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公开(公告)号：US20120010652A1
公开(公告)日：2012-01-12
申请号：US13238361
申请日：2011-09-21
IPC分类号： A61B17/28
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The shaft may be capable of an angled configuration where at least a portion of the shaft is manually movable to a direction in which it extends at an angle to another portion of the shaft. The end effector is not limited to a linear configuration and at least a portion of an elongated end effector extends at an angle relative to another portion of the end effector as is needed or desirable for the particular procedure to be performed.
摘要翻译： 液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。 轴可以是倾斜的构型，其中轴的至少一部分可手动地移动到其与轴的另一部分成一定角度延伸的方向。 末端执行器不限于线性构造，并且细长末端执行器的至少一部分相对于端部执行器的另一部分以一定角度延伸，如对于要执行的特定过程所需要或期望的。
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公开(公告)号：US08043328B2
公开(公告)日：2011-10-25
申请号：US10871617
申请日：2004-06-18
IPC分类号： A61B17/00
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The shaft may be capable of an angled configuration where at least a portion of the shaft is manually movable to a direction in which it extends at an angle to another portion of the shaft. The end effector is not limited to a linear configuration and at least a portion of an elongated end effector extends at an angle relative to another portion of the end effector as is needed or desirable for the particular procedure to be performed.
摘要翻译： 液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。 轴可以是倾斜的构型，其中轴的至少一部分可手动地移动到其与轴的另一部分成一定角度延伸的方向。 末端执行器不限于线性构造，并且细长末端执行器的至少一部分相对于末端执行器的另一部分以一定角度延伸，如对于要执行的特定过程所需要或期望的。
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公开(公告)号：US06755338B2
公开(公告)日：2004-06-29
申请号：US10159221
申请日：2002-05-31
IPC分类号： A61B17115
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The shaft may be capable of an angled configuration where at least a portion of the shaft is manually movable to a direction in which it extends at an angle to another portion of the shaft. The end effector is not limited to a linear configuration and at least a portion of an elongated end effector extends at an angle relative to another portion of the end effector as is needed or desirable for the particular procedure to be performed.
摘要翻译： 液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。 轴可以是倾斜的构型，其中轴的至少一部分可手动地移动到其与轴的另一部分成一定角度延伸的方向。 末端执行器不限于线性构造，并且细长末端执行器的至少一部分相对于端部执行器的另一部分以一定角度延伸，如对于要执行的特定过程所需要或期望的。
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公开(公告)号：US07610104B2
公开(公告)日：2009-10-27
申请号：US10144205
申请日：2002-05-10
申请人： Aaron V. Kaplan , Kevin F. Hahnen
发明人： Aaron V. Kaplan , Kevin F. Hahnen
CPC分类号： A61N1/0587 , A61N2001/0578
摘要： The methods and apparatus for lead placement on a surface of the heart are employed using an elongated body having proximal and distal end portions. The body defines a lead receiving passageway extending between a proximal inlet and a distal outlet for receiving a lead therethrough for contact with the heart surface. The elongated body is adapted for insertion between a pericardium and an epicardial surface. At least a portion of the body may have a non-circular cross-sectional shape adapted to retain the body orientation between the pericardium and the epicardial surface.
摘要翻译： 使用具有近端部分和远端部分的细长体使用在心脏表面上的铅放置的方法和装置。 主体限定了在近端入口和远端出口之间延伸的引线接收通道，用于接收穿过其中的与心脏表面接触的引线。 细长体适于插入在心包和心外膜表面之间。 身体的至少一部分可以具有适于在心包和心外膜表面之间保持身体取向的非圆形横截面形状。
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公开(公告)号：US5478350A
公开(公告)日：1995-12-26
申请号：US275291
申请日：1994-07-14
申请人： Peter K. Kratsch , Kevin F. Hahnen
发明人： Peter K. Kratsch , Kevin F. Hahnen
CPC分类号： A61B17/29 , A61B17/2909 , A61B10/06 , A61B2017/00477 , A61B2017/2923 , A61B2017/2929 , A61B2017/2931 , A61B2017/2934 , A61B2017/294
摘要： An actuator mechanism for an endoscopic instrument includes a stationary handle having a stepped throughbore with a relatively smaller diameter at the distal end and a relatively larger diameter at the proximal end. A cylindrical rack member is slidably disposed in the larger diameter portion of the throughbore. The larger diameter portion of the throughbore has a lower slot opening, and a movable lever is pivotally coupled to the stationary handle and is provided with a toothed upper pinion which enters the slot in the larger diameter portion of the throughbore and engages the rack member. The proximal end of the tube member is coupled to the distal smaller diameter portion of the throughbore and the proximal end of the control member is coupled to the distal end of the rack member.
