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    Biopsy instrument having irrigation and aspiration capabilities
    12.
    发明授权
    Biopsy instrument having irrigation and aspiration capabilities 失效
    具有灌洗和抽吸能力的活检器具

    公开(公告)号：US07297121B2

    公开(公告)日：2007-11-20

    申请号：US11150328

    申请日：2005-06-13

    申请人： Vincent Turturro ,  Jose L. Francese ,  Saul Gottlieb ,  Juergen Kortenbach

    发明人： Vincent Turturro ,  Jose L. Francese ,  Saul Gottlieb ,  Juergen Kortenbach

    IPC分类号： A61B10/00

    CPC分类号： A61B10/06 ,  A61B10/0266 ,  A61B17/29 ,  A61B2010/0225 ,  A61B2017/2939 ,  A61B2017/294 ,  A61B2090/035 ,  A61B2217/005 ,  A61B2217/007 ,  G01N1/31

    摘要： The invention may include a biopsy instrument having a proximal end and a distal end. The biopsy instrument may include a distal assembly for performing a surgical operation, an elongate flexible member connected to and extending in a proximal direction from the distal assembly, the flexible member including a conduit thereth rough, a proximal actuation handle coupled to a proximal end of the flexible member, the proximal actuation handle including an access opening in fluid connection with the conduit, and a sample collector including a catcher handle and a catcher body. The catcher body may be configured for insertion into the access opening and is removably attached to the catcher handle.

    摘要翻译： 本发明可以包括具有近端和远端的活检器械。 活检器械可以包括用于执行外科手术的远端组件，连接到远侧组件并沿近端方向延伸的细长柔性构件，所述柔性构件包括粗糙的导管，近端致动手柄， 所述柔性构件，所述近侧致动手柄包括与所述导管流体连接的进入开口，以及包括抓握手柄和捕获器主体的样本收集器。 捕获器主体可以被配置成插入进入开口中，并且可移除地附接到抓取器手柄。

    Biopsy instrument having irrigation and aspiration capabilities
    14.
    发明授权
    Biopsy instrument having irrigation and aspiration capabilities 失效
    具有灌洗和抽吸能力的活检器具

    公开(公告)号：US06331165B1

    公开(公告)日：2001-12-18

    申请号：US09079168

    申请日：1998-05-15

    申请人： Vincent Turturro ,  Jose L. Francese ,  Saul Gottlieb ,  Juergen Kortenbach

    发明人： Vincent Turturro ,  Jose L. Francese ,  Saul Gottlieb ,  Juergen Kortenbach

    IPC分类号： A61B1000

    CPC分类号： A61B10/06 ,  A61B10/0266 ,  A61B17/29 ,  A61B2010/0225 ,  A61B2017/2939 ,  A61B2017/294 ,  A61B2090/035 ,  A61B2217/005 ,  A61B2217/007 ,  G01N1/31

    摘要： A biopsy instrument and method of using such are provided wherein the biopsy instrument includes a proximal actuation handle, an elongate flexible member, and a distal assembly. The flexible member, connected to and extending from the actuation handle, includes an aspiration conduit for fluid connection with a vacuum source and for permitting the flow of fluid from the distal end to the proximal end of the biopsy instrument. The flexible member may include an irrigation conduit for supplying irrigation fluid to the distal end. The actuation handle includes a stationary member and an actuation device, and may include a sample chamber, a sample collector, valves for regulating the vacuum in the aspiration conduit and the fluid flow in the irrigation conduit, and a pressure increasing device for selectively increasing the pressure of the fluid supplied to the distal end. The distal assembly, coupled to the distal end of the flexible member, may be comprised of a movable jaw and a stationary jaw, or of first and second movable jaws. With the jaws in a closed position, the distal assembly may provide a substantially fluidtight passageway at the distal end of the aspiration conduit. The movable jaws are coupled to the actuation device, such that actuation of the actuation handle moves the movable jaws relative to the flexible member, thereby opening and closing the distal assembly.

