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公开(公告)号：US08419758B2
公开(公告)日：2013-04-16
申请号：US12266146
申请日：2008-11-06
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic surgical waveguide driving assembly for attachment to a surgical ultrasonic instrument handle with a cordless power source therein includes a reusable cordless ultrasonic transducer that has an ultrasonic waveguide couple at which the transducer is operable to excite a waveguide attached thereto and a power input disposed to substantially simultaneously connect the waveguide couple to a waveguide and the power input to a power source located within the handle.
摘要翻译： 一种用于与其中的无绳电源连接到手术超声波手柄的超声外科波导驱动组件，包括可重复使用的无绳超声波换能器，其具有超声波波导耦合，所述超声波波导耦合在所述超声波波导耦合处，所述换能器可操作以激发附着于其上的波导， 基本上同时将波导耦合到波导并将功率输入连接到位于手柄内的电源。
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公开(公告)号：US08372101B2
公开(公告)日：2013-02-12
申请号：US13072309
申请日：2011-03-25
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00075 , A61B2017/00137 , A61B2017/00477 , A61B2017/00734 , A61B2017/320098 , Y10T29/49005 , Y10T29/49169
摘要： An ultrasonic surgical assembly includes an ultrasonic waveguide having a proximal end for receiving ultrasonic movement thereat, an ultrasonic-movement-generator assembly having a shell, an ultrasonic-driving-wave-signal generating circuit housed within the shell, and an ultrasonic transducer having a proximal end disposed within the shell and an ultrasonic-movement-producing distal end, and a handle body having a waveguide attachment dock operable to accept the waveguide therein, an assembly dock shaped to removably secure at least a portion of the ultrasonic-movement-generator assembly thereat, the assembly dock operable to selectively removably secure at least the shell thereat and to position the ultrasonic-movement-producing distal end of the ultrasonic transducer co-axially opposite the proximal end of the ultrasonic waveguide when the ultrasonic waveguide is disposed within the waveguide attachment dock.
摘要翻译： 一种超声波手术组件包括具有用于接收超声波移动的近端的超声波波导，具有外壳的超声波运动发生器组件，容纳在壳体内的超声波驱动波信号发生电路，以及具有 设置在壳体内的近端和产生超声运动的远端，以及具有可操作以接纳其中的波导的波导连接托架的手柄主体，成形为可移除地固定超声波运动发生器的至少一部分的组合座 组装座，其可操作以选择性地可移除地至少固定至少壳体，并且当超声波波导设置在该超声波波导内部时，将超声波换能器的超声波移动产生远端与超声波波导的近端同轴地相对定位 波导连接坞。
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公开(公告)号：US20120277780A1
公开(公告)日：2012-11-01
申请号：US13539694
申请日：2012-07-02
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/32 , A61B2017/00017 , A61B2017/00734
摘要： An ultrasonic surgical assembly includes an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, a measurement circuit connected in a parallel configuration with the ultrasonic transducer, a variable power source operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer, and a current controller operable to regulate the motional current by varying an output of the variable power source, thereby maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads.
摘要翻译： 超声波手术组件包括超声换能器，其可操作以将接收到的运动电流转换成超声波波导的切割刀片的运动，与超声波换能器并联配置的测量电路，可操作的电源， 一组连接点到并联配置，从而在超声换能器中产生运动电流，以及电流控制器，其可操作以通过改变可变电源的输出来调节运动电流，从而保持切割的基本恒定的运动速率 刀片跨越各种切削负载。
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公开(公告)号：US08245898B2
公开(公告)日：2012-08-21
申请号：US12139142
申请日：2008-06-13
IPC分类号： A61B17/03 , A61B17/115 , A61B17/32
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A medical device includes a control handle, an end effector, and a passive articulating joint connecting the end effector to the handle. The handle has a stapling actuator, an articulation joint actuator different from the stapling actuator, and a body through which the stapling and articulation joint actuators traverse. The end effector has an anvil, a stapler cartridge with staples, and an anvil-cartridge control device connected thereto and to the stapling actuator and staples when the stapling actuator is actuated. The stapling actuator passes through the articulating joint and flexes correspondingly to articulation of the articulating joint. The articulation joint actuator, when unactuated, holds the articulation joint and, thereby, the end effector, in a substantially fixed articulation position, and, when actuated, releases the articulation joint into its freely articulating state to permit free articulation of the end effector dependent upon external forces acting upon the end effector.
