公开(公告)号：US20080051808A1

公开(公告)日：2008-02-28

申请号：US11928358

申请日：2007-10-30

申请人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

发明人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

IPC分类号： A61B17/10

摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20070270790A1

公开(公告)日：2007-11-22

申请号：US11705381

申请日：2007-02-12

申请人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

发明人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

IPC分类号： A61B17/00

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 surgical instrument includes an end effector having an actuation assembly to effect a surgical procedure when actuated. An electric motor has a rated operating voltage and is operationally connected to the end effector to operate the actuation assembly. A power supply is electrically connected to the motor and selectively powers the motor to actuate the actuation assembly at least 1 and less than 16 times during a clinical life of at least one of the end effector, the motor, or the power supply. The power supply has a battery cell with a critical current rate. When activated to power the motor and actuate the actuation assembly, the power supply operates the battery cell at a super-critical current rate during a non-zero super-critical pulse discharge period lasting less than approximately 16 seconds. The power supply operates the motor above the rated operating voltage during the super-critical pulse discharge period.

摘要翻译： 手术器械包括具有致动组件的末端执行器，以在致动时实现外科手术。 电动机具有额定工作电压并且可操作地连接到端部执行器以操作致动组件。 电源电连接到电动机，并且在末端执行器，电动机或电源中的至少一个的临床寿命期间，选择性地给电动机供电以使致动组件致动至少1次且小于16次。 电源具有临界电流速率的电池单元。 当被激活以对电动机供电并致动致动组件时，电源在超临界电流速率下操作电池单元，并在非零超临界脉冲放电期间持续小于约16秒。 在超临界脉冲放电期间，电源将电机运行在额定工作电压以上。

公开(公告)号：US20060074480A1

公开(公告)日：2006-04-06

申请号：US11216293

申请日：2005-08-31

申请人： Thomas Bales ,  Charles Slater ,  Scott Jahrmarkt

发明人： Thomas Bales ,  Charles Slater ,  Scott Jahrmarkt

IPC分类号： A61F2/06

CPC分类号： A61F2/88 ,  A61F2/844 ,  A61F2/848 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/0864 ,  A61F2002/91533 ,  A61F2002/91541 ,  A61F2002/91558 ,  A61F2002/91583 ,  A61F2002/9665 ,  A61F2250/0098

摘要： A stent includes a stent body having a circumference and struts disposed helically about the circumference in turns. At least two of the struts have respective strut ends. At least two paddle-shaped markers extend away from a respective one of the strut ends. The markers have respective marker extreme ends and different overall longitudinal lengths substantially aligning the marker extreme ends approximately along a single circumference of the stent body. A method for manufacturing a helical stent includes the steps of providing a stent body with struts disposed about the circumference thereof in turns and with bridges connecting the struts in adjacent turns. The stent body is expanded and, thereafter, some of the bridges, in particular, sacrificial bridges, are removed.

摘要翻译： 支架包括具有围绕圆周螺旋地设置的圆周和支柱的支架主体。 至少两个支柱具有相应的支柱端。 至少两个桨形标记从相应的支柱端延伸出来。 标记具有相应的标记物末端和不同的总纵向长度，大体上沿着支架主体的单个圆周对准标记物末端。 一种用于制造螺旋支架的方法包括以下步骤：提供支架主体，所述支架本体具有围绕其圆周设置的支柱，并且在相邻匝中连接支柱。 支架主体被扩张，此后，除去一些桥，特别是牺牲桥。

公开(公告)号：US20060064158A1

公开(公告)日：2006-03-23

申请号：US11216228

申请日：2005-08-31

申请人： Thomas Bales ,  Charles Slater ,  Scott Jahrmarkt

发明人： Thomas Bales ,  Charles Slater ,  Scott Jahrmarkt

IPC分类号： A61F2/88

CPC分类号： A61F2/88 ,  A61F2/844 ,  A61F2/848 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/0864 ,  A61F2002/91533 ,  A61F2002/91541 ,  A61F2002/91558 ,  A61F2002/91583 ,  A61F2002/9665 ,  A61F2250/0098

摘要： A stent includes a stent body having a circumference, a diameter of between approximately 4 mm and approximately 12 mm, in particular, 8 mm, and a length of between approximately 10 mm and approximately 250 mm, in particular, 150 mm, and struts disposed helically about the circumference in turns. Substantially circumferentially oriented connecting bridges connect respectively adjacent ones of the turns. A method for manufacturing a helical stent includes the steps of providing a stent body with struts disposed about the circumference thereof in turns and with bridges connecting the struts in adjacent turns. The stent body is expanded and, thereafter, some of the bridges, in particular, sacrificial bridges, are removed.

摘要翻译： 支架包括具有周长，直径在约4mm和约12mm之间，特别是8mm，长度在大约10mm至大约250mm之间，特别是150mm的支架主体，并且支架布置 螺旋地绕圆周。 基本上周向定向的连接桥分别连接相邻的匝。 一种用于制造螺旋支架的方法包括以下步骤：提供支架主体，所述支架本体具有围绕其圆周设置的支柱，并且在相邻匝中连接支柱。 支架主体被扩张，此后，除去一些桥，特别是牺牲桥。

公开(公告)号：US20060060266A1

公开(公告)日：2006-03-23

申请号：US11216222

申请日：2005-08-31

申请人： Thomas Bales ,  Charles Slater ,  Scott Jahrmarkt

发明人： Thomas Bales ,  Charles Slater ,  Scott Jahrmarkt

IPC分类号： B21F3/02 ,  C22F1/00

CPC分类号： B23K26/38 ,  A61F2/88 ,  A61F2/91 ,  A61F2/915 ,  A61F2002/91533 ,  A61F2002/91558 ,  A61F2210/009 ,  A61F2230/0054 ,  A61F2240/001 ,  A61F2250/0018 ,  A61F2250/0071 ,  A61F2250/0098 ,  B23K2103/05

摘要： A method for manufacturing a helical stent includes the steps of providing a stent body with struts disposed about the circumference thereof in turns and with bridges connecting the struts in adjacent turns. The stent body is at least partially expanded and, some time during expansion, some of the bridges, in particular, sacrificial bridges, are removed. A method for implanting this stent includes loading the stent at a stent delivery system, traversing the stent at the delivery system to an implantation site, and implanting the stent at the implantation site.

