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公开(公告)号：US06554823B2
公开(公告)日：2003-04-29
申请号：US09733493
申请日：2000-12-08
IPC分类号： A61B1700
CPC分类号： A61B17/3417 , A61B17/3421 , A61B17/3462 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/3405 , A61B2017/3484 , A61B2017/3492
摘要： A system for performing through port off-pump coronary artery bypass surgery includes a port insertable between ribs into a chest wall of a patient, a heart stabilizer extendable through and stably couplable to the port, and an instrument stabilizer adapted to dampen extraneous movement to which a surgical instrument extending through the stabilizer is subject.
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92.发明授权Catch, stop and marker assembly for a medical instrument and medical instrument incorporating the same 有权用于医疗器械和包含该器械的医疗器械的捕捉，停止和标记组件公开(公告)号：US06544231B1
公开(公告)日：2003-04-08
申请号：US09575432
申请日：2000-05-22
IPC分类号： A61M5178
CPC分类号： A61B17/221 , A61B90/39 , A61B2017/00469 , A61B2017/347 , A61B2090/034 , A61B2090/062 , A61B2090/3908 , A61M25/09041 , A61M2025/0008 , A61M2025/09125
摘要： A medical instrument includes a shaft having an outer surface defining an outer diameter, a tube having an inner surface defining an inner diameter and extending over a portion of the shaft, at least one coil wound in a first rotational direction and provided between the shaft and the tube, the at least one coil having a first portion defining an inner surface interfering with an outer surface of the shaft such that the at least one coil grips the shaft, and a second portion coupled to the inner surface of the tube. The tube is movable longitudinally relative to the shaft in a first longitudinal direction when subject to force in the first longitudinal direction, and the tube is substantially immovable longitudinally relative to the shaft in a second longitudinal direction opposite the first longitudinal direction when subject to force in the second longitudinal direction only. When the tube is subject to rotational force in a second rotational direction opposite the first rotational direction, movement of the tube in the second longitudinal direction relative to the shaft is permitted. Other embodiments are also provided.
摘要翻译： 医疗器械包括具有限定外径的外表面的轴，具有限定内径并且在轴的一部分上延伸的内表面的管，至少一个缠绕在第一旋转方向上的线圈，并且设置在轴和 所述管，所述至少一个线圈具有限定与所述轴的外表面干涉的内表面的第一部分，使得所述至少一个线圈夹持所述轴，以及联接到所述管的内表面的第二部分。 当沿第一纵向方向受力时，该管能够在第一纵向方向上相对于该轴纵向运动，并且该管在相对于第一纵向方向的第二纵向方向上相对于该轴在纵向方向上基本上不可移动 仅第二纵向方向。 当管在与第一旋转方向相反的第二旋转方向上受到旋转力时，允许管相对于轴在第二纵向方向上的运动。 还提供了其他实施例。
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公开(公告)号：US6123678A
公开(公告)日：2000-09-26
申请号：US960214
申请日：1997-10-29
CPC分类号： A61B10/06 , A61B2017/2933 , A61B2017/2937
摘要： An endoscopic bioptome includes a flexible coil having a lumen with an axially displaceable wire extending therethrough. The proximal ends of the coil and wire are coupled to a manual actuator for axially displacing one of the coil and wire relative to the other. The distal end of the coil is coupled to either a jaw assembly or a cylinder. The jaw assembly includes a pair of jaws each having a distal jaw cup having a proximal neck and a relatively narrow bent resilient arm. The distal end of the wire is coupled to the other of the cylinder or the jaw assembly. The cylinder is slidable over the jaw assembly. Axial movement of either the wire relative to the coil or vice versa moves the cylinder over the arms of the jaws and over the necks of the jaw cups, thereby forcing the jaw cups together in a biting action. In one embodiment, the axially displaceable wire is provided with a coaxial stopping band or sleeve which stops its movement as soon as the jaws close. In another embodiment, the cylinder is provided with an annular stopping crimp which limits relative displacement of the cylinder and the jaw assembly. In a third embodiment, the cylinder is provided with a radially inward flange and the coil is provided with a reduced diameter portion. In a fourth embodiment, the jaw cups are provided with outer surface steps. In all of the embodiments, the limitation of displacement has the effect of limiting the cutting force applied to the jaws.
