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公开(公告)号：US5258004A
公开(公告)日：1993-11-02
申请号：US780016
申请日：1991-10-21
CPC分类号： A61B17/29 , A61B17/320016 , A61B18/1445 , A61B10/06 , A61B17/3201 , A61B2017/0046 , A61B2017/0088 , A61B2017/292 , A61B2017/2926 , A61B2017/2939 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861
摘要： Lung clamp end effectors for a thoracoscopic surgical instrument are disclosed. The lung clamp end effectors have a base portion, an intermediate portion, and a distal portion. Each base portion has a first through-hole for pivotally engaging a pin of the clevis of the thoracoscopic surgical instrument, and preferably, a second through-hole used in conjunction with connecting links which connect the lung clamp end effector to the push rod. The through-holes on a particular end effector are located on opposite sides of the longitudinal axis of the tool, thereby providing strong clamping action. The lung clamps are further arranged with their distal portions increasing in width to approximately 10 mm as they extend distally. The distal portion also have cut-outs which increase in width as they extend distally. The lung clamp end effectors are at least two inches long from their respective pivot through-holes to their respective distal ends.
摘要翻译： 公开了用于胸腔镜手术器械的肺钳末端执行器。 肺夹具末端执行器具有基部，中间部和远端部。 每个基部具有用于枢转地接合胸腔镜手术器械的U形夹的销的第一通孔，并且优选地与将肺夹钳端部执行器连接到推杆的连接链节一起使用的第二通孔。 特定端部执行器上的通孔位于工具的纵向轴线的相对侧上，从而提供强大的夹紧动作。 肺夹具进一步布置，其远端部分在其远端延伸时宽度增加至约10mm。 远侧部分还具有在远端延伸时宽度增加的切口。 肺夹具末端执行器从它们各自的枢轴通孔至其相应的远端至少两英寸长。
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公开(公告)号：US5269804A
公开(公告)日：1993-12-14
申请号：US780076
申请日：1991-10-21
CPC分类号： A61B17/29 , A61B17/320016 , A61B18/1445 , A61B10/06 , A61B17/3201 , A61B2017/0023 , A61B2017/0046 , A61B2017/0088 , A61B2017/292 , A61B2017/2926 , A61B2017/2939 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861
摘要： Disposable laparoscopic colo-rectal surgical bowel clamps for insertion through trocar tubes are disclosed. The instruments broadly include: a hollow aluminum tube; an aluminum clevis which is formed separately from the aluminum tube with the distal end of the hollow aluminum tube crimped around the proximal end of the clevis; axially off-set pivot pins coupled to the clevis; two bowel clamp blades each having a pivot hole through which the off-set pivot pin of the clevis is pivotally engaged, and each having another through-hole; an aluminum push rod extending at least partially through the hollow aluminum tube and apparatus for imparting reciprocal motion to the push rod relative to the aluminum tube, whereby the reciprocal motion is translated at an offset pivot of the clevis into high leverage pivotal motion of the blades. The blades are configured with bowed intermediate sections, and cutout proximal sections for the grasping and clamping of a bowel portion or other relatively large anatomical parts.
摘要翻译： 公开了通过套管针插入的一次性腹腔镜直肠外科肠夹具。 仪器广泛包括：中空铝管; 与铝管分开形成的铝制U型夹具，中空铝管的远端围绕着U形夹的近端卷曲; 轴向偏置的枢轴销联接到U形夹; 两个夹钳刀片各自具有枢轴孔，所述U形夹的偏移枢轴穿过枢轴孔枢转地接合，并且每个都具有另一个通孔; 至少部分地延伸穿过中空铝管的铝推杆和用于相对于铝管赋予推杆往复运动的装置，由此往复运动在U形夹的偏移枢轴处平移，使叶片的高杠杆运动枢转运动 。 刀片配置有弓形中间部分，以及用于抓住和夹紧肠部分或其他较大解剖部件的切口近侧部分。
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公开(公告)号：US5171258A
公开(公告)日：1992-12-15
申请号：US780014
申请日：1991-10-21
申请人： Thomas O. Bales , Jurgen Kortenbach
发明人： Thomas O. Bales , Jurgen Kortenbach
IPC分类号： A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B19/00
CPC分类号： A61B10/06 , A61B17/29 , A61B17/320016 , A61B18/1445 , H01L21/67126 , A61B10/02 , A61B17/30 , A61B17/3201 , A61B2010/0225 , A61B2017/0023 , A61B2017/00398 , A61B2017/0046 , A61B2017/0088 , A61B2017/292 , A61B2017/2926 , A61B2017/2931 , A61B2017/2939 , A61B2017/2945 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1253 , A61B2018/1412 , A61B2018/1415 , A61B2018/1432 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , A61B2090/064 , A61M2025/0098 , A61M2205/6081 , H01L21/6715 , Y10T403/32181 , Y10T403/32221 , Y10T74/18944 , Y10T74/20402
摘要： Disposable laparoscopic surgical instruments for insertion through trocar tubes are disclosed. The instruments broadly include: a hollow aluminum tube; an aluminum clevis which is formed separately from the aluminum tube with the distal end of the hollow aluminum tube crimped around the proximal end of the clevis, and with the clevis including an axially off-set pivot pin; at least one end effector element having a pivot hole through which the off-set pivot pin of the clevis is pivotally engaged, and another through-hole; an aluminum push rod extending at least partially through the hollow aluminum tube and mechanically coupled to the end effector element; and apparatus for imparting reciprocal motion to the push rod relative to the aluminum tube, whereby the reciprocal motion is translated at an offset pivot of the clevis into a high torque pivotal motion of the end effector element.