摘要翻译： 用于内窥镜器械的致动器机构包括具有在远端具有相对较小直径并且在近端具有相对较大直径的阶梯式通孔的固定手柄。 圆柱形齿条构件可滑动地设置在通孔的较大直径部分中。 通孔的较大直径部分具有下槽口，并且可动杆枢转地联接到固定手柄，并且设置有齿形上小齿轮，其进入通孔的较大直径部分中的狭槽并与齿条构件接合。 管构件的近端联接到通孔的远端较小直径部分，并且控制构件的近端联接到齿条构件的远端。
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公开(公告)号：US09138142B2
公开(公告)日：2015-09-22
申请号：US11417667
申请日：2006-05-03
CPC分类号： A61F2/15 , A61B3/152 , A61F2/14 , A61F2/147 , A61F9/007 , A61F2002/1699 , A61F2250/0023 , A61F2250/0067 , A61F2250/0098 , G02C7/04 , G02C7/165
摘要： An ophthalmic device that includes a mask configured to be implanted posterior of the cornea. The mask is configured to increase the depth of focus of the patient. The mask includes an aperture configured to transmit along an optical axis substantially all incident light and a substantially opaque portion surrounding at least a portion of the aperture. The ophthalmic device can further include a plurality of light transmission structures configured to allow some light to pass through the substantially opaque portion. The light transmission structures are configured to minimize generation of visible artifacts due to the transmission of light through the light transmission structures.
摘要翻译： 一种眼科装置，其包括构造成植入角膜后方的掩模。 掩模被配置为增加患者的焦点深度。 掩模包括孔，所述孔被配置为沿着光轴传输基本上所有的入射光和围绕孔的至少一部分的基本上不透明的部分。 眼科装置还可以包括多个光透射结构，其被配置为允许一些光穿过基本上不透明的部分。 光传输结构被配置为最小化由于透过光透射结构的光的透射而导致的可见伪影的产生。
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公开(公告)号：US08864824B2
公开(公告)日：2014-10-21
申请号：US11417875
申请日：2006-05-03
IPC分类号： A61F2/14
CPC分类号： A61B3/152 , A61B3/0091
摘要： A method is provided for increasing the depth of focus of an eye of a patient. A visual axis of the eye is aligned with an instrument axis of an ophthalmic instrument. The ophthalmic instrument has an aperture through which the patient may look along the instrument axis. A first reference target is imaged on the instrument axis at a first distance with respect to the eye. A second reference target is imaged on the instrument axis with the ophthalmic instrument at a second distance with respect to the eye. The second distance is greater than the first distance. Movement is provided such that the patient's eye is in a position where the images of the first and second reference targets appear to the patient's eye to be aligned. A mask comprising a pin-hole aperture having a mask axis is aligned with the instrument axis such that the mask axis and the instrument axis are substantially collinear. The mask is applied to the eye of the patient while the alignment of the mask axis and the instrument axis is maintained. Maintaining alignment of the mask axis and the instrument axis may be facilitated by capturing an image of the eye.
摘要翻译： 提供了一种用于增加患者眼睛的焦点深度的方法。 眼睛的视轴与眼科仪器的仪器轴线对准。 眼科器具具有孔，患者可沿着该孔观察仪器轴线。 第一参考目标在仪器轴上相对于眼睛以第一距离成像。 第二参考目标在仪器轴上与眼科仪器相对于眼睛相距第二距离成像。 第二距离大于第一距离。 提供运动，使得患者的眼睛处于第一和第二参考对象的图像对患者眼睛看起来对齐的位置。 包括具有掩模轴的针孔的掩模与仪器轴线对准，使得掩模轴线和仪器轴线基本上共线。 当保持掩模轴和仪器轴的对准时，将掩模施加到患者的眼睛。 通过捕捉眼睛的图像可以方便地保持掩模轴和仪器轴的对准。
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公开(公告)号：US5957923A
公开(公告)日：1999-09-28
申请号：US725937
申请日：1996-10-07
CPC分类号： A61B18/1485 , A61B18/149 , A61B2018/00607
摘要： An electrocautery probe includes a distal loop electrode mounted between a pair of arms which are joined at their proximal ends to an electrode lead, and a mounting sleeve for slideably coupling the probe to the guide tube of a resectoscope. The arms are skewed from a longitudinal axis defined by the electrode lead and are covered with an insulative material which extends to the distal end of the arms and terminates in a straight edge parallel to a plane substantially perpendicular to the arms. The loop electrode is angled approximately 25.degree.-35.degree. proximally relative to a plane substantially perpendicular to the electrode lead. The loop electrode further defines sharp upper distal and proximal edges. A cross-section of the electrode further defines an upper surface, a leading distal surface, a lower distal surface, a lower proximal surface.
