公开(公告)号：US06468275B1

公开(公告)日：2002-10-22

申请号：US09602903

申请日：2000-06-23

申请人： Scott D. Wampler ,  Trevor W. V. Speeg ,  David C. Yates ,  Kendall L. Dobler

发明人： Scott D. Wampler ,  Trevor W. V. Speeg ,  David C. Yates ,  Kendall L. Dobler

IPC分类号： A61B1818

CPC分类号： A61B17/00008 ,  A61B18/1447

摘要： The present invention is directed to a bipolar electrosurgical instrument suitable for use in mesentery tissue and other suitable tissue structures, including vessels. A bipolar electrosurgical instrument according to the present invention includes an end effector which includes a tissue slot and electrodes arranged on either side of the tissue slot. The opposing electrodes are electrically connected such that tissue passing through the slot is electrically treated with electrosurgical current passing laterally through the tissue. An end effector according to the present invention further includes a tissue separator arranged at the end of the slot to divide tissue as it is passed through the slot and after it is treated.

摘要翻译： 本发明涉及一种适用于肠系膜组织和其他合适组织结构（包括血管）的双极电外科器械。 根据本发明的双极电外科器械包括端部执行器，其包括组织槽和布置在组织槽两侧的电极。 相对的电极电连接，使得穿过狭槽的组织通过横向穿过组织的电外科电流进行电处理。 根据本发明的端部执行器还包括布置在槽的端部处的组织分离器，以在组织穿过狭槽时以及在处理之后分开组织。

公开(公告)号：US09462999B2

公开(公告)日：2016-10-11

申请号：US13347941

申请日：2012-01-11

申请人： John A. Hibner ,  Wells D. Haberstich ,  Kenneth E. Hogue ,  Trevor W. V. Speeg ,  Michele D'Arcangelo

发明人： John A. Hibner ,  Wells D. Haberstich ,  Kenneth E. Hogue ,  Trevor W. V. Speeg ,  Michele D'Arcangelo

IPC分类号： A61B10/02 ,  A61B10/00

CPC分类号： A61B10/0266 ,  A61B10/0096 ,  A61B10/0275 ,  A61B10/0283 ,  A61B2010/0208 ,  A61B2010/0225

摘要： A biopsy device may be used to obtain and store multiple tissue samples. The device permits the tissue samples to be stored in a sequenced fashion within a generally transparent tissue storage chamber disposed at a proximal end of the biopsy device. The tissue samples can be stored on flexible tissue sample strips arranged around the circumference of a rotating vacuum manifold disposed within the chamber.

公开(公告)号：US08568335B2

公开(公告)日：2013-10-29

申请号：US13025366

申请日：2011-02-11

申请人： Gavin M. Monson ,  Trevor W. V. Speeg ,  Bennie Thompson ,  Robert F. Weikel, Jr. ,  Michael R. Ludzack ,  John A. Hibner

发明人： Gavin M. Monson ,  Trevor W. V. Speeg ,  Bennie Thompson ,  Robert F. Weikel, Jr. ,  Michael R. Ludzack ,  John A. Hibner

IPC分类号： A61B10/00

CPC分类号： A61B10/0266 ,  A61B10/0096 ,  A61B10/0275 ,  A61B10/0283 ,  A61B2010/0208 ,  A61B2010/0225 ,  A61B2017/0046

摘要： A biopsy device and method are provided for obtaining a tissue sample, such as a breast tissue biopsy sample. The biopsy device includes a disposable probe assembly with an outer cannula having a distal piercing tip, a cutter lumen, and a cutter tube that rotates and translates past a side aperture in the outer cannula to sever a tissue sample. The biopsy device also includes a reusable hand piece with an integral motor and power source to make a convenient, untethered control for use with ultrasonic imaging. External vacuum holes along the outer cannula (probe) that communicate with a vacuum and cutter lumen withdraw bodily fluids while a hemostatic disk-shaped ring pad around the probe applies compression to an external hole in the skin and absorbs fluids.

