Single acting disposable laparoscopic scissors
    63.
    发明授权
    Single acting disposable laparoscopic scissors 失效
    单作用一次性腹腔镜剪刀

    公开(公告)号:US5171256A

    公开(公告)日:1992-12-15

    申请号:US680381

    申请日:1991-04-04

    摘要: A disposable laparoscopic single acting scissors is provided, and generally includes a hollow aluminum tube, a clevis coupled to a first end of the aluminum tube and including a pivot rod, a first scissors blade element having a pivot hole for pivotally engaging the pivot rod of the clevis, and having a through-hole in a base section of said first scissors blade element, a second scissors blade element fixedly engaging the clevis, a thin wire rod extending at least partially through the aluminum tube with a first end of the rod having a longitudinally offset terminal portion for engaging the through-hole of the base section of the first scissors blade element, and a plastic actuator engaged to the other end of the rod for imparting reciprocal motion to the rod relative to the aluminum tube which is translated at the clevis into pivotal motion of the first scissors blade element. The first scissors blade element is preferably formed from investment cast bronze.

    摘要翻译: 提供了一次性腹腔镜单作用剪刀,并且通常包括中空铝管,联接到铝管的第一端并且包括枢轴杆的U形夹,第一剪刀刀片元件,具有用于枢转地接合枢转杆的枢轴 所述U形夹具并且在所述第一剪刀刀片元件的基部中具有通孔,固定地接合所述U形夹的第二剪刀刀片元件,至少部分地延伸通过所述铝管的细线材,所述杆的第一端具有 用于接合第一剪刀刀片元件的基部的通孔的纵向偏移端子部分和接合到杆的另一端的塑料致动器,用于相对于铝管相对于铝管传递往复运动,该铝管被平移 U形夹成为第一把剪刀刀片元件的枢轴运动。 第一个剪刀刀片元件最好由投资青铜制成。

    Radioactive therapeutic seeds
    65.
    发明授权
    Radioactive therapeutic seeds 失效
    放射治疗种子

    公开(公告)号:US06273851B1

    公开(公告)日:2001-08-14

    申请号:US09312215

    申请日:1999-05-14

    IPC分类号: A61M3600

    摘要: Radioactive therapeutic seeds include a substantially radiotransparent cylindrical capsule containing a radioactive isotope and, in particular embodiments, a radiopaque or MRI-visible marker. Each of the embodiments is designed to provide a substantially isotropic distribution of radiation. In one embodiment, the isotope is deposited on the outer surface of a hollow radiolucent tube and a collar is provided about a central portion of the tube. The capsule comprises two tubular halves positioned over the tube with the open ends of the halves forming an interference fit with the collar and welded thereabout. In another embodiment, the isotope bearing structure is a plurality of radiolucent spheres provided with a thin coating of silver to facilitate the adhesion of the isotope thereto. The spheres are provided in two capsule halves which are welded closed about a plug have an axial radiopaque marker therein. In yet another embodiment, the isotope bearing structure is a pair of silver tubes having surfaces on which the isotope is provided. One tube is positioned in each half of the capsule, and the halves are then welded about a plug provided with a marker. In each embodiment, the closed ends of the capsule are provided with tissue engaging members or connectors which can be coupled to discrete spacing links.

    摘要翻译: 放射性治疗种子包括含有放射性同位素的基本上无辐射透明的圆柱形胶囊,特别是不透射线或MRI可见标记。 每个实施例被设计成提供基本上各向同性的辐射分布。 在一个实施例中,同位素沉积在中空的射线可透管的外表面上,并且围绕管的中心部分提供轴环。 胶囊包括位于管上方的两个管状半部,其半开口端形成与套环的过盈配合并在其周围焊接。 在另一个实施方案中,同位素承载结构是多个具有薄的银涂层的射线可透过球,以便于同位素与其粘附。 球体设置在两个胶囊半部中,其围绕塞子被焊接封闭,其中具有轴向不透射线的标记。 在另一个实施方案中,同位素承载结构是具有其上提供同位素的表面的一对银管。 一个管被定位在胶囊的每一半中,然后将半部焊接在设置有标记的塞子周围。 在每个实施例中,胶囊的封闭端部设置有组织接合构件或可连接到分立间隔连接件的连接器。

    Endoscopic surgical instruments having stepped rotatable end effectors
    68.
    发明授权
    Endoscopic surgical instruments having stepped rotatable end effectors 失效
    内窥镜手术器械具有阶梯式可旋转末端执行器