    摘要翻译： 提供活检器械及其使用方法，其中活检器械包括近端致动手柄，细长柔性构件和远端组件。 连接到致动手柄并从致动手柄延伸的柔性构件包括用于与真空源流体连接并用于允许流体从活组织检查仪器的远端到近端的流动的抽吸导管。 柔性构件可以包括用于向远端供应冲洗流体的冲洗管道。 致动手柄包括固定构件和致动装置，并且可以包括样品室，样品收集器，用于调节抽吸导管中真空的阀和冲洗导管中的流体流;以及增压装置，用于选择性地增加 供给到远端的流体的压力。 耦合到柔性构件的远端的远端组件可以包括可移动钳口和固定钳口，或第一和第二可移动钳口。 当钳口处于关闭位置时，远端组件可以在抽吸导管的远端提供基本上流体密封的通道。 可动夹爪联接到致动装置，使得致动手柄的致动相对于柔性构件移动可动爪，由此打开和关闭远端组件。

    Endoscopic multiple sample bioptome with enhanced biting action
    16.
    发明授权
    Endoscopic multiple sample bioptome with enhanced biting action 失效
    具有增强咬合作用的内窥镜多样本活检钳

    公开(公告)号：US06561988B1

    公开(公告)日：2003-05-13

    申请号：US09715268

    申请日：2000-11-20

    申请人： Vincent Turturro ,  Matthew A. Palmer ,  Charles R. Slater ,  Saul Gottlieb

    发明人： Vincent Turturro ,  Matthew A. Palmer ,  Charles R. Slater ,  Saul Gottlieb

    IPC分类号： A61B1000

    CPC分类号： A61B10/0266 ,  A61B10/02 ,  A61B10/06 ,  A61B17/30 ,  A61B2010/0225 ,  A61B2017/00398 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/2931 ,  A61B2017/2933 ,  A61B2017/2939 ,  A61B2018/1253 ,  A61B2018/146 ,  A61B2090/064 ,  A61M2025/0098

    摘要： An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to lie in planes which intersect the axis of the base member and to locate the jaws apart from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. The biting action is enhanced according to the invention by arranging the cutting edge of each jaw to lie in a plane which intersects the plane in which the distal portion of the jaw arm lies. The biting action is further enhanced by providing a closing cam on the outer surface of the jaws which is engaged by the cylinder when the jaws are closed. The arrangement of the cutting edges also presents a smooth surface to the interior of an endoscope and the closing cams prevent the sleeve from sliding completely over and off of the jaws.

    摘要翻译： 内窥镜多样本生物切割器包括中空的外部构件和从其延伸穿过的可轴向移动的内部构件。 外部构件和内部构件的近端联接到致动器，用于相对于另一个轴向移动。 外部构件的远端联接到具有尖锐远端边缘和钳口组件的圆柱体中的一个，而内部构件的远端联接到另一个。 钳口组件包括一对相对的，优选有齿的钳口杯，每个钳口由弹性臂联接到基座构件。 臂被弯曲以位于与基部构件的轴线相交的平面中并且将夹爪彼此分开定位。 基座部件安装在气缸内，夹爪组件和气缸相对于彼此的轴向运动将臂插入气缸中，并使咬合杯以咬合动作一起接合。 根据本发明，通过将每个钳口的切割边缘布置在与钳口臂的远端部分所在的平面相交的平面中，根据本发明增强了咬合动作。 通过在钳口的外表面上设置关闭凸轮来进一步增强咬合动作，当闭合钳口时，该闭合凸轮由气缸接合。 切割边缘的布置还呈现出内窥镜内部的光滑表面，并且闭合凸轮防止套筒完全滑过和夹紧夹爪。

    Biopsy forceps having detachable handle and distal jaws
    17.
    发明授权
    Biopsy forceps having detachable handle and distal jaws 失效
    活检钳具有可拆卸的手柄和远端钳口

    公开(公告)号：US6007560A

    公开(公告)日：1999-12-28

    申请号：US931753

    申请日：1997-09-16

    申请人： Saul Gottlieb ,  Nigel MacDonald ,  Matthew A. Palmer

    发明人： Saul Gottlieb ,  Nigel MacDonald ,  Matthew A. Palmer

    IPC分类号： A61B10/00 ,  A61B10/06 ,  A61B17/00 ,  A61B17/28 ,  F16B7/18 ,  F16B21/06 ,  F16B33/02

    CPC分类号： A61B10/06 ,  F16B21/065 ,  F16B7/182 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/292 ,  F16B33/02

