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公开(公告)号：US5372147A
公开(公告)日：1994-12-13
申请号：US899556
申请日：1992-06-16
申请人： Robert L. Lathrop, Jr. , Rick E. Emerson , James E. Wiley , James M. Sklenar , Albert K. Chin , Frederick H. Moll , David Forster
发明人： Robert L. Lathrop, Jr. , Rick E. Emerson , James E. Wiley , James M. Sklenar , Albert K. Chin , Frederick H. Moll , David Forster
CPC分类号： A61B34/30 , A61B34/76 , A61B17/00234 , A61B17/02 , A61B17/0218
摘要： The invention provides an apparatus and method for manipulating parts of the body in surgical procedures, particularly useful for peritoneal distension in laparoscopic surgery. The apparatus comprises a positionable support structure having an extendible horizontal arm rotatably mounted to an extendible vertical post, the post having a clamp at its lower end for mounting to a surgical table. An end segment at the distal end of the horizontal arm has a mount for mounting end-of-arm tooling, for example, peritoneal distension instruments. Locking mechanisms are disposed in the horizontal arm, vertical post and end segment to lock the support structure in a desired position. A motor is disposed within the vertical post for power-assisted extension and retraction of the vertical post. Preferably, the locking mechanisms and motor are controllable using switches mounted on the end segment. The method comprises providing a support structure as described mounted to a surgical table, positioning the distal end of the horizontal arm over a patient on the table, activating locking mechanisms in the horizontal arm and vertical post to lock the support structure in position, attaching peritoneal distension instruments to the distal end of the horizontal arm, and vertically extending the vertical post while the horizontal arm remains locked relative to the post, thereby distending the peritoneum of the patient.
摘要翻译： 本发明提供了一种用于在外科手术中操作身体部位的装置和方法，对腹腔镜手术中的腹膜扩张特别有用。 该装置包括可定位的支撑结构，其具有可旋转地安装到可延伸的竖直立柱上的可伸缩水平臂，所述柱在其下端具有用于安装到外科手术台的夹具。 在水平臂的远端处的端部段具有用于安装臂端工具的安装件，例如腹膜扩张器械。 锁定机构设置在水平臂，垂直柱和端段中，以将支撑结构锁定在期望的位置。 电动机设置在垂直柱内，用于垂直柱的动力辅助伸缩。 优选地，使用安装在端部段上的开关来控制锁定机构和电动机。 该方法包括提供如上所述安装到外科手术台上的支撑结构，将水平臂的远端定位在患者的桌子上，启动水平臂中的锁定机构和垂直柱以将支撑结构锁定在适当位置，将腹膜 膨胀仪器到水平臂的远端，并且垂直延伸垂直杆，同时水平臂相对于柱保持锁定，从而膨胀患者的腹膜。
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公开(公告)号：US4331633A
公开(公告)日：1982-05-25
申请号：US159900
申请日：1980-06-16
摘要： A batch sterilizing unit, in the form of a tank having a top loading port and a bottom discharge port, holds a batch of cans for sterilization. The cans in contact with the door associated with the discharge port are prevented from transferring heat to the door and accordingly are maintained at sterilizing temperature by providing a perforated partition forming a wall of condensate sump. Thus the sterilizing medium, whether it be steam or water, is able to effect complete sterilization of those cans making contact with the partition. In addition, condensate is continually discharged from the unit, when steam is the sterilizing medium, insuring creation and maintenance of sterilizing temperatures to the cans resting on the discharge port door.
摘要翻译： 以具有顶部装载口和底部排放口的罐形式的批量灭菌装置，保存一批用于灭菌的罐。 防止与排出口相关的门接触的罐通过提供形成冷凝水槽壁的多孔隔板而将热量传递到门并因此保持在灭菌温度。 因此，灭菌介质（无论是蒸汽还是水）能够对与隔板接触的那些罐进行完全灭菌。 此外，当蒸汽是灭菌介质时，冷凝物从设备中不断地排出，确保在排放口门上的罐头上产生和维持灭菌温度。
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13.发明授权Contiguous, branched transmyocardial revascularization (TMR) channel, method and device 失效连续分支的经心肌血运重建（TMR）通道，方法和装置
公开(公告)号：US6066131A
公开(公告)日：2000-05-23
申请号：US92798
申请日：1998-06-05
CPC分类号： A61B17/3403 , A61B18/22 , A61B2017/00247 , A61B2017/22075 , A61B2018/00392
摘要： Improved methods and devices related to laser-assisted transmyocardial revascularization (TMR), and more particularly, to improved methods and devices for creating branched TMR channels through myocardium in which a single opening is made in an epicardial surface with a plurality of channel branches, having predetermined geometries extending into and through myocardium, depending therefrom. A method of creating branched TMR channels comprises piercing an epicardial surface mechanically or with laser energy, directing laser energy through the opening in a first predetermined angular orientation with respect to the epicardial surface to create a first channel and delivering laser energy in a second predetermined angular orientation to create a second branch. A plurality of branches can thus be created in a single channel structure. A guide block device allows an opening to be made in an epicardial surface mechanically or with laser energy and provides a structure for directing laser energy into myocardium in a plurality of channels depending from the opening. Rotating guide devices and finger held devices with rotating head means include a hand held device with an elongated wand-like handle portion, a rotating head portion and a hollow guide needle means. Preferred embodiments further comprise a laser delivery means advancing mechanism and guide needle rotating means.