摘要翻译： 公开了一种用于通过套管针插入的腹腔镜手术器械。 仪器广泛包括：中空铝管; 与铝管分开形成的铝制U型夹具，中空铝管的远端围绕U形夹的近端卷曲，并且U形夹包括轴向偏移的枢轴销; 至少一个端部执行器元件具有枢轴孔，所述U形夹的偏移枢轴通过所述枢转孔枢转地接合，以及另一个通孔; 铝推杆，其至少部分延伸穿过中空铝管并且机械地联接到末端执行器元件; 以及用于相对于铝管向推杆施加往复运动的装置，由此往复运动在U形夹的偏移枢轴处平移到端部执行器元件的高扭矩枢转运动。
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公开(公告)号：US07727248B2
公开(公告)日：2010-06-01
申请号：US10867412
申请日：2004-06-14
申请人： Kevin W. Smith , Jose Luis Francese , Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales , Carlos Rivera , Matthew A. Palmer
发明人： Kevin W. Smith , Jose Luis Francese , Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales , Carlos Rivera , Matthew A. Palmer
IPC分类号： A61B17/08
CPC分类号： A61B17/1285 , A61B17/122 , A61B2017/2905 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip has a base portion and two generally parallel, spaced arms extending from the base portion and defining an opening therebetween. The arms terminate distally in fingers which are of reduced width and thickness relative to the arms and which are adapted to be bent towards and past each other. A transition section from each arm to the finger provides curved structures which extending away from each other and providing a wider mouth for the opening between the arms. The arms also have a proximal section with an undercut which helps in flexure of the arms. The base is an extended structure having a rounded proximal end with outwardly extending shoulders which are arranged to be engaged by the curved structures of the mouth of another clip.
摘要翻译： 手术夹具具有从基部延伸并在其间限定开口的基部和两个大致平行的间隔开的臂。 臂在远离手指的位置处终止，手指相对于手臂减小了宽度和厚度，并且它们适于朝彼此弯曲并且彼此相交。 从每个臂到手指的过渡部分提供了彼此延伸的弯曲结构，并为臂之间的开口提供更宽的口。 臂还具有带有底切的近端部分，其有助于臂的挠曲。 底座是具有圆形近端的延伸结构，其具有向外延伸的肩部，其被布置成与另一个夹子的口部的弯曲结构接合。
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公开(公告)号：US20100004668A1
公开(公告)日：2010-01-07
申请号：US12547975
申请日：2009-08-26
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/0023 , A61B2017/0046 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a removable battery, and an ultrasonic-signal-generator assembly, includes a handle body with a portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, a transducer attachment dock exposed to the environment and shaped to place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock, and an ultrasonic-signal-generator assembly dock exposed to the environment. The ultrasonic-signal-generator assembly dock is shaped to substantially simultaneously selectively removably secure the ultrasonic-signal-generator assembly to the handle body, place an end of the ultrasonic transducer within the transducer attachment dock, and electrically couple the ultrasonic-signal-generator assembly to the at least two battery contacts.