摘要翻译： 电烙探头包括安装在一对臂之间的远端环电极，所述臂在其近端处连接到电极引线，以及用于将探针可滑动地联接到切除镜的引导管的安装套筒。 臂从由电极引线限定的纵向轴线偏斜并且被绝缘材料覆盖，绝缘材料延伸到臂的远端并且终止于平行于基本上垂直于臂的平面的直边缘。 环形电极相对于基本上垂直于电极引线的平面向近端倾斜约25°-35°。 环形电极还限定了尖锐的上部远端和近端边缘。 电极的横截面进一步限定了上表面，前端远端表面，下远端表面，下近侧表面。
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公开(公告)号：US5908419A
公开(公告)日：1999-06-01
申请号：US794997
申请日：1997-02-05
申请人： Kevin F. Hahnen , Boris Kesler
发明人： Kevin F. Hahnen , Boris Kesler
CPC分类号： A61B18/149 , A61B18/1485 , A61B2017/00274 , A61B2017/4216 , A61B2018/00547 , A61B2018/1497 , A61B2018/1861
摘要： An electrocautery probe includes a pair of arms between which a roller electrode is rotatably mounted. The arms are joined at their proximal ends to an electrode lead and a mounting sleeve is provided intermediate of the arms and the lead for slideably coupling the probe to a resectoscope. According to one aspect of the invention, the roller electrode includes a cylindrical member having a central bore and an outer surface, and an insert extending longitudinally through the central bore. Preferably the cylindrical member is made of a first conductive material and the insert is made of a second conductive material. The insert has a plurality of corners and an axial bore. The roller electrode is preferably made of stainless steel, while the insert is preferably made of copper or tungsten. The outer diameter of the roller electrode is preferably approximately 0.120 inches, while the wall of the distance from at least on of the corners of the insert to the outer surface of cylindrical member is preferably approximately 0.005 inches thick. The cross-section of the central bore and the insert may similarly define any polygonal or other shape having corners. It has been discovered that the corners of the insert focus the cautery energy through the roller electrode to provide high heat zones for enhanced tissue vaporization.
摘要翻译： 电灼探针包括一对臂，可旋转地安装有辊电极。 臂在其近端处连接到电极引线，并且安装套筒设置在臂和引线的中间，用于将探头可移动地联接到电视镜。 根据本发明的一个方面，辊电极包括具有中心孔和外表面的圆柱形构件，以及纵向延伸穿过中心孔的插入件。 优选地，圆柱形构件由第一导电材料制成，并且插入件由第二导电材料制成。 插入件具有多个拐角和轴向孔。 辊电极优选由不锈钢制成，而插入件优选由铜或钨制成。 辊电极的外径优选为约0.120英寸，而从插入件的至少角部到圆柱形构件的外表面的距离的壁优选为大约0.005英寸厚。 中心孔和插入件的横截面可以类似地限定具有拐角的任何多边形或其它形状。 已经发现，插入物的角部通过辊电极聚焦烧焦能量，以提供用于增强组织蒸发的高热区域。
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公开(公告)号：US5683359A
公开(公告)日：1997-11-04
申请号：US515937
申请日：1995-08-16
申请人： Laszlo Farkas , Kevin F. Hahnen , Boris Kesler
发明人： Laszlo Farkas , Kevin F. Hahnen , Boris Kesler
CPC分类号： A61B17/1608 , A61B10/06 , A61B18/1815 , A61B2017/0088 , A61B2017/2926 , A61B2017/2931 , A61B2017/2934 , A61B2017/2939 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1861 , A61B2090/0813 , A61B2217/005
摘要： An arthroscopic surgical instrument includes a surgical punch end effector assembly, a hollow tube defining a fluid passageway, a push rod extending through the hollow tube, an actuating lever coupled to a proximal end of the push rod, and a fluid coupler extending into the hollow tube and coupling to a vacuum source which applies suction through the fluid passageway. The end effector assembly has movable punch and stationary die end effectors. The stationary die end effector includes separate upper die and lower cup portions which are coupled to the distal end of the hollow tube, and which are fixed together during an assembly procedure. The upper die portion has a groove into which a tongue of the movable end effector is fitted prior to fixing the separate portions of the stationary end effector. When the stationary die end effector is assembled with the movable punch end effector pivoting therein, and the end effectors are in a closed position, a substantially closed cavity or hollow is formed in the end effectors with the cavity having a proximal opening to the tube. Tissue punched by the movable end effector falls into the cavity, and due to the fact that the cavity is substantially closed, the suction extends into the cavity and suctions the tissue out through the fluid passageway.
摘要翻译： 关节镜手术器械包括手术穿刺端部执行器组件，限定流体通道的中空管，延伸穿过中空管的推杆，连接到推杆近端的致动杆，以及延伸到中空管中的流体联接器 并耦合到通过流体通道施加抽吸的真空源。 端部执行器组件具有可动冲头和固定模头端部执行器。 固定模头端部执行器包括分离的上模和下杯部分，其连接到中空管的远端，并且在组装过程中固定在一起。 在固定固定末端执行器的分离部分之前，上模具部分具有槽，可移动端部执行器的舌部装配在该槽中。 当固定模具端部执行器与其中枢转的可移动的冲头端部执行器组装并且端部执行器处于关闭位置时，在端部执行器中形成基本封闭的空腔或中空部，其中空腔具有到管的近端开口。 由可动端部执行器冲压的组织落入空腔中，并且由于空腔基本上封闭的事实，吸力延伸到空腔中并通过流体通道吸出组织。
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