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公开(公告)号：US20050250983A1
公开(公告)日：2005-11-10
申请号：US11109041
申请日：2005-04-18
CPC分类号： A61B1/05 , A61B1/0052 , A61B1/012 , A61B1/018 , A61B1/0676 , A61B17/221 , A61B90/361 , A61B2017/22038 , A61B2017/22042 , A61B2017/2212
摘要： A medical instrument comprising a flexible, filamentous shaft slideably disposed in a sheath, the instrument including an electronic imaging system comprising an image sensor carried on a distal end portion of the instrument. The shaft may be used as a guidewire for a complementary guided device, or it may be used to carry a functional element for performing a procedure at a target site in a patient's body. In other embodiments, the present invention contemplates a flexible sheath, preferably having a simple tubular construction, with an electronic imaging system at its distal end. The sheath is adapted to slideably receive a shaft, preferably a filamentous shaft, that closely fits the sheath. The shaft carries functional element at its distal end. The instruments according to the present invention may include one or more filaments along their length for deflecting an insertable portion of the instrument.
摘要翻译： 一种医疗器械，包括可滑动地设置在鞘中的柔性丝状轴，所述仪器包括电子成像系统，所述电子成像系统包括承载在所述器械的远端部分上的图像传感器。 轴可以用作互补引导装置的导丝，或者可以用于携带用于在患者体内的目标部位执行手术的功能元件。 在其它实施例中，本发明考虑了一种柔性护套，优选地具有简单的管状结构，其远端处具有电子成像系统。 护套适于可滑动地容纳紧密地配合护套的轴，优选为丝状轴。 轴在其远端承载功能元件。 根据本发明的仪器可以包括沿其长度的一个或多个细丝，用于偏转仪器的可插入部分。
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公开(公告)号：US5928244A
公开(公告)日：1999-07-27
申请号：US953584
申请日：1997-10-17
申请人： Ian J. Tovey , Salvatore Castro
发明人： Ian J. Tovey , Salvatore Castro
CPC分类号： A61F2/0811 , A61F2/0805 , A61B17/16 , A61B2017/00862 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0424 , A61B2017/0427 , A61B2017/0438 , A61B2090/037 , A61F2002/0835 , A61F2002/0858 , A61F2002/0888 , A61F2250/0071 , Y10S606/908 , Y10S606/91 , Y10S606/916
摘要： An apparatus for applying a tissue fastener for fastening soft tissue to bone includes elongated members, one of which holds a loading unit having a tissue fastener mounted therein, and another of which is moved to expel the tissue fastener from the loading unit and expand legs of the tissue fastener to secure it within a predrilled hole in bone. The tissue fastener is preferably a two piece fastener including a body portion with legs flexibly expandable by a setting pin. The loading unit engages both the body and the setting pin.
摘要翻译： 用于将软组织紧固件施加到骨头上的装置包括细长构件，其中一个保持具有安装在其中的组织紧固件的装载单元，并且另一个装载单元被移动以将组织紧固件从装载单元排出并且将 组织紧固件将其固定在骨头中的预钻孔中。 组织紧固件优选地是两件式紧固件，其包括主体部分，腿部通过固定销弹性地伸展。 装载单元接合主体和设定销。
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公开(公告)号：US5797959A
公开(公告)日：1998-08-25
申请号：US910767
申请日：1997-08-13
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/294 , A61B2017/2945
摘要： A surgical apparatus is provided which includes a handle portion and an elongated body portion extending distally from the handle portion and defining a longitudinal axis. A tool assembly is operatively associated with a distal end portion of the body portion and includes a first jaw assembly having a proximal jaw portion and a distal jaw portion and a second jaw assembly having a proximal jaw portion and a distal jaw portion. The distal and proximal jaw portions of each jaw assembly are pivotably connected to one another and are movable between first and second articulated positions. A jaw actuation mechanism is provided including an actuation member and having first and second cooperating actuating legs. Each leg is operatively connected to a respective distal portion of the first and second jaw assemblies to effectuate simultaneous pivotable movement of the distal jaw portions relative to the proximal jaw portions of the tool assembly. A jaw control mechanism operatively connects the handle portion and the tool assembly and is configured to effect movement of the tool assembly between an open position and a closed position.
