Karl Storz-gmbh & Co. Kg

Terumo Kabushiki Kaisha

Deanna Hirzel

Shigeru Omori

Pari Shimoyama

Makoto Jinno

Ryohei Katsuki

Masao Hitotsuyanagi

Magdy P Milad

Jack Marlotte

Rie Nakamura

A medical manipulator system has an operating unit including a grip handle and a composite input unit, a working unit detachably mounted on the operating unit and including an end effector, and a controller for controlling the operating unit. The controller judges starting and ending of a surgical case and increments the usage count of the working unit based on a manner in which the working unit is mounted and dismounted, and the times at which the working unit is mounted and dismounted, and disables the working unit if the usage count of the working unit exceeds a preset count.

Medical manipulator system

In a suturing and ligating method, a suture strand is wound around a gripper a predetermined number of times by turning a proximal end portion of a curved needle with a rolling mechanism. The gripper then grips the portion of the suture strand, which has not been inserted into the tissue. The gripper is then withdrawn through loops of the suture strand, which are wound around the gripper. The distal-end working unit and the gripper are then moved relatively to each other in order to form a knot across the incision.

Suturing and ligating method

A suturing method for anastomosis of live bodies and training bodies joins a duct having perimeter positions defined according to clock hour positions to an opening in a bladder using an articulating laparoscopic device having a gripper at a distal end with open and closed positions for loading a suture needle in either a forehand or backhand direction. The gripper has a yaw motion including left and right positions and a roll motion either clockwise or counterclockwise. The open and closed positions, yaw motion, and roll motion are under manual control of a user through manual controls at a proximal end of the articulating laparoscopic device. The perimeter positions include a 12-o'clock position proximal to the user and a 6-o'clock position distal of the user. The method includes driving a suture at about the 6-o'clock position through the bladder and then the duct wherein the suture needle is loaded forehand, the yaw is in a left position, and the roll is clockwise. Orientations and directions are provided for other suturing positions.

Urethrovesical anastomosis suturing method using articulating laparoscopic device

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Chelsea, MI, United States of America

Deanna Hirzel