    摘要： An endoscopic biopsy forceps instrument includes a distal jaws assembly detachable from a proximal handle assembly. The proximal handle assembly includes a centrally slotted shaft and a spool having a laterally seated cross block which passes through the central slot. The distal jaws assembly includes jaws mounted on a clevis at the distal end of a coil and coupled to a pull wire which extends through the coil to its proximal end. The proximal end of the coil is provided with a connecting sleeve provided with a frustoconical portion having double-helical threads for removably coupling the coil to a shaft having a distal frustoconical portion having double-helical threads. The proximal end of the pull wire is provided with a grooved mating member and the spool is provided with a locking assembly having a spring-biased push button latch for releasably engaging the grooved mating member. The grooved mating member has an elongate cylindrical distal portion, a central cylindrical portion having a relatively larger diameter, a proximal cylindrical grooved portion, and a proximal conical portion having a rounded apex. The elongate distal portion has a bore into which the pull wire is secured. The mating member end of the pull wire can be snapped into the locking assembly and the coil can be quickly and securely coupled to the shaft.

    摘要翻译： 内窥镜活检钳包括可从近侧手柄组件拆卸的远端钳口组件。 近侧手柄组件包括中心开槽的轴和具有穿过中心狭槽的横向安置的交叉块的线轴。 远端钳口组件包括安装在线圈远端处的U形夹上并连接到延伸穿过线圈到其近端的拉线的钳口。 线圈的近端设置有连接套筒，该连接套筒带有具有双螺旋线的截头圆锥形部分，用于将线圈可拆卸地连接到具有双螺旋形螺纹的远端截头圆锥形部分的轴上。 拉线的近端设置有带槽的配合构件，并且线轴设置有锁定组件，该锁定组件具有用于可释放地接合带槽配合构件的弹簧偏置按钮闩锁。 带槽的配合构件具有细长的圆柱形远端部分，具有相对较大直径的中心圆柱形部分，近端圆柱形开槽部分和具有圆形顶点的近端圆锥形部分。 细长的远端部分具有一个孔，拉线被固定在该孔中。 拉线的配合构件端可以卡扣到锁定组件中，并且线圈可以快速且牢固地联接到轴。

    Ceramic insulator for a bipolar push rod assembly for a bipolar endoscopic surgical instrument
    18.
    发明授权
    Ceramic insulator for a bipolar push rod assembly for a bipolar endoscopic surgical instrument 失效
    用于双极内窥镜手术器械的双极推杆组件的陶瓷绝缘体

    公开(公告)号：US5846240A

    公开(公告)日：1998-12-08

    申请号：US530740

    申请日：1995-09-19

    申请人： Juergen Andrew Kortenbach ,  Michael Sean McBrayer ,  Joel F. Giurtino ,  Saul Gottlieb

    发明人： Juergen Andrew Kortenbach ,  Michael Sean McBrayer ,  Joel F. Giurtino ,  Saul Gottlieb

    IPC分类号： A61B18/14 ,  A61B17/38

    CPC分类号： A61B18/14 ,  A61B18/1445 ,  A61B18/1815 ,  A61B2018/00083 ,  A61B2018/00107 ,  A61B2018/00178 ,  A61B2018/126 ,  A61B2018/1412 ,  A61B2018/146 ,  A61B2018/1861

    摘要： A bipolar push rod assembly is disclosed in conjunction with an endoscopic bipolar cautery scissors instrument. The push rod assembly has two conductive push rods which are substantially covered and insulated from each other by a double lumen flexible sheath. The proximal ends of the push rods are stabilized by an overmolded plastic collar and the distal ends of the push rods are stabilized by a ceramic insulator. The plastic collar is provided with a snap retainer for coupling it to a plastic plug retainer having a pair of spaced apart passages. A pair of female plug adapters are press fit onto the proximal ends of the push rods and are maintained in place by the plug retainer with each adaptor residing in a respective one of the passages. The distal ends of the push rods are swaged approximately 90.degree. in opposite directions. A ceramic insulator is disclosed as a one-piece unit into which the distal ends of the push rods are inserted. Another ceramic insulator is disclosed as a two-piece member which fits around the distal ends of the push rods. A double lumen sealing gasket which interrupts the double lumen sheath is also disclosed.

