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公开(公告)号：US08328802B2
公开(公告)日：2012-12-11
申请号：US12403835
申请日：2009-03-13
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B2017/00734 , A61B2018/00345 , A61B2018/00404 , A61B2018/00619 , A61B2018/0063 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455
摘要： A surgical device includes a radio-frequency-signal-generation assembly including a radio-frequency-signal-generation circuit operable to generate a radio-frequency signal at an output and adapted to couple to a switch-mode power supply and a surgical handle including an end effector having at least one jaw with at least one electrical contact, the end effector including at least one signal input that electrically connects to the output to provide the radio-frequency signal at the at least one electrical contact.
摘要翻译： 手术装置包括射频信号发生组件，其包括射频信号发生电路，其可操作以在输出处产生射频信号并且适于耦合到开关模式电源和手术手柄，包括 末端执行器具有至少一个具有至少一个电触点的钳口，所述末端执行器包括至少一个信号输入端，所述至少一个信号输入端电连接到所述输出端以在所述至少一个电触点处提供所述射频信号。
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72.发明授权公开(公告)号：US08241280B2
公开(公告)日：2012-08-14
申请号：US11854206
申请日：2007-09-12
IPC分类号： A61B18/14
CPC分类号： A61B17/32056 , A61B17/320016 , A61B17/32002 , A61B2017/2902 , A61B2017/2905 , A61B2017/2929 , F16C1/02 , F16C1/08 , F16C2316/10
摘要： A multifilar flexible rotary shaft includes a plurality of individual filaments which are not wound around each other or around a central core, a loose ensemble of filaments. The input ends of each filament are coupled to each other and the output ends of each filament are coupled to each other. A loose ensemble of N filaments can transmit N times the torque of a single filament, and will have N times the torsional stiffness of a single filament, while retaining the minimum radius of operation of a single filament. Since a loose ensemble of filaments does not have any appreciable contact forces among the filaments (because they are not forcibly twisted together), there is no appreciable internal friction or hysteresis. The filaments should be no more than loosely twisted together, if at all. Several practical applications of the invention are also disclosed.
摘要翻译： 多针柔性旋转轴包括多个单独的细丝，它们彼此不缠绕或围绕中心芯，松散的细丝组合。 每个灯丝的输入端彼此耦合，并且每个灯丝的输出端彼此耦合。 N细丝的松散组合可以传播N倍的单丝的扭矩，并且将具有单丝的扭转刚度的N倍，同时保持单丝的最小操作半径。 由于长丝的松散组合在细丝之间没有任何明显的接触力（因为它们不被强制扭曲在一起），所以没有明显的内部摩擦或滞后。 如果有的话，长丝不应该松散地扭曲在一起。 还公开了本发明的几个实际应用。
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公开(公告)号：US08021378B2
公开(公告)日：2011-09-20
申请号：US10730236
申请日：2003-12-08
IPC分类号： A61B17/08
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip includes a U-shaped configuration with first and second arms, and a bridge portion therebetween. The first arm is provided with a tip preferably having a catch, and the second arm extends into a deformable retainer having a tissue-piercing end and preferably also a hook. During application, tissue is clamped, and the clip is forced over the clamped tissue and the retainer of the second arm is bent and may be pierced through the tissue. The retainer is toward and around or adjacent the tip of the first arm preferably until the hook is engaged about the catch to secure the clip to the tissue and prevent the clip and tissue from separating. The clip is provided with structure that facilitates the stacking of a plurality of clips in a clip chamber of a clip applier.