公开(公告)号：US08480595B2

公开(公告)日：2013-07-09

申请号：US11942992

申请日：2007-11-20

申请人： Trevor W. V. Speeg ,  John R. Andrisek ,  Richard P. Nuchols ,  Michael J. Andreyko ,  Wells D. Haberstich

发明人： Trevor W. V. Speeg ,  John R. Andrisek ,  Richard P. Nuchols ,  Michael J. Andreyko ,  Wells D. Haberstich

IPC分类号： A61B10/02

CPC分类号： A61B10/0266 ,  A61B10/0096 ,  A61B10/0275 ,  A61B10/0283 ,  A61B2010/0208 ,  A61B2010/0225 ,  A61B2017/00199 ,  A61B2017/00398 ,  A61B2017/0046

摘要： A needle may be fired into tissue by a needle firing mechanism, which may include a fork for holding the needle and a firing rod coupled with the fork. A spring urges the fork to a distal, fired position. A screw gear is coupled with the rod. A sled is positioned at the proximal end of the rod. A catch is configured to engage the sled when the sled is moved to a proximal position. The screw gear is operable to convert rotational motion from a motor and gear set into linear motion to move the rod proximally to engage the sled with the catch, thereby cocking the needle firing mechanism. The motor may also be used to translate the screw gear distally relative to the rod after the sled has engaged with the catch. A trigger is used to fire the cocked needle firing mechanism.

摘要翻译： 可以通过针刺机构将针刺入组织中，所述针刺机构可以包括用于保持针的叉和与叉结合的发射杆。 一个弹簧将叉子推到一个远离的位置。 螺丝齿轮与杆连接。 滑板位于杆的近端。 当滑动件移动到近侧位置时，卡扣被构造成接合滑板。 螺旋齿轮可操作以将来自马达和齿轮组的旋转运动转换为直线运动，以使杆近端移动，以将滑架与卡扣接合，从而使针刺机构起动。 电动机还可以用于在滑板与捕获器接合之后相对于杆向远侧平移螺旋齿轮。 触发器用于起动被锁定的针刺机构。

公开(公告)号：US08454531B2

公开(公告)日：2013-06-04

申请号：US11942822

申请日：2007-11-20

申请人： Trevor W. V. Speeg ,  Raj Raghavendran ,  Patrick A. Mescher ,  Wells D. Haberstich ,  Robert F. Weikel, Jr. ,  Gregory W. Johnson

发明人： Trevor W. V. Speeg ,  Raj Raghavendran ,  Patrick A. Mescher ,  Wells D. Haberstich ,  Robert F. Weikel, Jr. ,  Gregory W. Johnson

IPC分类号： A61B10/02

CPC分类号： A61B10/0266 ,  A61B10/0275 ,  A61B10/0283 ,  A61B34/25 ,  A61B2010/0208 ,  A61B2010/0225 ,  A61B2017/00199 ,  A61B2017/00398 ,  A61B2017/0046

摘要： A vacuum control module for use in a biopsy system includes a user interface that presents buttons and icons to control operation of a biopsy device. The icons may indicate, e.g., the position of a cutter relative to a transverse opening, whether the system is in a view sample mode, that an adjacent button is operable to reset the position of a rotatable tissue sample holder, whether the system is in a maintenance vacuum pulse mode, the level of vacuum provided by a vacuum source, the volume level of a speaker, that an adjacent button is operable to place the system in a standby mode, and that an adjacent button is operable to shut down the system. The icons may each have an associated button. The icons may be allocated among separate pages (e.g., a probe page and a system page). Another button may be used to switch between pages.

摘要翻译： 用于活检系统的真空控制模块包括用户界面，其提供按钮和图标以控制活检装置的操作。 图标可以指示例如切割器相对于横向开口的位置，无论系统是否处于视图采样模式，相邻按钮可操作以重置可旋转组织样本保持器的位置，无论系统是否在 维护真空脉冲模式，由真空源提供的真空水平，扬声器的体积水平，相邻按钮可操作以将系统置于待机模式，并且相邻按钮可操作以关闭系统 。 这些图标可以各自具有相关联的按钮。 图标可以在单独的页面（例如，探针页面和系统页面）中分配。 另一个按钮可用于在页面之间切换。

