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：US08313444B2

公开(公告)日：2012-11-20

申请号：US12963855

申请日：2010-12-09

申请人： Bennie Thompson ,  Beth McCombs ,  John Hunt ,  John Kretcham ,  John A. Hibner

发明人： Bennie Thompson ,  Beth McCombs ,  John Hunt ,  John Kretcham ,  John A. Hibner

IPC分类号： A61B10/00

CPC分类号： A61B10/0275 ,  A61B10/0266 ,  A61B17/32002 ,  A61B2010/0208 ,  A61B2017/00398

摘要： A biopsy device having a translating and rotating cutter is disclosed. The translational speed of the cutter is varied using a variable pitch member. The variable pitch member can include a shaft having a relatively coarse threaded portion for rapid cutter advance and a relatively finer threaded portion for cutter advance during tissue severing.

摘要翻译： 公开了一种具有平移和旋转切割器的活检装置。 刀具的平移速度可以使用可变节距构件来改变。 可变节距构件可以包括具有用于快速切割器前进的相对粗糙的螺纹部分的轴和在组织切断期间切割器前进的相对更细的螺纹部分。

公开(公告)号：US07918804B2

公开(公告)日：2011-04-05

申请号：US11424576

申请日：2006-06-16

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

发明人： Gavin M. Monson ,  Trevor V. W. 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. The reusable hand piece incorporates a probe oscillation mode to assist when inserting the distal piercing tip into tissue. 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.

摘要翻译： 提供活检装置和方法来获得诸如乳房组织活组织检查样本的组织样本。 活检装置包括具有外插管的一次性探针组件，该外套管具有远端穿刺尖端，切割器内腔和切割管，其旋转并平移穿过外插管中的侧孔以切断组织样本。 活检装置还包括具有集成电动机和电源的可重复使用的手持件，以便使用与超声成像一起使用的方便，无阻碍的控制。 可重复使用的手持件包含探头振动模式，以便将远端穿刺尖端插入组织中时有助于此。 沿着与真空和切割腔相通的外套管（探头）的外部真空孔可以抽出体液，而探针周围的止血盘形环垫压缩到皮肤的外部孔并吸收流体。

公开(公告)号：US07905893B2

公开(公告)日：2011-03-15

申请号：US11877177

申请日：2007-10-23

申请人： Jesse J. Kuhns ,  Robert L. Koch ,  Bennie Thompson ,  Rick P. Fuchs ,  David K. Norvelle

发明人： Jesse J. Kuhns ,  Robert L. Koch ,  Bennie Thompson ,  Rick P. Fuchs ,  David K. Norvelle

IPC分类号： A61B17/08

CPC分类号： A61B17/0644 ,  A61B17/00234 ,  A61B17/064 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/10 ,  A61B2017/0409 ,  A61B2017/0647 ,  A61F2/0063

摘要： A delivery device for delivering a plurality of individual surgical fasteners. The delivery device includes a drive mechanism having distal and proximal ends. The drive mechanism has a moving member and a fixed opposing member, wherein the moving member is moveable proximally and distally with respect to the delivery device. The moving member has a sharpened distal end for piercing tissue. The device includes at least one surgical fastener located between the first and the second members. Each of the at least one surgical fasteners has a proximal end and a distal end. The device also has an actuator having at least two sequential positions. A first position for moving the moving member distally and piercing tissue, and a second position for moving the moving member proximally, thereby deploying the distal end of the fastener.

摘要翻译： 用于输送多个单独外科紧固件的输送装置。 输送装置包括具有远端和近端的驱动机构。 驱动机构具有移动构件和固定的相对构件，其中移动构件相对于输送装置向近侧和远端运动。 移动构件具有用于刺穿组织的锋利的远端。 该装置包括位于第一和第二构件之间的至少一个外科紧固件。 所述至少一个手术紧固件中的每一个具有近端和远端。 该装置还具有至少两个连续位置的致动器。 用于将移动构件向远侧移动并刺穿组织的第一位置和用于向近侧移动移动构件的第二位置，从而展开紧固件的远端。

公开(公告)号：US20100113973A1

公开(公告)日：2010-05-06

申请号：US12686433

申请日：2010-01-13

申请人： John A. Hibner ,  Trevor W.V. Speeg ,  Bennie Thompson ,  Richard P. Nuchols ,  Wells D. Haberstich ,  Gavin M. Monson ,  Robert F. Weikel, JR.

发明人： John A. Hibner ,  Trevor W.V. Speeg ,  Bennie Thompson ,  Richard P. Nuchols ,  Wells D. Haberstich ,  Gavin M. Monson ,  Robert F. Weikel, JR.

