) for access along an axis 'A' thereof during operative procedures on the patient's internal tissue. A proximal end (12) on the tubular support (11) is located outside the patient in position to be accessed by the surgeon when a distal end (13) is inside. One or more jointed articulated members (15) are movably positioned and capable of holding and pulling tissue disposed beyond the distal end (13) and each member has a distal tip (17) to hold tissue. An instrument capable of moving independent of any member functions cooperatively on the tissue and passes through the passage (16) from the proximal end (12) to beyond the distal end (13) as the members position the tissue. The instrument is a surgical tool and the tissue is maneuvered by the members within the body into a position relative to the tool. A control (19) at the proximal end (12) manipulates the members relative to the axis 'A' permitting holding and pulling tissue disposed beyond the distal end (13); the control (19) is capable of moving the instrument independent of the members for operating on the held and maneuvered tissue. A grip (34) manipulates the members and positions the instrument. A method for using the minimally invasive retractor and dissector (10) has the steps of making an opening for a tubular support (11) to pass into the body, leaving the proximal end (12) on the tubular support (11) outside the body, positioning the distal end (13) thereof inside, and moving members carried on the tubular support (11). Holding and pulling tissue disposed beyond the distal end (13) and using the passage (16) for access along the axis thereof for operating on internal tissue are added steps. Another step is moving an instrument in the passage (16) independent of the members.