摘要翻译： 手术夹具包括具有第一和第二臂的U形构造以及它们之间的桥接部分。 第一臂设置有优选地具有卡扣的末端，并且第二臂延伸到具有组织穿刺端部并且优选地还有钩子的可变形保持器中。 在施用期间，组织被夹紧，并且夹子被压在夹持的组织上，并且第二臂的保持器被弯曲并且可以穿透组织。 保持器朝向并围绕或邻近第一臂的尖端，优选地直到钩与锁扣接合以将夹子固定到组织上并防止夹子和组织分离。 该夹具设置有便于在施夹器的夹子室中堆叠多个夹子的结构。
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公开(公告)号：US07771411B2
公开(公告)日：2010-08-10
申请号：US11395903
申请日：2006-03-31
申请人： Kevin W. Smith , Matthew A. Palmer , Sean McBrayer , Thomas O. Bales , Derek Dee Deville , Joe Abelleira
发明人： Kevin W. Smith , Matthew A. Palmer , Sean McBrayer , Thomas O. Bales , Derek Dee Deville , Joe Abelleira
IPC分类号： A61M25/00
CPC分类号： A61B18/1492 , A61B18/00 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61F2/01 , A61F2230/005 , A61M25/005 , A61M25/0053 , A61M25/0054 , A61M25/01 , A61M25/104 , A61M2025/0063 , A61M2025/0064
摘要： A method for delivering RF energy to living tissue includes the steps of extending a guidewire to a tissue treatment site in a body. A controllable stiffness catheter is provided with a stiffness device and a temperature-changing device. The stiffness device is in a stiff state below a given temperature and in a soft state above the given temperature. While supplying power to the temperature-changing device, the catheter is threaded along the guidewire up to the treatment site in the flexible state of the catheter. Power is removed from the temperature-changing device to change stiffness of the stiffness device to the stiff state without straightening the catheter. The RF energy supply device is physically contacted with the treatment site and RF energy is delivered to the treatment site from the RF energy supply device.
摘要翻译： 用于将RF能量递送到活组织的方法包括将导丝延伸到身体中的组织处理部位的步骤。 可控刚度导管设置有刚度装置和温度变化装置。 刚度装置处于低于给定温度的刚性状态，并且处于高于给定温度的软状态。 在向变温装置供电的同时，导管在导管的柔性状态下沿着导丝穿过治疗部位。 将功率从变温装置中移除，以将刚度装置的刚度改变到刚性状态，而不使导管矫直。 RF能量供应装置与处理部位物理接触，RF能量从RF能量供应装置输送到治疗部位。
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公开(公告)号：US20100004669A1
公开(公告)日：2010-01-07
申请号：US12547999
申请日：2009-08-26
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/320068 , A61B2017/00424 , A61B2017/0046 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a battery, and an ultrasonic-signal-generator assembly, includes a handle body having a power supply portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, an ultrasonic-signal-generator assembly dock exposed to the environment and shaped to selectively removably secure the ultrasonic-signal-generator assembly to the handle body and electrically couple the ultrasonic-signal-generator assembly to the battery contacts, and a transducer attachment dock exposed to the environment and shaped to substantially simultaneously place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock and electrically couple the ultrasonic transducer to the ultrasonic-signal-generator assembly when the ultrasonic-signal-generator assembly is secured to the ultrasonic-signal-generator assembly dock. The battery can be removable.
摘要翻译： 可连接到超声波换能器，超声波导，电池和超声波信号发生器组件的一次性超声手术手柄包括具有限定电池保持室的电源部分的手柄主体，电池保持室具有 至少两个电池触点，暴露于环境并被成形为接受其中的波导的波导附件基座，暴露于环境的超声波信号发生器组件基座并成形为选择性地可移除地将超声信号发生器组件固定到手柄主体 并且将所述超声波信号发生器组件电耦合到所述电池触点，以及在所述波导设置在所述波导附件底座内时，暴露于所述环境并且被成形为基本上同时地将所述超声波换能器放置在与所述波导同轴对准的换能器附接基座，以及 将超声换能器电耦合到超声波 - 当超声波信号发生器组件被固定到超声波信号发生器组装座时，信号发生器组件。 电池可以拆卸。
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76.发明申请公开(公告)号：US20100000074A1
公开(公告)日：2010-01-07
申请号：US12547898
申请日：2009-08-26
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734 , B06B3/00 , H04R31/00 , Y10T29/49005 , Y10T29/49169
摘要： A method for assembling an ultrasonic surgical assembly includes the steps of substantially simultaneously removably coupling an ultrasonic-driving-wave-signal generating circuit to an ultrasonic surgical handle body and removably inserting an ultrasonic-movement-producing distal end of a rotatably free ultrasonic transducer into the ultrasonic surgical handle body. An ultrasonic waveguide is inserted into the ultrasonic surgical handle body opposite the ultrasonic-movement-producing distal end. The ultrasonic waveguide is rotated with respect to the ultrasonic transducer to fixedly couple the ultrasonic waveguide to the ultrasonic-movement-producing distal end of the ultrasonic transducer.