IPC分类号： A61B10/02

CPC分类号： A61B10/0275 ,  A61B10/0041 ,  A61B10/0096 ,  A61B10/0283 ,  A61B2010/0208 ,  A61B2010/0225

摘要： A biopsy device comprises a probe body, a cannula extending distally from the probe body, a cutter moveable relative to the cannula to sever tissue, and a tissue sample holder coupled with the probe body. The tissue sample holder comprises a rotatable member and at least one removable member secured about the exterior of the rotatable member. The at least one removable member defines a plurality of tissue sample compartments. Each tissue sample compartment is configured to receive one or more tissue samples captured by the cutter. In some versions, the at least one removable member comprises a belt and a plurality of vials.

摘要翻译： 活检装置包括探针主体，从探针主体向远侧延伸的套管，可相对于套管移动以切断组织的切割器，以及与探针主体耦合的组织样本保持器。 组织样本保持器包括可旋转构件和围绕可旋转构件的外部固定的至少一个可移除构件。 所述至少一个可移除构件限定多个组织样本室。 每个组织样本室配置成接收由切割器捕获的一个或多个组织样本。 在一些形式中，至少一个可拆卸构件包括带和多个小瓶。

公开(公告)号：US06551333B2

公开(公告)日：2003-04-22

申请号：US10016419

申请日：2001-12-10

申请人： Jesse J. Kuhns ,  Robert L. Koch ,  Bennie Thompson ,  Richard P. Fuchs

发明人： Jesse J. Kuhns ,  Robert L. Koch ,  Bennie Thompson ,  Richard P. Fuchs

IPC分类号： A61B1708

CPC分类号： A61B17/0644 ,  A61B17/00234 ,  A61B17/064 ,  A61B17/068 ,  A61B17/0682 ,  A61B2017/0647 ,  A61F2/0063

摘要： A method for delivering a plurality of individual surgical fasteners. The method includes the step of providing a surgical fastener delivery device having a drive mechanism with distal and proximal ends, the drive mechanism comprising moving and fixed opposing members, the moving member being moveable proximally and distally with respect to the delivery device, and the fixed member being fixed with respect to the delivery device, the device having the plurality of surgical fasteners located between the moving and the fixed members. The method further involves the step of penetrating tissue and placing a distal end one of the surgical fasteners within tissue, by moving the moving member distally. The method further involves the step of deploying a distal end of one of the surgical fasteners by moving the moving member proximally.

公开(公告)号：US20110144532A1

公开(公告)日：2011-06-16

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： A61B10/02

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.

摘要翻译： 提供活检装置和方法来获得诸如乳房组织活组织检查样本的组织样本。 活检装置包括具有外插管的一次性探针组件，该外套管具有远端穿刺尖端，切割器内腔和切割管，其旋转并平移穿过外插管中的侧孔以切断组织样本。 活检装置还包括具有集成电动机和电源的可重复使用的手持件，以便使用与超声成像一起使用的方便，无阻碍的控制。 沿着与真空和切割腔相通的外套管（探头）的外部真空孔可以抽出体液，而探针周围的止血盘形环垫压缩到皮肤的外部孔并吸收流体。

公开(公告)号：US07753936B2

公开(公告)日：2010-07-13

申请号：US11558599

申请日：2006-11-10

申请人： James W. Voegele ,  Wells D. Haberstich ,  J. Charles Hueil ,  John V. Hunt ,  Ronald J. Kolata ,  Anil K. Nalagatla ,  Daniel W. Price ,  Christopher W. Widenhouse ,  Craig N. Faller ,  Bennie Thompson ,  John W. Sheets, Jr.

发明人： James W. Voegele ,  Wells D. Haberstich ,  J. Charles Hueil ,  John V. Hunt ,  Ronald J. Kolata ,  Anil K. Nalagatla ,  Daniel W. Price ,  Christopher W. Widenhouse ,  Craig N. Faller ,  Bennie Thompson ,  John W. Sheets, Jr.

IPC分类号： A61B17/08

CPC分类号： A61B17/10 ,  A61B2017/005 ,  A61B2017/0408

摘要： A fastening device for clamping and fastening tissue together with fasteners formed from an adhesive is disclosed. An embodiment of the adhesive fastening device can clamp a first and a second portion of tissue together between a first and a second jaw, and can place a fluid polymer adhesive into tissue and form it into a polymerized surgical fastener within the tissue. The adhesive fastener can be formed as a polymerized shank or shaft extending through the tissue, and can have one or more heads formed on the shank. The shank can be formed solely from the polymerizable adhesive, or can be formed from another material such as nitinol, titanium, stainless steel, suture, or a plastic. Shanks of other material can be combined with the adhesive. Alternately, an adhesive fastener can be formed extending distally from a distal end of the surgical device. And, an adhesive fastener can be formed around a luminal tissue or within luminal tissue.