摘要翻译： 提供了一种手术装置，其包括手柄部分和从手柄部分向远侧延伸并限定纵向轴线的细长主体部分。 工具组件与主体部分的远端部分可操作地相关联，并且包括具有近端颚部和远侧颚部的第一颚组件和具有近端颚部和远侧颚部的第二颚组件。 每个钳夹组件的远端和近端钳口部分可枢转地彼此连接并且可在第一和第二铰接位置之间移动。 提供了一种钳口致动机构，其包括致动构件并且具有第一和第二协作致动腿。 每个腿部可操作地连接到第一和第二钳口组件的相应远端部分，以实现远端钳口部分相对于工具组件的近端钳口部分的同时可枢转运动。 钳口控制机构可操作地连接手柄部分和工具组件，并且构造成实现工具组件在打开位置和关闭位置之间的移动。
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公开(公告)号：US5569284A
公开(公告)日：1996-10-29
申请号：US311395
申请日：1994-09-23
申请人： Wayne P. Young , Darryl S. Pereira , Salvatore Castro , Michael S. Kolesa , Dominick L. Mastri , Frank J. Viola
发明人： Wayne P. Young , Darryl S. Pereira , Salvatore Castro , Michael S. Kolesa , Dominick L. Mastri , Frank J. Viola
CPC分类号： A61B17/32002 , A61B17/320092 , A61B2017/00685 , A61B2017/2926 , A61B2017/320024 , A61B2217/005
摘要： An endoscopic morcellator includes a tubular portion with an elongated auger rotatably positioned within its bore. An aperture near the distal end of the tubular portion permits access for body tissue to contact the auger. The auger is driven by a reversible motor which is powered by a battery pack. A container collects morcellized tissue which is aspirated by means of a suction tube.
摘要翻译： 内窥镜激光器包括具有可旋转地定位在其孔内的细长螺旋钻的管状部分。 在管状部分的远端附近的孔允许身体组织进入以接触螺旋钻。 螺旋钻由一个由电池组供电的可逆电机驱动。 容器收集通过吸管吸出的毛细组织。
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公开(公告)号：US5554137A
公开(公告)日：1996-09-10
申请号：US134354
申请日：1993-10-08
申请人： Wayne P. Young , Salvatore Castro
发明人： Wayne P. Young , Salvatore Castro
CPC分类号： A61B17/3417 , A61B2017/00473
摘要： A piercing tip for penetrating body tissue is provided which includes a conical body and a triangular cutting blade positioned within a slot formed in the conical body. The piercing tip is particularly adapted for mounting at the distal end of an obturator and for use as part of a trocar assembly.
摘要翻译： 提供用于穿透身体组织的穿刺尖端，其包括锥形体和位于形成在锥形体中的狭槽内的三角形切割刀片。 穿刺尖端特别适于安装在闭孔器的远端并用作套管针组件的一部分。
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公开(公告)号：US5382255A
公开(公告)日：1995-01-17
申请号：US002208
申请日：1993-01-08
IPC分类号： A61B17/00 , A61B17/128 , A61B17/28 , A61B17/10
CPC分类号： A61B17/2909 , A61B17/1285 , A61B2017/00464 , A61B2017/2927 , Y10S227/901 , Y10T403/58
摘要： The present invention relates to surgical instruments having a housing or elongated cartridge, a frame and an apparatus for releasably connecting the housing to the frame. Typically, the housing has active elements which perform a particular function during a surgical procedure, such as forceps, graspers, clip appliers or staplers. The frame includes an actuating system for actuating the active elements, such as a pivotal handle or a release lever.
摘要翻译： 本发明涉及具有外壳或细长盒的外科器械，框架和用于将外壳可释放地连接到框架的装置。 通常，外壳具有在外科手术过程中执行特定功能的活动元件，例如镊子，抓紧器，夹持器或订书机。 框架包括用于致动活动元件的致动系统，例如枢转手柄或释放杆。
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47.发明授权公开(公告)号：US09986987B2
公开(公告)日：2018-06-05
申请号：US15275896
申请日：2016-09-26
申请人： Manoj B Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
发明人： Manoj B Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B2017/00623 , A61B2017/00637 , A61B2017/00659 , A61B2017/00663 , A61B2017/047 , A61B2017/0472
摘要： A suture placement device provides a lateral extension element, such as a slotted t-bar or wings, which is inserted into a trocar and deployed to position receptor ports about 1 cm from the trocar. The trocar is removed, and stylet guides are deployed to create a path from the housing to the receptor ports, thereby creating a suture path with segments from the outside of the device to each port, and between ports. A stylet is inserted through the suture path, and used to pull a suture of choice through the path. A stylet guide has a partially extended position to permit precise intra-muscular location of an anesthetic injection before being fully deployed. The t-bar is rotated back to a vertical position to permit removal to of the suture placement device so that the suture can be tied.