摘要翻译： 可连接到超声波换能器，超声波导，可拆卸电池和超声波信号发生器组件的一次性超声手术手柄包括具有限定电池保持室的部分的手柄主体，电池保持室至少具有 两个电池触点，暴露于环境并成形为接受其中的波导的波导附件基座，暴露于环境的换能器附接基座并成形为当波导设置在波导附件内时将超声换能器与波导同轴对准 码头和一个暴露于环境的超声波信号发生器装配码头。 超声波信号发生器组件坞被成形为基本上同时选择性地可移除地将超声信号发生器组件固定到手柄本体，将超声换能器的一端放置在换能器附件底座内，并将超声信号发生器 组装到至少两个电池触点。
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公开(公告)号：US20090143805A1
公开(公告)日：2009-06-04
申请号：US12270146
申请日：2008-11-13
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/0023 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic waveguide, a battery, and an ultrasonic-movement-generator assembly includes a first handle body portion defining therein an aseptically sealable battery-holding compartment shaped to receive the battery therein, a second handle body portion connected to the first handle body portion, and an electrical couple. The second handle body portion has a waveguide attachment dock exposed to the environment and an ultrasonic-movement-generator assembly dock exposed to the environment and shaped to connect the ultrasonic waveguide in the waveguide attachment dock to the ultrasonic-movement-generator assembly through the second handle body portion. The electrical couple is operable to connect a battery within the battery-holding compartment to the ultrasonic-movement-generator-assembly when the ultrasonic-movement-generator assembly is docked at the ultrasonic-movement-generator assembly dock.
摘要翻译： 可连接到超声波波导，电池和超声波运动发生器组件的一次性超声手术手柄包括：第一手柄主体部分，其中限定有形成为在其中容纳电池的无菌密封的电池容纳室，连接到第二手柄主体部分 到第一手柄主体部分，以及电耦合。 第二手柄主体部分具有暴露于环境的波导附件基座和暴露于环境的超声波运动发生器组件基座，并且成形为将波导附件底座中的超声波波导通过第二手柄发生器组件连接到超声波运动发生器组件 手柄主体部分。 当超声波运动发生器组件对准在超声波运动发生器组装座时，电耦合可操作以将电池保持室内的电池连接到超声波运动发生器组件。
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公开(公告)号：US20090143801A1
公开(公告)日：2009-06-04
申请号：US12266320
申请日：2008-11-06
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： A disposable ultrasonic surgical handle includes a disposable handle body that has a first handle body portion defining a handgrip and a second handle body portion connected to the first handle body portion, where the second handle body portion has a waveguide attachment dock exposed to the environment and having a first couple operable to connect an ultrasonic waveguide thereto and an aseptically sealable powered-ultrasonic-motion-generator assembly dock shaped to connect the ultrasonic waveguide in the attachment dock to an assembly within the assembly dock through the second handle body portion. The disposable ultrasonic surgical handle also includes a disposable compartment door movably connected to the second handle body portion to selectively expose the assembly dock to the environment, where the handle has an open position exposing the assembly dock to the environment and permitting entry and removal of the powered-ultrasonic-motion-generator assembly respectively into and from the assembly dock and a closed position aseptically sealing the assembly dock from the environment.
摘要翻译： 一次性超声波手术手柄包括一次性手柄本体，其具有限定手柄的第一手柄主体部分和连接到第一手柄主体部分的第二手柄主体部分，其中第二手柄本体部分具有暴露于环境的波导附件支架， 具有可操作以将超声波波导连接到其上的第一对和无菌可密封的动力超声波运动发生器组件座，其形状适于将附接基座中的超声波导连接到组装座内的通过第二手柄主体部分的组件。 一次性超声手术手柄还包括可移动地连接到第二手柄主体部分的一次性隔间门，以选择性地将组装基座暴露于环境中，其中手柄具有将组件基座暴露于环境的开放位置，并允许进入和移除 动力 - 超声波运动发生器组件分别进入和离开装配坞，并且闭合位置无菌地将组装基座与环境密封。
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公开(公告)号：US20090143799A1
公开(公告)日：2009-06-04
申请号：US12266226
申请日：2008-11-06
IPC分类号： A61B17/32
CPC分类号： A61N7/02 , A61B17/1285 , A61B17/320092 , A61B2017/00017 , A61B2017/0023 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2017/320097 , A61B2017/320098 , A61B2018/00595 , Y10T29/49826
摘要： A disposable ultrasonic surgical handle includes a disposable handle body defining a battery-holding compartment shaped to receive a battery therein and operable to couple a proximal end of an ultrasonic waveguide to an ultrasonic transducer therethrough. The body has a transducer dock exposed to the environment and interchangeably housing the transducer and a waveguide attachment dock shaped to align and attach the proximal end of the waveguide to the transducer and hold them at the body when the respectively docked at the transducer and attachment docks. A disposable driving-wave generation circuit in the handle body electrically contacts the battery and the transducer when the battery and the transducer are disposed respectively in the battery-holding compartment and the transducer dock. The circuit generates an output waveform sufficient to cause ultrasonic movement along the waveguide by exciting the transducer when the transducer is coupled to the waveguide.
