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111.发明授权公开(公告)号：US08679156B2
公开(公告)日：2014-03-25
申请号：US13222758
申请日：2011-08-31
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A method for applying and maintaining optimal tissue compression with a staple includes piercing tissue with deformable distal ends of staple legs, each distal end defining a stapling point shaped to pierce material, the two staple legs coupled to each other at base ends thereof by a bridge and together forming a substantially U-shaped staple body. The two staple legs enter the tissue until the tissue applies a compressive force to a compression device disposed at least partly between the two staple legs. The compression device has a compression surface movably disposed between the two staple legs and a compression resistor that is connected to the bridge and to the compression surface and operable to resist movement of the compression surface towards the bridge with a force. The two staple legs are deformed to maintain the compressive force between the tissue and the compression device.
摘要翻译： 一种用于用钉子施加和保持最佳组织压缩的方法包括用可变形的钉腿的远端刺穿组织，每个远端限定成形为刺穿材料的吻合点，两个钉腿在其基端通过桥接件相互连接 并且一起形成基本上U形的钉体。 两个钉腿进入组织，直到组织对至少部分地设置在两个钉腿之间的压缩装置施加压缩力。 压缩装置具有可移动地设置在两个钉腿之间的压缩表面和压缩电阻器，压缩电阻器连接到桥接器和压缩表面并且可操作以抵抗压缩表面朝向桥梁的力的作用。 两个钉腿变形以保持组织和压缩装置之间的压缩力。
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112.发明授权公开(公告)号：US08679154B2
公开(公告)日：2014-03-25
申请号：US11971998
申请日：2008-01-10
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A compression-self-adjusting staple includes a substantially U-shaped staple body and a compression device. The staple body has a bridge and two legs extending from the bridge at an angle thereto. Each of the legs has a base end integral with the bridge and a deformable distal end defining a stapling point shaped to pierce material to be stapled. The compression device is at least partly disposed between the legs and has a bias portion with a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and formed to resist movement of the compression surface towards the bridge with a force.
摘要翻译： 压缩自调节钉包括基本上U形的订书钉主体和压缩装置。 订书钉主体具有一桥和两个腿，其一角度从桥延伸。 每个腿具有与桥一体的基端，并且可变形远端限定成形为刺穿待缝合材料的缝合点。 压缩装置至少部分地设置在腿之间并且具有偏压部分，其具有可移动地设置在腿部之间的压缩表面和连接到桥梁和压缩表面的压缩电阻器，并且形成为抵抗压缩表面朝向桥梁的运动 用力
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公开(公告)号：USD700966S1
公开(公告)日：2014-03-11
申请号：US29404129
申请日：2011-10-17
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公开(公告)号：USD700699S1
公开(公告)日：2014-03-04
申请号：US29404132
申请日：2011-10-17
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公开(公告)号：US08573459B2
公开(公告)日：2013-11-05
申请号：US12102181
申请日：2008-04-14
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B17/068 , A61B17/07207 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B90/03 , A61B2017/00017 , A61B2017/00115 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2090/032 , A61B2090/064 , G06F19/00
摘要： An OTC surgical device includes a handle having therein a compression controller and thereat an end effector, which has an electrically controlled tissue-compressor coupled to the controller and powered thereby to selectively control tissue compression. A mechanical binary-output electrical switch is disposed in-line with the compressor to place a compressing force directed upon the compressed tissue proportionally upon the switch. The switch has two switching states initiated and changed only by mechanical movement. The switch includes a biasing device retaining the switch in a first switching state until a force imparted thereupon overcomes the bias force to change to the second switching state. A switching-state-status output provides information identifying a current state and communicates with the compression controller to selectively control compression of tissue based upon the information. With appropriate feedback, the controller can keep the tissue at OTC while the surgical procedure is carried out.
