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    Endoscopic multiple sample bioptome with enhanced biting action
    21.
    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。

    Manually controlled endoscope
    23.
    发明授权
    Manually controlled endoscope 有权
    手动控制内窥镜

    公开(公告)号：US07789826B2

    公开(公告)日：2010-09-07

    申请号：US10955910

    申请日：2004-09-30

    申请人： Roy Sullivan ,  Eric Litscher ,  Vincent Turturro ,  Matt Whitney

    发明人： Roy Sullivan ,  Eric Litscher ,  Vincent Turturro ,  Matt Whitney

    IPC分类号： A61B1/00

    CPC分类号： A61B1/0052 ,  A61B1/0055 ,  A61B1/0057 ,  A61M25/0147

    摘要： A control handle for use with a steerable endoscopic device. The endoscopic device having a pair of control wires to effect steering. The control handle includes a steering mechanism that includes an actuator, such as a control knob, drivingly connected to a drive member, such as a sprocket or drive gear. To transmit force from the drive member to the control wires, a length of transmission structure, such as bead chain, is connected to the proximal ends of the control wires and is engaged with the drive member. In one embodiment, a single-use endoscope may be provided, which includes a control handle, a steerable endoscopic device, and a umbilical cord or communications conduit for functionally connecting the control handle to a control cabinet of an endoscopic imaging system.

    摘要翻译： 与可转向内窥镜装置一起使用的控制手柄。 该内窥镜装置具有一对控制线来实现转向。 控制手柄包括转向机构，其包括驱动地连接到诸如链轮或驱动齿轮的驱动构件的致动器，例如控制旋钮。 为了将驱动构件的力传递到控制线，传动结构（例如胎圈链）的长度连接到控制线的近端并与驱动构件接合。 在一个实施例中，可以提供一次性内窥镜，其包括控制手柄，可操纵的内窥镜装置和用于将控制手柄功能地连接到内窥镜成像系统的控制柜的脐带或通信导管。

    Manually controlled endoscope
    24.
    发明申请
    Manually controlled endoscope 有权

    公开(公告)号：US20060069311A1

    公开(公告)日：2006-03-30

    申请号：US10955910

    申请日：2004-09-30

    申请人： Roy Sullivan ,  Eric Litscher ,  Vincent Turturro ,  Matt Whitney

    发明人： Roy Sullivan ,  Eric Litscher ,  Vincent Turturro ,  Matt Whitney

    IPC分类号： A61B1/00

    CPC分类号： A61B1/0052 ,  A61B1/0055 ,  A61B1/0057 ,  A61M25/0147

    摘要： A control handle for use with a steerable endoscopic device. The endoscopic device having a pair of control wires to effect steering. The control handle includes a steering mechanism that includes an actuator, such as a control knob, drivingly connected to a drive member, such as a sprocket or drive gear. To transmit force from the drive member to the control wires, a length of transmission structure, such as bead chain, is connected to the proximal ends of the control wires and is engaged with the drive member. In one embodiment, a single-use endoscope may be provided, which includes a control handle, a steerable endoscopic device, and a umbilical cord or communications conduit for functionally connecting the control handle to a control cabinet of an endoscopic imaging system.

    Biopsy instrument having irrigation and aspiration capabilities
    25.
    发明申请
    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：US20050245841A1

    公开(公告)日：2005-11-03

    申请号：US11150328

    申请日：2005-06-13

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

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

    IPC分类号： A61B10/02 ,  A61B10/00 ,  A61B10/06 ,  A61B17/28 ,  A61B19/00 ,  A61M1/00

    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： 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。

    Biopsy instrument having irrigation and aspiration capabilities
    27.
    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：US06926676B2

    公开(公告)日：2005-08-09

    申请号：US09977289

    申请日：2001-10-16

    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： A61B10/02 ,  A61B10/00 ,  A61B10/06 ,  A61B17/28 ,  A61B19/00 ,  A61M1/00

    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： 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 digital 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。 活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，由此打开和关闭数字组件。

    Biopsy forceps instrument having irrigation and aspiration capabilities
    29.
    发明授权
    Biopsy forceps instrument having irrigation and aspiration capabilities 失效
    活检钳具有灌溉和抽吸能力

    公开(公告)号：US5897507A

    公开(公告)日：1999-04-27

    申请号：US756260

    申请日：1996-11-25

    申请人： Juergen Andrew Kortenbach ,  Vincent Turturro ,  Michael Sean McBrayer ,  Peter Kratsch