摘要翻译： 医疗装置包括控制手柄，末端执行器和将端部执行器连接到手柄的被动铰接接头。 手柄具有装订致动器，与装订致动器不同的关节运动执行器，以及装订和关节运动关节致动器穿过的主体。 末端执行器具有砧座，具有订书钉的订书机盒和连接到其上的砧座控制装置，并且当装订致动器被致动时，钉砧致动器和订书钉。 缝合致动器穿过铰接接头并相应于铰接接头的铰接而弯曲。 当未致动时，关节运动关节致动器将关节运动关节保持在基本上固定的关节位置，并且在致动时将关节运动关节释放到其自由关节状态，以允许末端执行器依赖的自由关节 外力作用在末端执行器上。
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公开(公告)号：US08162938B2
公开(公告)日：2012-04-24
申请号：US11257716
申请日：2005-10-25
申请人： Kevin W. Smith , Sean McBrayer
发明人： Kevin W. Smith , Sean McBrayer
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B17/221 , A61B17/2909 , A61B17/32056 , A61B18/1492 , A61B2017/2212 , A61B2017/2929 , A61B2017/293 , A61B2018/00196 , A61B2018/0091 , A61B2018/1407 , A61B2018/141 , A61B2018/1861
摘要： This invention relates broadly to surgical instruments. More particularly, this invention relates to a surgical snare instrument for excising polyps. Preferably, the instrument includes a coupling member that may increase ability to actuate the snare. According to a preferred embodiment, the present invention comprises a surgical instrument for insertion through an endoscope having a handle and a working channel, said surgical instrument including an elongate flexible tubular sheath having proximal and distal ends; a flexible shaft extending through and axially movable relative to the sheath, said shaft having proximal and distal ends; an end effector coupled to or formed at said distal end of said shaft; and a coupling member disposed at said distal end of said shaft.
摘要翻译： 本发明广泛涉及手术器械。 更具体地，本发明涉及一种用于切除息肉的外科圈套器械。 优选地，该仪器包括可以增加致动圈套的能力的联接构件。 根据优选实施例，本发明包括用于插入通过具有手柄和工作通道的内窥镜的外科器械，所述外科器械包括具有近端和远端的细长柔性管状护套; 柔性轴相对于护套延伸穿过并可轴向移动，所述轴具有近端和远端; 耦合到或形成在所述轴的所述远端处的端部执行器; 以及设置在所述轴的所述远端处的联接构件。
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86.发明申请Variably Flexible Insertion Device and Method for Variably Flexing an Insertion Device 有权可变柔性插入装置和用于可变地弯曲插入装置的方法公开(公告)号：US20120095491A1
公开(公告)日：2012-04-19
申请号：US13311145
申请日：2011-12-05
IPC分类号： A61M29/00
CPC分类号： A61M29/00 , A61B1/00078 , A61B1/005 , A61B1/0055
摘要： A variably flexible insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. Tendons within the hollow body maintain the hollow body in the relatively flexible and relatively stiff conditions. A method for variably flexing an insertion device for receiving an instrument, includes providing a hollow body having inner and outer sleeves defining a space therebetween in which tendons are disposed. Suction is applied to create a vacuum in the space for frictionally locking the tendons in place between the sleeves in a relatively stiff condition of the hollow body. The vacuum is relieved to release the tendons in a relatively flexible condition of the hollow body.
摘要翻译： 可变弹性插入装置包括具有近端的中空本体，其具有用于容纳器械的入口和具有用于突出仪器的尖端的远端。 一种装置在相对柔性的状态和较硬的状态之间转变中空体。 中空体内的肌腱将中空体保持在相对柔韧和相对僵硬的状态。 一种用于可变地弯曲用于接收器械的插入装置的方法，包括提供具有限定其间布置有腱的空间的内部和外部套筒的中空本体。 施加抽吸以在空间中产生真空，以在中空体的相对刚硬的状态下将钢筋摩擦锁定在套筒之间的适当位置。 真空被释放以在中空体的相对柔性的状态下释放腱。
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公开(公告)号：US20120080475A1
公开(公告)日：2012-04-05
申请号：US13228933
申请日：2011-09-09
IPC分类号： A61B17/068 , A61B17/00
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A method for operating a surgical end effector of a medical device includes the steps of operably associating a passive articulation joint with a surgical end effector to allow articulation of the end effector, retaining the passive articulation joint in a still position with an articulation lock, releasing the articulation lock to free the passive articulation joint from its still position thereby permitting the end effector to articulate through the passive articulation joint dependent upon forces that are external to the device and are applied to the end effector, and passively articulating the end effector into a desired articulated position by pressing a portion of the end effector against a feature of the environment.