摘要翻译： 一次性超声波手术手柄包括一次性手柄主体，其限定电池保持室，其形状为在其中容纳电池并且可操作以将超声波导的近端耦合到超声换能器。 身体具有暴露于环境的换能器基座并且可互换地容纳换能器和波导附件基座，其形状用于将波导的近端对准和附接到换能器并将其保持在身体处，当分别对接在换能器和附接基座 。 当电池和换能器分别设置在电池保持室和换能器座中时，手柄体中的一次性驱动波发生电路与电池和换能器电接触。 当换能器耦合到波导时，该电路产生足以引起超声波沿波导移动的输出波形。
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公开(公告)号：US20090138003A1
公开(公告)日：2009-05-28
申请号：US12270111
申请日：2008-11-13
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B2017/00734 , A61B2018/00404 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/126 , A61B2018/1412 , A61B2018/1455
摘要： A cordless cautery and cutting surgical device includes a modular battery and a surgical handle. The battery has a cordless radio-frequency-signal-generation assembly generating an output radio-frequency signal and a first selectively removable connector part. The surgical handle has a first handle body portion with a bipolar cautery and cutting end effector. The end effector has jaws with bipolar contacts and a cutting blade disposed between the jaws. The handle has a second body portion connected to the first body portion, defines therein an aseptically sealable battery-holding compartment selectively exposed to the environment and removably holding therein the battery, and a second selectively removable connector part operable to removably hold the first connector part thereto. The second connector part has conductors electrically connecting the RF assembly to the bipolar contacts for supplying the radio-frequency signal to the bipolar contacts when the first and second connector parts are removably secured together.
摘要翻译： 无绳电烙和切割手术装置包括模块电池和手术手柄。 电池具有产生输出射频信号的无绳射频信号发生组件和第一选择性可移除的连接器部分。 手术手柄具有第一把手主体部分，其具有双极烧灼和切割末端执行器。 末端执行器具有双极触点的夹爪和设置在钳口之间的切割刀片。 手柄具有连接到第一主体部分的第二主体部分，其中限定有选择性地暴露于环境并可移除地保持在其中的电池的无菌密封电池容纳室，以及可操作地可移除地将第一连接器部分 到此。 第二连接器部分具有将RF组件电连接到双极触点的导体，用于当第一和第二连接器部件可拆卸地固定在一起时将射频信号提供给双极触点。
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公开(公告)号：US07172549B2
公开(公告)日：2007-02-06
申请号：US10811536
申请日：2004-03-29
申请人： Charles R. Slater , Thomas O. Bales
发明人： Charles R. Slater , Thomas O. Bales
CPC分类号： A61N5/1027 , A61B90/39 , A61B2090/3954 , A61N2005/1024
摘要： Radioactive therapeutic seeds include a carrier structure bearing a radioactive isotope and a radiopaque marker. According to several embodiments, the seeds include a central plug provided with an axial marker and a relatively transverse bore extending through the marker. A second marker may be positioned in the bore, thereby distinguishing a seed provided with the second marker relative to a seed not provided with the second marker. According to another embodiment, the isotope is deposited on the outer surface of a hollow radiolucent tube. A biologically-compatible, radiolucent, surface-sealing layer seals the external surface of the tube. A radiopaque marker wire of selected length is positioned in the hollow of the tube. Seeds may be distinguished from one another by providing seeds with marker wires of different lengths. According to other embodiments, the seed includes a cylindrical outer member, and an inner member provided within the outer member and having two large diameter portions and a relatively smaller diameter portion therebetween. A marker is disposed within the inner member, and a radioactive isotope is carried on the inner member. The marker may be drilled to a smaller size. Each embodiment permits at least two groups of seeds to be distinguished from one another by the use of differing marker configurations.
摘要翻译： 放射治疗种子包括具有放射性同位素和不透射线标记的载体结构。 根据几个实施例，种子包括设置有轴向标记的中心塞和延伸穿过标记的相对横向的孔。 可以将第二标记物定位在孔中，从而与提供有第二标记的种子相对于未设置第二标记的种子进行区分。 根据另一个实施方案，同位素沉积在中空的射线可透管的外表面上。 生物相容的射线可透过的表面密封层密封管的外表面。 所选长度的不透射线标记线位于管的中空中。 通过为种子提供不同长度的标记线，种子可以彼此区分。 根据其他实施例，种子包括圆柱形外部构件和设置在外部构件内部并具有两个大直径部分和其间相对较小直径部分的内部构件。 标记物设置在内部构件内，并且放射性同位素被承载在内部构件上。 标记可以钻到较小的尺寸。 每个实施例允许通过使用不同的标记物构造将至少两组种子彼此区分开。
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