    发明人： Juergen Andrew Kortenbach ,  Vincent Turturro ,  Michael Sean McBrayer ,  Peter Kratsch

    IPC分类号： A61B10/06 ,  A61B10/00 ,  A61B10/02 ,  A61B17/28 ,  A61B19/00 ,  A61M1/00

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

    摘要： A biopsy forceps instrument is provided having a proximal actuation handle, a flexible multi-lumen tubular member, at least one control member extending through a lumen, an irrigation means, an aspiration means, and a distal assembly. The proximal actuation handle includes a shaft and a spool slidably mounted on the shaft. The actuation handle is coupled to the proximal ends of both the flexible tubular member and the control member. Lumens of the tubular member form irrigation and aspiration conduits. The distal assembly includes a hollow jaw cup coupled to the aspiration conduit and a hollow movable jaw coupled adjacent the irrigation conduit. The movable jaw is coupled to the control member, such that actuation of the actuation handle moves the movable jaw relative to the jaw cup. Moving the hollow jaws into a closed position provides a substantially fluidtight coupling between the irrigation and aspiration conduits. The actuation handle is also provided with an assembly to control irrigation to and aspiration from the distal assembly. A proximal sample chamber having a removable screen is provided for filtering tissue samples aspirated from the distal assembly. The jaws are activated to cut a tissue sample and the irrigation and aspiration means are activated to move the sample into the sample chamber for retrieving the sample without removing the instrument from a patient.

    摘要翻译： 提供活检钳具有近侧致动手柄，柔性多腔管状构件，延伸穿过内腔的至少一个控制构件，冲洗装置，抽吸装置和远端组件。 近侧致动手柄包括轴和可滑动地安装在轴上的线轴。 致动手柄联接到柔性管状构件和控制构件的近端。 管状部件的流明形成灌溉和抽吸管道。 远端组件包括联接到抽吸导管的中空钳口杯和邻近冲洗管道连接的中空活动钳口。 可移动钳口联接到控制构件，使得致动手柄的致动使可移动钳口相对于钳口杯移动。 将空心钳口移动到关闭位置提供灌溉和抽吸管道之间基本上流体密封的联接。 致动手柄还设置有用于控制来自远端组件的抽吸和抽吸的组件。 提供具有可拆卸屏幕的近端样品室用于过滤从远端组件吸出的组织样本。 激活钳口以切割组织样品，并且激活冲洗和抽吸装置以将样品移动到样品室中以取出样品，而不从患者移除仪器。

    Endoscopic bioptome with a hard stop to control biting force
    30.
    发明授权
    Endoscopic bioptome with a hard stop to control biting force 失效

    公开(公告)号：US5797957A

    公开(公告)日：1998-08-25

    申请号：US641805

    申请日：1996-05-02

    申请人： Matthew A. Palmer ,  Vincent Turturro

    发明人： Matthew A. Palmer ,  Vincent Turturro

    IPC分类号： A61B10/00 ,  A61B10/06 ,  A61B17/28 ,  A61B17/32

    CPC分类号： A61B10/06 ,  A61B2017/2933 ,  A61B2017/2937

    摘要： An endoscopic bioptome includes a flexible coil having a lumen with an axially displaceable wire extending therethrough. The proximal ends of the coil and wire are coupled to a manual actuator for axially displacing one of the coil and wire relative to the other. The distal end of the coil is coupled to either a jaw assembly or a cylinder. The jaw assembly includes a pair of jaws each having a distal jaw cup having a proximal neck and a relatively narrow bent resilient arm. The distal end of the wire is coupled to the other of the cylinder or the jaw assembly. The cylinder is slidable over the jaw assembly. Axial movement of either the wire relative to the coil or vice versa moves the cylinder over the arms of the jaws and over the necks of the jaw cups, thereby forcing the jaw cups together in a biting action. In one embodiment, the axially displaceable wire is provided with a coaxial stopping band or sleeve which stops its movement as soon as the jaws close. In another embodiment, the cylinder is provided with an annular stopping crimp which limits relative displacement of the cylinder and the jaw assembly. In a third embodiment, the cylinder is provided with a radially inward flange and the coil is provided with a reduced diameter portion. In a fourth embodiment, the jaw cups are provided with outer surface steps. In all of the embodiments, the limitation of displacement has the effect of limiting the cutting force applied to the jaws.