摘要翻译： 一种用于组装超声外科手术组件的方法包括以下步骤：将超声波驱动波信号产生电路基本上同时可移除地耦合到超声手术手柄本体，并将可旋转自由的超声换能器的超声波移动产生远端可移除地插入到 超声手术手柄。 将超声波波导插入与超声波产生运动的远端相对的超声手术手柄体内。 超声波波导相对于超声波换能器旋转，将超声波波导固定地连接到超声波换能器的超声波移动产生远端。
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公开(公告)号：USRE39415E1
公开(公告)日：2006-11-28
申请号：US11064520
申请日：2005-02-24
CPC分类号： A61B10/06 , A61B10/02 , A61B17/29 , A61B17/30 , A61B17/320016 , A61B17/3201 , A61B18/1445 , A61B2010/0225 , A61B2017/0023 , A61B2017/00398 , A61B2017/0046 , A61B2017/0088 , A61B2017/292 , A61B2017/2926 , A61B2017/2931 , A61B2017/2939 , A61B2017/2945 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1253 , A61B2018/1412 , A61B2018/1415 , A61B2018/1432 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , A61B2090/064 , A61M2025/0098 , A61M2205/6081 , H01L21/67126 , H01L21/6715 , Y10T74/18944 , Y10T74/20402 , Y10T403/32181 , Y10T403/32221
摘要： A biological forceps device for the taking of tissue samples from a body, comprising a flexible main coil attached at its distal end to a pair of homologous cast jaws. The jaws have radially arranged teeth on their distalmost end. The jaws are opened and closed by attachment to a pair of pull wires which extend through the main coil, into a handle at its proximal end, the handle has a spool which slides about a central shaft attached to the main coil. The spool is attached to the pull wires, so that movement of the spool with respect to the central shaft, effectuates a force on the proximal ends of the levered jaws, to open and close them, appropriately.
摘要翻译： 一种用于从身体采集组织样本的生物镊子装置，包括在其远端处附接到一对同源颚爪的柔性主线圈。 钳口在其最远端具有径向排列的齿。 夹爪通过附接到一对延伸穿过主线圈的拉线而被打开和关闭，该拉线在其近端处延伸到手柄中，手柄具有绕附接到主线圈的中心轴滑动的线轴。 线轴被连接到拉线，使得线轴相对于中心轴的运动在适当地对杠杆钳口的近端施加力以打开和闭合它们。
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公开(公告)号：US06969402B2
公开(公告)日：2005-11-29
申请号：US10206489
申请日：2002-07-26
申请人： Thomas O. Bales , Kenneth E. Perry
发明人： Thomas O. Bales , Kenneth E. Perry
CPC分类号： A61F2/91 , A61F2/88 , A61F2/915 , A61F2002/91508 , A61F2002/91525 , A61F2002/91533 , A61F2002/91558 , A61F2230/0054
摘要： A helical stent having a central helically wound portion, and cylindrical ends is provided. A transition zone having struts of different lengths is provided between the helical portion and each cylindrical portion. A junction defining a strut trident is provided between the transition zone and the helical portion. This construction provides a highly flexible stent, permits connecting bridges that are in the same basic orientation, and enables the hoops of the helical, cylindrical, and transitions zones to remain “in phase” such that the stent can easily expand and collapse. According to another aspect of the invention, the kerf between adjacent struts does not go all the way to the end of those struts. The longer struts can have substantially the same flexibility and expansion force as the shorter struts of the transition by making all the kerfs approximately the same length.