摘要翻译： OTC手术装置包括手柄，其中具有压缩控制器，并且其末端执行器具有耦合到控制器并由此供电的电控组织压缩机，从而选择性地控制组织压缩。 机械二进制输出电开关设置成与压缩机成一直线，以将压缩的压缩力按比例放置在开关上。 开关具有两个开关状态，仅通过机械运动启动和更改。 开关包括偏置装置，该偏置装置将开关保持在第一开关状态，直到其上施加的力克服偏压力以改变到第二开关状态。 开关状态输出提供识别当前状态并与压缩控制器通信的信息，以便基于该信息选择性地控制组织的压缩。 通过适当的反馈，控制器可以在执行外科手术时将组织保持在OTC处。
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公开(公告)号：US20120286020A1
公开(公告)日：2012-11-15
申请号：US13547968
申请日：2012-07-12
IPC分类号： A61B17/068 , A61B17/00 , A61B17/32
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A medical device, comprising a pistol-shaped handle, a laparoscopic shaft extending from the handle having a distal end and defining a shaft axis, a surgical end effector connected to the distal end of the shaft, a surgical procedure actuator operable to carry out a surgical procedure on tissue at the end effector, and a rotating knob at the handle that is rotatable with respect to the shaft about the shaft axis and is operable to actuate the surgical procedure actuator and effect the surgical procedure.
摘要翻译： 一种医疗装置，包括手枪式手柄，从具有远端并且限定轴线的手柄延伸的腹腔镜轴，连接到所述轴的远端的外科手术端部执行器，可操作以执行 在末端执行器处的组织上的外科手术以及手柄处的旋转旋钮，其可以围绕轴线相对于轴旋转，并且可操作以致动外科手术致动器并实现外科手术。
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117.发明授权Method for transmitting torque and variably flexing a corrugated insertion device 有权用于传递扭矩和可变地弯曲波纹插入装置的方法公开(公告)号：US08298137B2
公开(公告)日：2012-10-30
申请号：US13006760
申请日：2011-01-14
IPC分类号： A61B1/01
CPC分类号： A61B1/0055
摘要： A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes the steps of providing a hollow body, transmitting torque along the hollow body with a corrugated tube, applying suction to create a vacuum in the hollow body for placing the hollow body in a relatively stiff condition, relieving the vacuum for placing the hollow body in a relatively flexible condition, maintaining the hollow body in the relatively flexible and relatively stiff conditions with tendons disposed within the hollow body, and individually adjusting at least some of the tendons in length for steering a distal end of the hollow body.
摘要翻译： 用于传递扭矩并可变地弯曲用于接纳仪器的插入装置的方法包括以下步骤：提供中空体，沿着中空体传递扭矩波纹管，施加抽吸以在中空体中产生真空以将中空体 在相对较硬的条件下，释放用于将中空体放置在相对柔软的状态的真空，将中空体保持在相对柔性和相对刚性的状态下，其中腱设置在中空体内，并且分别调整至少一些腱 用于转向中空体的远端的长度。
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118.发明授权Method for transmitting torque and variably flexing a corrugated insertion device 有权用于传递扭矩和可变地弯曲波纹插入装置的方法公开(公告)号：US08292802B2
公开(公告)日：2012-10-23
申请号：US13006745
申请日：2011-01-14
CPC分类号： A61B1/0055
摘要： A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes the steps of providing a hollow body having a proximal end with an entrance for receiving an instrument, a distal end with a tip for protrusion of the instrument, an outer jacket and an inner sleeve, maintaining the hollow body in relatively flexible and relatively stiff conditions with wires disposed at least partly between the outer jacket and the inner sleeve and being free of at least one of the outer jacket and the inner sleeve, transmitting torque along the hollow body with a corrugated tube disposed between the outer jacket and the inner sleeve, and applying suction to create a vacuum between the outer jacket and the inner sleeve for placing the hollow body in the relatively stiff condition and relieving the vacuum for placing the hollow body in the relatively stiff condition, with a transitioning device for frictionally locking the wires and the corrugated tube in place.