摘要翻译： 内镜式活检人员包括具有内腔的柔性线圈，其具有延伸穿过其中的可轴向移位的线。 线圈和线的近端联接到手动致动器，用于相对于另一个轴向移位线圈和线中的一个。 线圈的远端联接到钳口组件或气缸。 钳口组件包括一对钳口，每个钳口具有具有近端颈部和相对窄的弯曲弹性臂的远端钳口杯。 电线的远端联接到气缸或钳口组件中的另一个。 气缸可滑过钳口组件。 电线相对于线圈或反之亦然的轴向运动将汽缸移动到钳口的臂上并在钳口杯的颈部上方，从而迫使钳口杯咬合在一起。 在一个实施例中，可轴向移动的导线设置有同轴止动带或套筒，一旦夹爪关闭就停止其运动。 在另一个实施例中，气缸设置有环形止动压接件，其限制气缸和钳口组件的相对位移。 在第三实施例中，气缸设置有径向向内的凸缘，并且线圈设置有直径减小的部分。 在第四实施例中，钳口杯具有外表面台阶。 在所有实施例中，位移的限制具有限制施加到夹爪的切割力的作用。
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94.发明授权Clevis having deflection limiting stops for use in an endoscopic biopsy forceps instrument 失效具有用于内窥镜活检钳仪器的偏转限制止动件的卡钳
公开(公告)号：US5722421A
公开(公告)日：1998-03-03
申请号：US528767
申请日：1995-09-15
CPC分类号： A61B10/06 , A61B2017/2939 , A61B2090/034
摘要： A deflection-limiting clevis includes a substantially cylindrical base with a pair of clevis arms extending therefrom, a clevis axle extending between distal ends of the clevis arms and a pair of stops located on interior portions of the clevis arms between the base and the axle. The stops are dimensioned and located to engage respective tangs of a pair of jaws, which are mounted on the axle, when the jaws are deflected across the center line of the clevis. A first embodiment of the clevis may be used with or without a conventional flat needle between the jaws. In a second embodiment of the clevis, a cross member is located between the clevis arms proximal of the clevis axle and distal of the cylindrical base. The cross member may be used to engage the proximal end of a shortened flat needle which is mounted between the jaws and is also used to engage the tangs of the jaws when the jaws are rotated about the axle to a point of deflection. A third embodiment of the invention combines aspects of the first and second embodiments and includes both a pair of stops located on interior portions of the clevis arms between the base and the axle and a cross member located between the stops and the cylindrical base. The third embodiment allows allowing the use of a shortened flat needle while also allowing some deflection of the jaws.
摘要翻译： 偏转限位夹具包括基本上圆柱形的基部，其具有从其延伸的一对U形臂，在U形夹臂的远端之间延伸的U形夹轴和位于基座和轴之间的U形夹臂的内部的一对止动件。 这些止动件的尺寸和尺寸被设计成使得当钳口偏转穿过U形夹的中心线时，安装在轴上的一对钳口的相应柄脚。 在钳口之间可以使用或不使用常规扁平针来使用U形夹的第一实施例。 在U形夹的第二实施例中，横向构件位于U形夹轴近侧的U形夹臂和圆柱形底座的远端之间。 横向构件可以用于接合安装在夹爪之间的缩短的扁平针的近端，并且当夹爪围绕轴线旋转到偏转点时，也可以用于接合钳口的柄脚。 本发明的第三实施例组合了第一和第二实施例的方面，并且包括位于基座和轴之间的U形夹臂的内部的一对止动件和位于止动件和圆柱形基座之间的横向构件。 第三实施例允许使用缩短的扁平针，同时还允许钳口的一些偏转。
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公开(公告)号：US5228451A
公开(公告)日：1993-07-20
申请号：US865913
申请日：1992-04-09
CPC分类号： A61B10/06 , A61B10/02 , A61B17/30 , A61B2010/0225 , A61B2017/00398 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2939 , A61B2017/294 , A61B2018/1253 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , A61B2090/064 , A61M2025/0098 , A61M2205/6081
摘要： A biological forceps device is disclosed for the taking of tissue samples from a body. The biopsy forceps device comprises a flexible main coil having a distal end which is stiffer than the majority of the coil, a pair of opposed jaws hingedly disposed on the distal end of the coil, and an actuator having a distal end coupled to the hingedly disposed jaws for effecting articulation of the jaws. Preferably, shrink wrap tubing is placed on the distal end of the coil and acts as the stiffening agent thereof. A stiffer distal end permits the practitioner to press the jaws deeper into the tissue and reduces the jump experienced at the distal end when the coils go from a state of tension (jaws open) to a state of compression (jaws closed), so that a better sample can be obtained.
摘要翻译： 公开了用于从身体取出组织样本的生物钳装置。 活检镊子装置包括柔性主线圈，其具有比大部分线圈更硬的远端，铰链地设置在线圈的远端上的一对相对的夹爪，以及致动器，其具有联接到铰接设置的远端 钳口用于实现颚骨的铰接。 优选地，收缩包裹管被放置在线圈的远端上并用作其硬化剂。 较硬的远端允许从业者将钳口压入组织中并减少当线圈从张力状态（钳口打开）到压缩状态（钳口关闭）时在远端处经历的跳跃，使得 可以获得更好的样品。
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公开(公告)号：US20170325836A9
公开(公告)日：2017-11-16
申请号：US13539694
申请日：2012-07-02
CPC分类号： A61B17/320092 , A61B17/32 , A61B2017/00017 , A61B2017/00734
摘要： An ultrasonic surgical assembly includes an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, a measurement circuit connected in a parallel configuration with the ultrasonic transducer, a variable power source operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer, and a current controller operable to regulate the motional current by varying an output of the variable power source, thereby maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads.