    摘要翻译： 结合内窥镜双极烧刀剪刀公开了双极推杆组件。 推杆组件具有两个导电推杆，其通过双腔柔性护套基本上被彼此覆盖和绝缘。 推杆的近端通过包覆成型的塑料套环稳定，并且推杆的远端由陶瓷绝缘体稳定。 塑料套环设置有卡扣保持器，用于将其连接到具有一对间隔开的通道的塑料塞保持器。 一对母插头适配器压配合到推杆的近端上，并且通过插头保持器保持在适当位置，每个适配器位于相应的一个通道中。 推杆的远端在相反的方向上大约90度锻造。 公开了陶瓷绝缘体作为一体式单元，推杆的远端插入其中。 公开了另一种陶瓷绝缘体作为两件式构件，其围绕推杆的远端配合。 还公开了一种中断双腔护套的双腔密封垫片。

    Endoscopic multiple sample bioptome with enhanced biting action
    19.
    发明授权
    Endoscopic multiple sample bioptome with enhanced biting action 失效
    具有增强咬合作用的内窥镜多样本活检钳

    公开(公告)号：US5636639A

    公开(公告)日：1997-06-10

    申请号：US412058

    申请日：1995-03-28

    申请人： Vincent Turturro ,  Matthew A. Palmer ,  Charles R. Slater ,  Saul Gottlieb

    发明人： Vincent Turturro ,  Matthew A. Palmer ,  Charles R. Slater ,  Saul Gottlieb

    IPC分类号： A61B10/06 ,  A61B10/00 ,  A61B10/02 ,  A61B17/00 ,  A61B17/28 ,  A61B17/30 ,  A61B19/00

    CPC分类号： A61B10/0266 ,  A61B10/06 ,  A61B10/02 ,  A61B17/30 ,  A61B2010/0225 ,  A61B2017/00398 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/2931 ,  A61B2017/2933 ,  A61B2017/2939 ,  A61B2018/1253 ,  A61B2018/146 ,  A61B2090/064 ,  A61M2025/0098

    摘要： An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to lie in planes which intersect the axis of the base member and to locate the jaws apart from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. The biting action is enhanced according to the invention by arranging the cutting edge of each jaw to lie in a plane which intersects the plane in which the distal portion of the jaw arm lies. The biting action is further enhanced by providing a closing cam on the outer surface of the jaws which is engaged by the cylinder when the jaws are closed. The arrangement of the cutting edges also presents a smooth surface to the interior of an endoscope and the closing cams prevent the sleeve from sliding completely over and off of the jaws.

    摘要翻译： 内窥镜多样本生物切割器包括中空的外部构件和从其延伸穿过的可轴向移动的内部构件。 外部构件和内部构件的近端联接到致动器，用于相对于另一个轴向移动。 外部构件的远端联接到具有尖锐远端边缘和钳口组件的圆柱体中的一个，而内部构件的远端联接到另一个。 钳口组件包括一对相对的，优选有齿的钳口杯，每个钳口由弹性臂联接到基座构件。 臂被弯曲以位于与基部构件的轴线相交的平面中并且将夹爪彼此分开定位。 基座部件安装在气缸内，夹爪组件和气缸相对于彼此的轴向运动将臂插入气缸中，并使钳口杯以咬合动作一起接合。 根据本发明，通过将每个钳口的切割边缘布置在与钳口臂的远端部分所在的平面相交的平面中，根据本发明增强了咬合动作。 通过在钳口的外表面上设置关闭凸轮来进一步增强咬合动作，当闭合钳口时，该闭合凸轮由气缸接合。 切割边缘的布置还呈现出内窥镜内部的光滑表面，并且闭合凸轮防止套筒完全滑过和夹紧夹爪。