摘要翻译： 用于传递扭矩并可变地弯曲用于接纳器械的插入装置的方法包括以下步骤：提供具有近端的中空本体，其具有用于接收器械的入口，具有用于突出仪器的尖端的远端，外护套 和内套筒，其将中空体保持在相对柔性和相对刚性的状态，其中丝线至少部分地设置在外护套和内套筒之间，并且不具有外护套和内套筒中的至少一个，沿着 中空体，其具有布置在外护套和内套筒之间的波纹管，并且在外护套和内套筒之间施加吸力以产生真空，用于将中空体放置在相对较硬的状态，并释放用于放置中空体的真空 在相对僵硬的条件下，具有用于摩擦地锁定电线和波纹管的过渡装置 e。
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119.发明授权Method for operating an electrical surgical instrument with optimal tissue compression 有权用于操作具有最佳组织压缩的电手术器械的方法公开(公告)号：US08286846B2
公开(公告)日：2012-10-16
申请号：US12102464
申请日：2008-04-14
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B17/068 , A61B17/07207 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B90/03 , A61B2017/00017 , A61B2017/00115 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2090/032 , A61B2090/064 , G06F19/00
摘要： A method for effecting a tissue-compressing surgery at a user-selected compression force provides an electrical switch having switching states changed solely by mechanical movements. The switch is mechanically coupled with an adjustable biasing device retaining the switch in one state until a force greater than the bias device is imparted to the switch. The switch is in line with a tissue-compressing device to place a proportional amount of compression force on the switch as imparted upon the tissue. The biasing device is set to a desired state-changing tissue compression force so that the switch changes its state when the force on the switch is at least the desired force. Tissue compresses until a force imparted on the switch at least equals the desired state-changing tissue compression force and, at such time, the switching state changes and, thereafter, a surgical procedure is carried out on the compressed tissue.
摘要翻译： 以用户选择的压缩力进行组织压缩手术的方法提供了具有仅通过机械运动而改变的开关状态的电开关。 开关机械地与可调节的偏置装置耦合，该装置将开关保持在一个状态，直到向开关施加大于偏置装置的力。 开关与组织压缩装置一致，以在赋予组织的方式将比例量的压缩力放置在开关上。 偏置装置被设置为期望的状态变化组织压缩力，使得当开关上的力至少为期望的力时，开关改变其状态。 组织压缩直到施加在开关上的力至少等于期望的状态变化组织压缩力，并且在此时切换状态改变，此后在压缩的组织上进行外科手术。
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120.发明授权Catheter with controllable stiffness and method for operating a selective stiffening catheter 有权具有可控刚度的导管和用于操作选择性加强导管的方法公开(公告)号：US08083713B2
公开(公告)日：2011-12-27
申请号：US12479941
申请日：2009-06-08
IPC分类号： A61M31/00
CPC分类号： A61M25/005 , A61M25/0053 , A61M2025/0064 , Y10T29/49826
摘要： A method and device for treating a Chronic Total Occlusion provides a controllable stiffness catheter with a shaft having a stiffness sheath and an access lumen. The device has a stiffness device in a stiff state below a given temperature and in a soft state above the temperature, a temperature-changing device in thermal contact with the stiffness device, the temperature-changing device changing a temperature of the stiffness device below and above the temperature, and a power controller electrically connected to the stiffness device and selectively supplying power to the temperature-changing device to change a stiffness of the stiffness device between the stiff and soft states. A guidewire is moved to a treatment site and the catheter moves along the guidewire up to CTO in its soft state. The catheter stiffens without straightening and, in the stiff state, the catheter or the guidewire is projecting through the CTO.
摘要翻译： 用于治疗慢性全闭塞的方法和装置提供了具有刚度护套和进入管腔的轴的可控刚度导管。 该装置具有处于低于给定温度并处于高于温度的软状态的刚性状态的刚度装置，与刚度装置热接触的温度改变装置，温度改变装置改变下面刚度装置的温度，以及 以及功率控制器，其电连接到刚度装置，并且选择性地向所述温度改变装置供电以改变所述刚性和柔性状态之间的所述刚度装置的刚度。 导丝被移动到治疗部位，并且导管沿导丝移动到CTO处于软状态。 导管在没有矫直的情况下加固，并且在刚性状态下，导管或导丝通过CTO突出。
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