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公开(公告)号：US09532829B2
公开(公告)日：2017-01-03
申请号：US13397484
申请日：2012-02-15
IPC分类号： A61B17/285 , A61B18/14 , A61B17/00
CPC分类号： A61B18/1445 , A61B2017/00734 , A61B2018/00404 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/126 , A61B2018/1412 , A61B2018/1455
摘要： An end effector assembly for a forceps includes jaws, a cutting assembly, and at least one cam assembly. At least one jaw is moveable relative to the other about a pivot between open and closed positions for grasping tissue. At least one jaw includes a control trough that extends therealong. The pivot has first and second pivot bosses defining a pivot hole therebetween. The cutting assembly includes a blade and blade control portion, and defines a longitudinal axis through the blade and the control portion. The control portion slidably translates through the pivot hole defined between the pivot bosses to allow selective advancement thereof through the trough. The blade is disposed distally of the pivot and extends farther from the axis than an outer surface of the control portion. The cam assembly is coupled to the moveable jaw and is actuatable to move the moveable jaw between the positions.
摘要翻译： 用于镊子的末端执行器组件包括钳口，切割组件和至少一个凸轮组件。 至少一个钳口相对于另一个相对于在打开和关闭位置之间的枢轴可移动以用于抓握组织。 至少一个钳口包括沿其延伸的控制槽。 该枢轴具有第一和第二枢转凸台，在其间限定枢转孔。 切割组件包括刀片和刀片控制部分，并且限定通过刀片和控制部分的纵向轴线。 控制部分可滑动地平移通过限定在枢转凸起之间的枢转孔，以允许其选择性地前进通过槽。 叶片远离枢轴设置，并且比控制部分的外表面从轴线延伸得更远。 凸轮组件联接到可移动的钳口并且可致动以在可移动的夹爪之间移动位置。
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公开(公告)号：US08672951B2
公开(公告)日：2014-03-18
申请号：US13089041
申请日：2011-04-18
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/115 , A61B17/1155 , A61B2017/00017 , A61B2017/00398 , A61B2017/00734 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052 , G06F19/00 , Y02A90/26
摘要： A method for operating a surgical instrument includes mechanically coupling a manual release to a transmission of a surgical instrument having a self-contained power supply disposed entirely within a handle thereof. The transmission translates movement of an electrically powered motor inside the handle to movement of a part of a surgical end effector connected to the handle. The part is operable to move anywhere between a start position and a fully actuated position. The method further includes selectively interrupting the transmission with the manual release to move the part towards the start position independent of motor operation.
摘要翻译： 一种用于操作外科器械的方法包括将手动释放机械地联接到具有完全设置在其手柄内的独立电源的手术器械的变速器。 传动装置将电动马达内部的运动转换成与手柄连接的手术末端执行器的一部分的运动。 该部件可操作以在起始位置和完全致动位置之间的任何位置移动。 该方法还包括：通过手动释放来选择性地中断传动，以使该零件朝着启动位置移动，而与马达操作无关。
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公开(公告)号：USD700967S1
公开(公告)日：2014-03-11
申请号：US29404130
申请日：2011-10-17
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公开(公告)号：US08663262B2
公开(公告)日：2014-03-04
申请号：US13022707
申请日：2011-02-08
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00734
摘要： A battery assembly is used in battery-powered surgical instruments with handles having a battery chamber and different handle types. The battery assembly includes a housing having an exterior shape formed to removably connect with the battery chamber of the handles and a voltage-control circuit. The housing has at least one energy storage cell operable to power a signal generation assembly of the surgical instruments and a battery/handle interface having a plurality of connectors shaped to mate with a plurality of corresponding connectors within the battery chamber of the handles. The voltage-control circuit is operable to communicatively couple with and provide power to the signal generation assembly, detect which one of the handle types is connected to the housing, provide a first output in response to a detection of a first handle type, and provide at least a second output in response to a detection of a second handle type.
摘要翻译： 电池组件用于具有手柄的电池供电手术器具，其具有电池室和不同的手柄类型。 电池组件包括具有形成为可移除地与手柄的电池室连接的外部形状的壳体和电压控制电路。 壳体具有至少一个能够存储手术器械的信号发生组件的能量存储单元和具有多个连接器的电池/手柄接口，该多个连接器成形为与手柄的电池室内的多个对应连接器配合。 电压控制电路可操作地与信号发生组件通信地耦合并提供电力，检测手柄类型中的哪一个连接到壳体，响应于第一手柄类型的检测提供第一输出，并提供 至少第二输出响应于第二手柄类型的检测。
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