    公开(公告)号:US5293878A

    公开(公告)日:1994-03-15

    申请号:US989984

    申请日:1992-12-04

    摘要: Medical instruments are provided having end effectors and end effector actuator apparatus which are rotatable relative to the end effectors. The instruments generally include a tube which is typically coupled to the end effectors via a clevis around which the end effectors pivot, a push rod extending through the tube and coupled to the end effectors, and an actuator apparatus engaging the tube and the push rod with the actuator apparatus including a handle which surrounds and rotatably engages the proximal end of the tube, and a lever arm which pivotally engages the handle and is coupled to the push rod such that pivotal movement of the lever arm relative to the handle effects axial movement of the push rod relative to the tube and pivotal movement of the end effectors. In order to alternatively fix or allow rotation of the actuator apparatus relative to the tube and end effectors, the tube is provided with a plurality of peripherally spaced apart recesses in a portion thereof, and the handle is provided with a resiliently biased contact element which is coupled to an electrode and which when seated in a recess restrains rotation of the outer tube about the longitudinal axis, but which can be unseated by a sufficient relative rotational force. To decouple rotation of the push rod from the lever arm, a generally spherical push rod engaging element is provided in a cylindrical bore of the lever arm.

    摘要翻译: 提供了具有能够相对于末端执行器旋转的末端执行器和末端执行器致动器装置的医疗器械。 仪器通常包括管,其通常经由U形夹连接到端部执行器,末端执行器绕其枢转,延伸穿过管并连接到端部执行器的推杆以及与管和推杆接合的致动器装置, 所述致动器装置包括围绕并可旋转地接合所述管的近端的手柄,以及与所述手柄枢转接合并且联接到所述推杆的杠杆臂,使得所述杠杆臂相对于所述手柄的枢转运动实现轴向运动 推杆相对于管和端部执行器的枢转运动。 为了交替地固定或允许致动器装置相对于管和端部执行器的旋转,管在其一部分中设置有多个周向间隔开的凹部,并且手柄设置有弹性偏置的接触元件,该接触元件是 耦合到电极,并且当其位于凹部中时,限制外管围绕纵向轴线的旋转,但是可以通过足够的相对旋转力而脱离。 为了将推杆与杠杆臂的旋转分离,大体上球形的推杆接合元件设置在杠杆臂的圆柱形孔中。

    Endoscopic surgical instruments having rotatable end effectors
    70.
    发明授权
    Endoscopic surgical instruments having rotatable end effectors 失效
    内镜手术器具具有可转动的末端执行器

    公开(公告)号:US5174300A

    公开(公告)日:1992-12-29

    申请号:US833456

    申请日:1992-02-07

    摘要: Medical instruments are provided having end effectors and end effector actuator apparatus which are rotatable relative to the end effectors. The instruments generally include a tube which is typically coupled to the end effectors via a clevis around which the end effectors pivot, a push rod extending through the tube and coupled to the end effectors, an actuator apparatus engaging the tube and the push rod and imparting reciprocal axial motion to the push rod relative to the tube, and end effectors. The actuator apparatus includes a sleeve, spring, handle, and lever arm. The sleeve is movable along the longitudinal axis of the tube against a biasing force of the spring, but is restrained from rotating about the tube. The sleeve has a locking element on its proximal end. The handle surrounds and rotatably engages the proximal end of the tube and has a locking element on its distal end which mates with the locking element of the sleeve and disengages therewith when the sleeve is advanced along the tube. Upon disengagement, the tube, push rod, and end effectors can be rotated. The lever arm pivotally engages the handle and is coupled to the push rod such that pivotal movement of the lever arm relative to the handle effects movement of the push rod relative to the tube and pivotal movement of the end effectors. To decouple rotation of the push rod from the lever arm, a generally spherical push rod engaging element is provided in a generally cylindrical bore of the lever arm.

    摘要翻译: 提供了具有能够相对于末端执行器旋转的末端执行器和末端执行器致动器装置的医疗器械。 仪器通常包括管,其通常通过U形​​夹连接到端部执行器,末端执行器绕其枢转,推杆延伸穿过管并联接到端部执行器,致动器装置接合管和推杆并且赋予 推杆相对于管的往复轴向运动,以及末端执行器。 致动器装置包括套筒,弹簧,把手和杠杆臂。 套筒可以克服弹簧的偏置力沿着管的纵向轴线移动,但是被限制绕管旋转。 套管在其近端具有锁定元件。 手柄环绕并可旋转地接合管的近端,并且在其远端上具有锁定元件,该锁定元件与套筒的锁定元件配合,并且当套筒沿管子前进时与其脱离。 在分离时,管,推杆和末端执行器可以旋转。 杠杆臂枢转地接合手柄并且联接到推杆,使得杠杆臂相对于手柄的枢转运动实现推杆相对于管的运动和末端执行器的枢转运动。 为了将推杆与杠杆臂的旋转分离,大体上球形的推杆接合元件设置在杠杆臂的大致圆柱形的孔中。