公开(公告)号：US08376957B2

公开(公告)日：2013-02-19

申请号：US12709695

申请日：2010-02-22

申请人： John A. Hibner ,  Trevor W. V. Speeg ,  Kory A. Gunnerson

发明人： John A. Hibner ,  Trevor W. V. Speeg ,  Kory A. Gunnerson

IPC分类号： A61B10/00

CPC分类号： A61B10/0283 ,  A61B10/0275 ,  A61B2010/0208

摘要： A biopsy system comprises a biopsy device, a fluid canister, and an auxiliary vacuum source. The biopsy device comprises a body, a needle, a hollow cutter, and a primary vacuum pump. The primary vacuum pump is operable to induce a vacuum in the lumen of the cutter. The fluid canister is configured to receive liquids communicated proximally through the cutter lumen. The auxiliary vacuum source is operable to induce a vacuum in the cutter lumen, thus supplementing the primary vacuum pump. The auxiliary vacuum source may be coupled directly with the fluid canister, such that the fluid canister is positioned along the fluid path between the auxiliary vacuum source and the biopsy device. The biopsy device may further include an integral tissue sample holder. The cutter lumen, the primary vacuum pump, the fluid canister, and the auxiliary vacuum source are all in fluid communication with the tissue sample holder.

摘要翻译： 活检系统包括活检装置，流体罐和辅助真空源。 活检装置包括主体，针，中空切割器和初级真空泵。 主真空泵可操作以在切割器的内腔中引起真空。 流体罐构造成接收通过切割器内腔向近端传送的液体。 辅助真空源可操作以在切割器内腔中引起真空，从而补充一次真空泵。 辅助真空源可以直接与流体罐连接，使得流体罐沿着辅助真空源和活检装置之间的流体路径定位。 活检装置还可以包括整体的组织样本保持器。 切割器腔，初级真空泵，流体罐和辅助真空源都与组织样品保持器流体连通。

公开(公告)号：US08118755B2

公开(公告)日：2012-02-21

申请号：US11952405

申请日：2007-12-07

申请人： John A. Hibner ,  Wells D. Haberstich ,  Kenneth E. Hogue ,  Trevor W. V. Speeg ,  Michele D'Arcangelo

发明人： John A. Hibner ,  Wells D. Haberstich ,  Kenneth E. Hogue ,  Trevor W. V. Speeg ,  Michele D'Arcangelo

IPC分类号： A61B10/00

CPC分类号： A61B10/0266 ,  A61B10/0096 ,  A61B10/0275 ,  A61B10/0283 ,  A61B2010/0208 ,  A61B2010/0225

摘要： A biopsy device may be used to obtain and store multiple tissue samples. The device permits the tissue samples to be stored in a sequenced fashion within a generally transparent tissue storage chamber disposed at a proximal end of the biopsy device. The tissue samples can be stored on flexible tissue sample strips arranged around the circumference of a rotating vacuum manifold disposed within the chamber.

摘要翻译： 可以使用活检装置来获得和存储多个组织样本。 该装置允许组织样本以排序的方式存储在设置在活检装置近端的通常透明的组织储存室内。 组织样本可以存储在设置在室内的旋转真空歧管的周围布置的柔性组织样本条上。

公开(公告)号：US20090216181A1

公开(公告)日：2009-08-27

申请号：US12036521

申请日：2008-02-25

申请人： Trevor W. V. Speeg ,  Lee Reichel ,  Gwendolyn P. Payne ,  Noreen Kascak

发明人： Trevor W. V. Speeg ,  Lee Reichel ,  Gwendolyn P. Payne ,  Noreen Kascak

IPC分类号： A61M37/00

CPC分类号： A61B90/39 ,  A61B10/0233 ,  A61B2090/3908 ,  A61B2090/3987

摘要： An instrument for deploying a marker at a site within a patient may include an elongate cannula, an elongate pusher, and a marker disposed within the cannula. The cannula may have a tip at its distal end and a transverse opening. The pusher may be disposed within the cannula, and may be moved longitudinally within the cannula. The pusher may have a ramped distal end. The marker may be configured to exit the transverse opening upon urging by the ramped distal end of the pusher. In some versions, the tip of the cannula has a flat proximal face, and the marker has a recessed region that is configured to buckle in response to longitudinal compression, such that the marker will pop out of the cannula upon buckling. In other versions, the cannula has an external sheath, an open and curved distal end, or a leaf spring.