摘要翻译： 一种用于制造螺旋支架的方法包括以下步骤：提供支架主体，所述支架本体具有围绕其圆周设置的支柱，并且在相邻匝中连接支柱。 支架主体至少部分地膨胀，并且在膨胀期间的一些时间，去除了一些桥，特别是牺牲桥。 用于植入该支架的方法包括将支架装载在支架输送系统处，在输送系统处穿过支架到植入部位，以及将支架植入植入部位。

公开(公告)号：US20050033333A1

公开(公告)日：2005-02-10

申请号：US10867412

申请日：2004-06-14

申请人： Kevin Smith ,  Jose Francese ,  Robert Sixto ,  Juergen Kortenbach ,  Thomas Bales ,  Carlos Rivera ,  Matthew Palmer

发明人： Kevin Smith ,  Jose Francese ,  Robert Sixto ,  Juergen Kortenbach ,  Thomas Bales ,  Carlos Rivera ,  Matthew Palmer

IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/28 ,  A61B17/32 ,  A61B17/08

CPC分类号： A61B17/1285 ,  A61B17/122 ,  A61B2017/2905 ,  A61B2017/320064 ,  Y10T24/44752

摘要： A surgical clip has a base portion and two generally parallel, spaced arms extending from the base portion and defining an opening therebetween. The arms terminate distally in fingers which are of reduced width and thickness relative to the arms and which are adapted to be bent towards and past each other. A transition section from each arm to the finger provides curved structures which extending away from each other and providing a wider mouth for the opening between the arms. The arms also have a proximal section with an undercut which helps in flexure of the arms. The base is an extended structure having a rounded proximal end with outwardly extending shoulders which are arranged to be engaged by the curved structures of the mouth of another clip.

摘要翻译： 手术夹具具有从基部延伸并在其间限定开口的基部和两个大致平行的间隔开的臂。 臂在远离手指的位置处终止，手指相对于手臂减小了宽度和厚度，并且它们适于朝彼此弯曲并且彼此相交。 从每个臂到手指的过渡部分提供了彼此延伸的弯曲结构，并为臂之间的开口提供更宽的口。 臂还具有带有底切的近端部分，其有助于臂的挠曲。 底座是具有圆形近端的延伸结构，其具有向外延伸的肩部，其被布置成与另一个夹子的口部的弯曲结构接合。

公开(公告)号：US08573459B2

公开(公告)日：2013-11-05

申请号：US12102181

申请日：2008-04-14

申请人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

发明人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

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。

公开(公告)号：US08286846B2

公开(公告)日：2012-10-16

申请号：US12102464

申请日：2008-04-14

申请人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

发明人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

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。

公开(公告)号：US08028885B2

公开(公告)日：2011-10-04

申请号：US11705246

申请日：2007-02-12

申请人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

发明人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

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 surgical instrument includes a surgical end effector having at least one actuation assembly to effect a surgical procedure when actuated, an electric motor operationally connected to the end effector to operate the at least one actuation assembly, and a power supply electrically connected to the motor and selectively powering the motor to actuate the actuation assembly. The power supply has a battery cell with a critical current rate and, when activated to power the motor and actuate the actuation assembly, operates the cell at a super-critical current rate or at an average current rate above the critical current rate. The power supply selectively powers the motor to actuate the assembly less than 16 times during a clinical life of at least one of the end effector, the motor, and the power supply. When actuated, the assembly operates only between 0.5 seconds and 16 seconds in duration.

摘要翻译： 手术器械包括具有至少一个致动组件的手术末端执行器，以在致动时实现手术过程，电动马达可操作地连接到末端执行器以操作至少一个致动组件，以及电连接到马达和 选择性地为马达供电以致动致动组件。 电源具有临界电流速率的电池单元，并且当被激活以对电动机供电并致动致动组件时，以超临界电流速率或以高于临界电流速率的平均电流速率操作电池。 在末端执行器，电动机和电源中的至少一个的临床寿命期间，电源选择性地为电动机供电以致动装置小于16次。 当启动时，组件的工作时间只有0.5秒到16秒。

公开(公告)号：US07959050B2

公开(公告)日：2011-06-14

申请号：US12245017

申请日：2008-10-03

申请人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

发明人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00017 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/2927 ,  A61B2017/2931 ,  A61B2017/320052 ,  G06F19/00 ,  Y02A90/26

摘要： An electrically operated surgical instrument includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self-contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.

摘要翻译： 一种电操作的手术器械包括外科末端执行器，其具有致动组件，该致动组件在致动时实现外科手术，并且手柄连接到端部执行器以致动组件。 组件的一部分在启动位置和完全启动位置之间移动。 手柄具有独立的电源和完全设置在手柄内的驱动组件。 驱动组件具有电动马达和电连接到电源和马达的控制器。 控制器选择性地操作电动机。 变速器机械地将电动机连接到移动部件，并且当电动机被操作时，在起动和完全伸出位置之间的任何位置选择性地移动运动部件。 手动释放机械耦合到变速器以选择性地中断变速器，并且在中断期间，独立于电动机操作将运动部件移向起始位置。