摘要翻译： 提供了具有中心螺旋形缠绕部分和圆柱形端部的螺旋支架。 具有不同长度的支柱的过渡区域设置在螺旋部分和每个圆柱形部分之间。 在过渡区域和螺旋部分之间设置了一个定义支柱三叉戟的连接点。 这种结构提供了一种高度灵活的支架，允许连接相同基本方向的桥梁，并且使得螺旋，圆柱形和过渡区域的环能保持“同相”，使得支架容易膨胀和折叠。 根据本发明的另一方面，相邻支柱之间的切口并不一直到那些支柱的末端。 通过使所有切口大致相同的长度，较长的支柱可以具有与过渡的较短支柱基本上相同的柔性和膨胀力。
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公开(公告)号：US06712752B2
公开(公告)日：2004-03-30
申请号：US10295658
申请日：2002-11-15
申请人： Charles R. Slater , Thomas O. Bales
发明人： Charles R. Slater , Thomas O. Bales
IPC分类号： A61N500
CPC分类号： A61N5/1027 , A61B90/39 , A61B2090/3954 , A61N2005/1024
摘要： Radioactive therapeutic seeds include a carrier structure bearing a radioactive isotope and a radiopaque marker. According to several embodiments, the seeds include a central plug provided with an axial marker and a relatively transverse bore extending through the marker. A second marker may be positioned in the bore, thereby distinguishing a seed provided with the second marker relative to a seed not provided with the second marker. According to another embodiment, the isotope is deposited on the outer surface of a hollow radiolucent tube. A biologically-compatible, radiolucent, surface-sealing layer seals the external surface of the tube. A radiopaque marker wire of selected length is positioned in the hollow of the tube. Seeds may be distinguished from one another by providing seeds with marker wires of different lengths. According to other embodiments, the seed includes a cylindrical outer member, and an inner member provided within the outer member and having two large diameter portions and a relatively smaller diameter portion therebetween. A marker is disposed within the inner member, and a radioactive isotope is carried on the inner member. The marker may be drilled to a smaller size. Each embodiment permits at least two groups of seeds to be distinguished from one another by the use of differing marker configurations.
摘要翻译： 放射治疗种子包括具有放射性同位素和不透射线标记的载体结构。 根据几个实施例，种子包括设置有轴向标记的中心塞和延伸穿过标记的相对横向的孔。 可以将第二标记物定位在孔中，从而与提供有第二标记的种子相对于未设置第二标记的种子进行区分。 根据另一个实施方案，同位素沉积在中空的射线可透管的外表面上。 生物相容的射线可透过的表面密封层密封管的外表面。 所选长度的不透射线标记线位于管的中空中。 通过为种子提供不同长度的标记线，种子可以彼此区分。 根据其他实施例，种子包括圆柱形外部构件和设置在外部构件内部并具有两个大直径部分和其间相对较小直径部分的内部构件。 标记物设置在内部构件内，并且放射性同位素被承载在内部构件上。 标记可以钻到较小的尺寸。 每个实施例允许通过使用不同的标记物构造将至少两组种子彼此区分开。
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公开(公告)号：US06409727B1
公开(公告)日：2002-06-25
申请号：US09418769
申请日：1999-10-15
IPC分类号： A61B1818
CPC分类号： A61B17/32056 , A61B17/320016 , A61B17/32002 , A61B2017/2902 , A61B2017/2905 , A61B2017/2929 , F16C1/02 , F16C1/08 , F16C2316/10
摘要： A multifilar flexible rotary shaft includes a plurality of individual filaments which are not wound around each other or around a central core, a loose ensemble of filaments. The input ends of each filament are coupled to each other and the output ends of each filament are coupled to each other. Preferably all of the filaments are identical. A loose ensemble of N filaments can transmit N times the torque of a single filament, and will have N times the torsional stiffness of a single filament, while retaining the minimum radius of operation of a single filament. Since a loose ensemble of filaments does not have any appreciable contact forces among the filaments (because they are not forcibly twisted together), there is no appreciable internal friction or hysteresis. In order to appreciably eliminate all the hysteresis in such an ensemble of filaments, the filaments should be no more than loosely twisted together, if at all. The only reason for loosely twisting the wires together is to allow the ensemble to be easily handled and to insure that the individual wire filaments follow the same general curved path from one end to the other. Several practical applications of the invention are also disclosed.
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