摘要翻译： 用于在患者内的部位部署标记的仪器可以包括细长插管，细长推动器和布置在插管内的标记。 套管在其远端可以具有尖端和横向开口。 推动器可以设置在套管内，并且可以在套管内纵向移动。 推动器可以具有倾斜的远端。 标记可以被配置为在由推动器的倾斜远端推动时离开横向开口。 在一些形式中，套管的尖端具有平坦的近端面，并且标记具有凹陷区域，该凹陷区域构造成响应于纵向压缩而弯曲，使得标记物在弯曲时将从套管中弹出。 在其他形式中，插管具有外护套，开放和弯曲的远端或板簧。

公开(公告)号：US07575556B2

公开(公告)日：2009-08-18

申请号：US11942791

申请日：2007-11-20

申请人： Trevor W. V. Speeg ,  Michael J. Andreyko ,  John A. Hibner ,  Edward A. Rhad ,  Shailendra K. Parihar ,  Kenneth E. Hogue

发明人： Trevor W. V. Speeg ,  Michael J. Andreyko ,  John A. Hibner ,  Edward A. Rhad ,  Shailendra K. Parihar ,  Kenneth E. Hogue

IPC分类号： A61B10/00

CPC分类号： A61B10/0275 ,  A61B10/0283 ,  A61B2010/0208 ,  A61B2010/0225 ,  A61B2017/00199 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2090/3908 ,  A61B2090/3987

摘要： A biopsy device includes a tissue sample holder and a cutter defining a cutter lumen. In one example, the tissue sample holder has a manifold, a plurality of chambers that are configured to separately hold tissue samples, and a cup configured to cover the manifold and chambers. The tissue sample holder is rotatable to successively align the chambers with the cutter lumen. A longitudinal passage extends along the manifold, and is positioned between two of the chambers. The manifold may be rotated to align the passage with the cutter lumen and with an opening in the cup. The passage of the manifold and the opening in the cup are configured to permit a portion of an instrument to be inserted through the opening and passage and into the cutter lumen. The instrument may be used to introduce one or more markers or medicine, etc., to a biopsy site.

摘要翻译： 活检装置包括组织样本保持器和限定切割器内腔的切割器。 在一个示例中，组织样本保持器具有歧管，被配置为分别保持组织样本的多个室以及被配置为覆盖歧管和室的杯。 组织样本保持器可旋转以使腔室与切割器内腔连续对准。 纵向通道沿着歧管延伸，并且位于两个室之间。 歧管可以旋转以使通道与切割器内腔对齐并且具有杯中的开口。 歧管和杯中的开口的通道被构造成允许器械的一部分通过开口和通道插入到切割器内腔中。 该仪器可用于将一种或多种标记物或药物等引入活检部位。

公开(公告)号：US20090131817A1

公开(公告)日：2009-05-21

申请号：US11942791

申请日：2007-11-20

申请人： Trevor W. V. Speeg ,  Michael J. Andreyko ,  John A. Hibner ,  Edward A. Rhad ,  Shailendra K. Parihar ,  Kenneth E. Hogue

发明人： Trevor W. V. Speeg ,  Michael J. Andreyko ,  John A. Hibner ,  Edward A. Rhad ,  Shailendra K. Parihar ,  Kenneth E. Hogue

IPC分类号： A61B10/02

CPC分类号： A61B10/0275 ,  A61B10/0283 ,  A61B2010/0208 ,  A61B2010/0225 ,  A61B2017/00199 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2090/3908 ,  A61B2090/3987

摘要： A biopsy device includes a tissue sample holder and a cutter defining a cutter lumen. In one example, the tissue sample holder has a manifold, a plurality of chambers that are configured to separately hold tissue samples, and a cup configured to cover the manifold and chambers. The tissue sample holder is rotatable to successively align the chambers with the cutter lumen. A longitudinal passage extends along the manifold, and is positioned between two of the chambers. The manifold may be rotated to align the passage with the cutter lumen and with an opening in the cup. The passage of the manifold and the opening in the cup are configured to permit a portion of an instrument to be inserted through the opening and passage and into the cutter lumen. The instrument may be used to introduce one or more markers or medicine, etc., to a biopsy site.

摘要翻译： 活检装置包括组织样本保持器和限定切割器内腔的切割器。 在一个示例中，组织样本保持器具有歧管，被配置为分别保持组织样本的多个室以及被配置为覆盖歧管和腔的杯。 组织样本保持器可旋转以使腔室与切割器内腔连续对准。 纵向通道沿着歧管延伸，并且位于两个室之间。 歧管可以旋转以使通道与切割器内腔对齐并且具有杯中的开口。 歧管和杯中的开口的通道被构造成允许器械的一部分通过开口和通道插入到切割器内腔中。 该仪器可用于将一种或多种标记物或药物等引入活检部位。