摘要翻译： 改进的与激光辅助心肌血运重建（TMR）相关的方法和装置，更具体地说，涉及通过心肌产生分支TMR通道的改进方法和装置，其中在具有多个通道分支的心外膜表面中形成单个开口， 预定的几何形状延伸到心肌中并通过心肌，这取决于它们。 创建分支TMR通道的方法包括机械地或用激光能量刺穿心外膜表面，以相对于心外膜表面的第一预定角度方向引导激光能量通过开口，以产生第一通道并将激光能量传送到第二预定角度 方向创建第二个分支。 因此，可以在单个信道结构中创建多个分支。 引导块装置允许以机械方式或用激光能量在心外膜表面制造开口，并且提供用于将激光能量引导到依赖于开口的多个通道中的心肌的结构。 具有旋转头装置的旋转导向装置和手指保持装置包括具有细长的棒状手柄部分的手持装置，旋转头部分和中空导向针装置。 优选实施例还包括激光输送装置前进机构和引导针旋转装置。
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公开(公告)号：US5993465A
公开(公告)日：1999-11-30
申请号：US766193
申请日：1996-12-12
申请人： John I. Shipp , Robert L. Lathrop, Jr. , Robert L. Lathrop, III , Donald R. Reichel , Robert J. Hayes
发明人： John I. Shipp , Robert L. Lathrop, Jr. , Robert L. Lathrop, III , Donald R. Reichel , Robert J. Hayes
IPC分类号： A61B17/12 , A61B17/122 , A61B17/128 , A61B17/28
CPC分类号： A61B17/1227 , A61B17/1285 , A61B2017/2923
摘要： The clip applier of the current invention solves the problems of prior art tools by incorporating a pre-clamp mechanism, the function of which is to pre-clamp the vessel to be ligated to a dimension such that the center leg of the spring of the ligation clip need be lifted only slightly. In this manner the spring clip can be slid over the smaller pre-clamped dimension. This insures that the clip spring material will remain within its elastic limit while allowing the tool to maintain a low profile for use in endoscopic surgery, even on large diameter vessels.
摘要翻译： 本发明的施夹器通过结合预夹紧机构来解决现有技术工具的问题，该预夹紧机构的功能是将要连接的容器预夹紧到使得连接的弹簧的中心腿 夹子只需稍微抬起。 以这种方式，弹簧夹可以在较小的预夹紧尺寸上滑动。 这确保夹子弹簧材料将保持在其弹性极限内，同时允许工具保持低外形以用于内窥镜手术，甚至在大直径的血管上。
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公开(公告)号：USD380273S
公开(公告)日：1997-06-24
申请号：US36811
申请日：1995-03-24
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公开(公告)号：US5555897A
公开(公告)日：1996-09-17
申请号：US308030
申请日：1994-09-16
申请人： Robert L. Lathrop, Jr. , Rick E. Emerson , James E. Wiley , James M. Sklenar , Albert K. Chin , Frederick H. Moll , David Forster
发明人： Robert L. Lathrop, Jr. , Rick E. Emerson , James E. Wiley , James M. Sklenar , Albert K. Chin , Frederick H. Moll , David Forster
CPC分类号： A61B34/30 , A61B34/76 , A61B17/00234 , A61B17/02 , A61B17/0218
摘要： The invention provides an apparatus and method for manipulating parts of the body in surgical procedures, particularly useful for peritoneal distension in laparoscopic surgery. The apparatus comprises a positionable support structure having an extendible horizontal arm rotatably mounted to an extendible vertical post, the post having a clamp at its lower end for mounting to a surgical table. An end segment at the distal end of the horizontal arm has a mount for mounting end-of-arm tooling, for example, peritoneal distension instruments. Locking mechanisms are disposed in the horizontal arm, vertical post and end segment to lock the support structure in a desired position. A motor is disposed within the vertical post for power-assisted extension and retraction of the vertical post. Preferably, the locking mechanisms and motor are controllable using switches mounted on the end segment. The method comprises providing a support structure as described mounted to a surgical table, positioning the distal end of the horizontal arm over a patient on the table, activating locking mechanisms in the horizontal arm and vertical post to lock the support structure in position, attaching peritoneal distension instruments to the distal end of the horizontal arm, and vertically extending the vertical post while the horizontal arm remains locked relative to the post, thereby distending the peritoneum of the patient.
摘要翻译： 本发明提供了一种用于在外科手术中操作身体部位的装置和方法，其特别适用于腹腔镜手术中的腹膜扩张。 该装置包括可定位的支撑结构，其具有可旋转地安装到可延伸的竖直立柱上的可伸缩水平臂，所述柱在其下端具有用于安装到外科手术台的夹具。 在水平臂的远端处的端部段具有用于安装臂端工具的安装件，例如腹膜扩张器械。 锁定机构设置在水平臂，垂直柱和端段中，以将支撑结构锁定在期望的位置。 电动机设置在垂直柱内，用于垂直柱的动力辅助伸缩。 优选地，使用安装在端部段上的开关来控制锁定机构和电动机。 该方法包括提供如上所述安装到外科手术台上的支撑结构，将水平臂的远端定位在患者的桌子上，启动水平臂中的锁定机构和垂直柱以将支撑结构锁定在适当位置，将腹膜 膨胀仪器到水平臂的远端，并且垂直延伸垂直杆，同时水平臂相对于柱保持锁定，从而膨胀患者的腹膜。
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