摘要翻译： 公开了一种用于由粘合剂形成的紧固件夹紧和紧固组织的紧固装置。 粘合剂紧固装置的一个实施例可以将第一和第二部分的组织夹在第一和第二钳口之间，并且可以将流体聚合物粘合剂放置在组织中并将其形成到组织内的聚合外科紧固件中。 粘合紧固件可以形成为延伸穿过组织的聚合的柄或轴，并且可以在柄上形成一个或多个头部。 柄可以仅由可聚合粘合剂形成，或者可以由另外的材料如镍钛诺，钛，不锈钢，缝合线或塑料形成。 其他材料的柄可以与粘合剂组合。 或者，可以从外科装置的远端向远端延伸形成粘合紧固件。 并且，可以在管腔组织周围或管腔组织内形成粘合紧固件。

公开(公告)号：US20090105609A1

公开(公告)日：2009-04-23

申请号：US12254023

申请日：2008-10-20

申请人： Bennie Thompson ,  Beth McCombs ,  John Hunt ,  John Kretcham ,  John A. Hibner

发明人： Bennie Thompson ,  Beth McCombs ,  John Hunt ,  John Kretcham ,  John A. Hibner

IPC分类号： A61B10/02

CPC分类号： A61B10/0275 ,  A61B10/0266 ,  A61B17/32002 ,  A61B2010/0208 ,  A61B2017/00398

摘要： A biopsy device having a translating and rotating cutter is disclosed. The translational speed of the cutter is varied using a variable pitch member. The variable pitch member can include a shaft having a relatively coarse threaded portion for rapid cutter advance and a relatively finer threaded portion for cutter advance during tissue severing.

摘要翻译： 公开了一种具有平移和旋转切割器的活检装置。 刀具的平移速度可以使用可变节距构件来改变。 可变节距构件可以包括具有用于快速切割器前进的相对粗糙的螺纹部分的轴和在组织切断期间切割器前进的相对更细的螺纹部分。

公开(公告)号：US20080078806A1

公开(公告)日：2008-04-03

申请号：US11529879

申请日：2006-09-29

申请人： Todd Phillip Omaits ,  Bennie Thompson ,  Frederick E. Shelton ,  Eugene L. Timperman

发明人： Todd Phillip Omaits ,  Bennie Thompson ,  Frederick E. Shelton ,  Eugene L. Timperman

IPC分类号： A61B17/10

CPC分类号： A61B17/068 ,  A61B17/0644 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/11 ,  A61B17/1155 ,  A61B17/34 ,  A61B90/03 ,  A61B2017/00004 ,  A61B2017/00128 ,  A61B2017/00539 ,  A61B2017/00831 ,  A61B2017/00862 ,  A61B2017/0641 ,  A61B2017/07228 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2932 ,  A61B2017/2943 ,  A61B2017/320052 ,  A61B2018/00666 ,  A61B2090/032 ,  A61B2090/036 ,  A61B2090/065 ,  A61B2090/0811

摘要： Various forms of surgical instruments are disclosed. In various embodiments, the instrument includes a cartridge supporting assembly for operably supporting a staple cartridge therein. The cartridge supporting assembly may be responsive to firing and retraction motions applied thereto from a firing assembly. An anvil may be operably coupled to an anvil closure assembly. The anvil closure assembly may be constructed to selectively move the anvil in a proximal direction toward the cartridge supporting assembly to enable a portion of tissue to be clamped between a cartridge supported by the cartridge supporting assembly and the anvil under a predetermined amount of compression. The device may further include a closure actuator that operably interacts with the anvil closure assembly such that as the closure actuator is moved in a first direction, the anvil closure assembly causes the anvil to move in the proximal direction to increase the compression of the tissue between the staple cartridge and the anvil. A variable load generating member may cooperate with the anvil closure assembly and the closure actuator to apply a resistive load to the closure actuator in relation to an amount of compression applied to the tissue between the anvil and the staple cartridge.

摘要翻译： 公开了各种形式的外科器械。 在各种实施例中，仪器包括用于在其中可操作地支撑钉仓的盒支撑组件。 盒支撑组件可以响应于从点火组件施加到其上的发射和收回运动。 砧可以可操作地联接到砧座封闭组件。 砧座闭合组件可以被构造成选择性地将砧座沿着近端方向移动到药筒支撑组件，以使组织的一部分能够在预定量的压缩下被夹持在由盒支撑组件支撑的药筒和砧座之间。 该装置可进一步包括闭合致动器，其可操作地与砧座闭合组件相互作用，使得当闭合致动器沿第一方向移动时，砧座闭合组件使砧座沿近端方向移动以增加组织之间的压缩， 钉仓和砧座。 可变负载产生构件可以与砧座闭合组件和闭合致动器配合，以相对于施加到砧座和钉仓之间的组织的压力量向闭合致动器施加阻力负载。