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48.发明申请公开(公告)号：US20170105712A1
公开(公告)日：2017-04-20
申请号：US15275896
申请日：2016-09-26
申请人： Manoj B. Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
发明人： Manoj B. Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B2017/00623 , A61B2017/00637 , A61B2017/00659 , A61B2017/00663 , A61B2017/047 , A61B2017/0472
摘要： A suture placement device provides a lateral extension element, such as a slotted t-bar or wings, which is inserted into a trocar and deployed to position receptor ports about 1 cm from the trocar. The trocar is removed, and stylet guides are deployed to create a path from the housing to the receptor ports, thereby creating a suture path with segments from the outside of the device to each port, and between ports. A stylet is inserted through the suture path, and used to pull a suture of choice through the path. A stylet guide has a partially extended position to permit precise intra-muscular location of an anesthetic injection before being fully deployed. The t-bar is rotated back to a vertical position to permit removal to of the suture placement device so that the suture can be tied.
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49.发明授权Apparatus and method for fascial closure device for laparoscopic trocar port site and surgery 有权腹腔镜套管针头部位和手术用于筋膜闭合装置的装置和方法公开(公告)号：US09451950B2
公开(公告)日：2016-09-27
申请号：US14284456
申请日：2014-05-22
申请人： Manoj B Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
发明人： Manoj B Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B2017/00623 , A61B2017/00637 , A61B2017/00659 , A61B2017/00663 , A61B2017/047 , A61B2017/0472
摘要： A suture placement device is inserted into an endoscopic trocar port site. A pivot bar with a pair of receptor ports is moved from a folded to an extended position below the fascia. The trocar port is removed over the device as the pivot bar is pulled upward against the fascia. A pair of stylet guides are deployed from two sides of the device housing, and intercept the receptor ports, thereby creating a suture path through the first guide, through a channel in the pivot bar between the receptor ports, and through the second guide. A stylet is directed through the suture path to pull a suture through the path. The guides are refracted, the pivot bar is folded, the device is removed, and the suture is tied. A stylet guide may have a partially deployed position to accurately inject an anesthetic at a desired intra-muscular layer.
摘要翻译： 将缝合线放置装置插入内窥镜套管针端口部位。 具有一对接收器端口的枢轴杆从折叠位置移动到面板下方的延伸位置。 当枢轴杆相对于面板向上拉时，套管针端口被移出设备。 一对探针引导件从装置壳体的两侧展开，并且拦截受体端口，从而通过第一引导件，通过枢转杆中的通道在受体端口之间并通过第二引导件形成缝合路径。 探针通过缝线路径引导缝合线通过路径。 引导件被折射，枢轴杆被折叠，装置被移除，并且缝合线被捆扎。 探针引导件可以具有部分布置的位置以精确地将麻醉剂注射到期望的肌内层。
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公开(公告)号：US08517921B2
公开(公告)日：2013-08-27
申请号：US11109041
申请日：2005-04-18
CPC分类号： A61B1/05 , A61B1/0052 , A61B1/012 , A61B1/018 , A61B1/0676 , A61B17/221 , A61B90/361 , A61B2017/22038 , A61B2017/22042 , A61B2017/2212
摘要： A medical instrument comprising a flexible, filamentous shaft slideably disposed in a sheath, the instrument including an electronic imaging system comprising an image sensor carried on a distal end portion of the instrument. The shaft may be used as a guidewire for a complementary guided device, or it may be used to carry a functional element for performing a procedure at a target site in a patient's body. In other embodiments, the present invention contemplates a flexible sheath, preferably having a simple tubular construction, with an electronic imaging system at its distal end. The sheath is adapted to slideably receive a shaft, preferably a filamentous shaft, that closely fits the sheath. The shaft carries functional element at its distal end. The instruments according to the present invention may include one or more filaments along their length for deflecting an insertable portion of the instrument.
摘要翻译： 一种医疗器械，包括可滑动地设置在鞘中的柔性丝状轴，所述仪器包括电子成像系统，所述电子成像系统包括承载在所述器械的远端部分上的图像传感器。 轴可以用作互补引导装置的导丝，或者可以用于携带用于在患者体内的目标部位执行手术的功能元件。 在其它实施例中，本发明考虑了一种柔性护套，优选地具有简单的管状结构，其远端处具有电子成像系统。 护套适于可滑动地容纳紧密地配合护套的轴，优选为丝状轴。 轴在其远端承载功能元件。 根据本发明的仪器可以包括沿其长度的一个或多个细丝，用于偏转仪器的可插入部分。
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