摘要翻译： 用于操作医疗装置的外科末端执行器的方法包括以下步骤：将被动关节运动关节与手术端部执行器可操作地联接，以允许端部执行器的关节运动，将被动关节运动关节保持在具有关节运动锁定的静止位置，释放 铰接锁将被动铰接接头从其静止位置释放，从而允许端部执行器根据设备外部的作用力并将其施加到末端执行器上而被动地铰接在被动关节接头上，并被动地关闭末端执行器 通过按照端部执行器的一部分抵抗环境的特征来按压所需的铰接位置。
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公开(公告)号：US08038046B2
公开(公告)日：2011-10-18
申请号：US11705381
申请日：2007-02-12
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 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。
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89.发明授权Firearm silencer and methods for manufacturing and fastening a silencer onto a firearm 有权火器消音器及消音器制造和紧固在火器上的方法公开(公告)号：US08015908B2
公开(公告)日：2011-09-13
申请号：US12389984
申请日：2009-02-20
IPC分类号： F41A21/00
CPC分类号： F41A21/30
摘要： A firearm suppressor includes a unitary, hollow outer can and a monolithic extruded baffle. The outer can has an interior-threaded proximal end and a radially closed distal end with a longitudinal bore opening the interior of the can to the environment. The monolithic extruded baffle has a proximal end having outer circumferential threads shaped to secure removably inside the proximal end of the outer can and defines a proximal longitudinal bore shaped to receive at least a portion of the firearm barrel and removably secure thereto a distal end defining a distal longitudinal bore with a diameter sufficient to permit a projectile to pass therethrough. The baffle has central baffle walls disposed between the proximal end and the distal end. Each baffle wall has a longitudinal bore axially aligned with the proximal longitudinal bore and the distal longitudinal bore.
摘要翻译： 火器抑制器包括一体的中空外罐和整体式挤压挡板。 外壳具有内螺纹近端和径向封闭的远端，其具有将罐的内部打开到环境的纵向孔。 整体式挤压挡板具有近端，该近端具有外圆周螺纹，该外周螺纹被成形为可移除地固定在外罐的近端内部，并且限定近似纵向孔，该近端纵向孔被成形为容纳枪械筒的至少一部分并且可移除地固定到其远端， 远端纵向孔具有足以允许射弹通过的直径。 挡板具有设置在近端和远端之间的中心挡板壁。 每个挡板壁具有与近侧纵向孔和远侧纵向孔轴向对准的纵向孔。
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公开(公告)号：US20110184445A1
公开(公告)日：2011-07-28
申请号：US13072309
申请日：2011-03-25
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00075 , A61B2017/00137 , A61B2017/00477 , A61B2017/00734 , A61B2017/320098 , Y10T29/49005 , Y10T29/49169
摘要： An ultrasonic surgical assembly includes an ultrasonic waveguide having a proximal end for receiving ultrasonic movement thereat, an ultrasonic-movement-generator assembly having a shell, an ultrasonic-driving-wave-signal generating circuit housed within the shell, and an ultrasonic transducer having a proximal end disposed within the shell and an ultrasonic-movement-producing distal end, and a handle body having a waveguide attachment dock operable to accept the waveguide therein, an assembly dock shaped to removably secure at least a portion of the ultrasonic-movement-generator assembly thereat, the assembly dock operable to selectively removably secure at least the shell thereat and to position the ultrasonic-movement-producing distal end of the ultrasonic transducer co-axially opposite the proximal end of the ultrasonic waveguide when the ultrasonic waveguide is disposed within the waveguide attachment dock.
摘要翻译： 一种超声波手术组件包括具有用于接收超声波移动的近端的超声波波导，具有外壳的超声波运动发生器组件，容纳在壳体内的超声波驱动波信号发生电路，以及具有 设置在壳体内的近端和产生超声运动的远端，以及具有可操作以接纳其中的波导的波导连接托架的手柄主体，成形为可移除地固定超声波运动发生器的至少一部分的组合座 组装座，其可操作以选择性地可移除地至少固定至少壳体，并且当超声波波导设置在该超声波波导内部时，将超声波换能器的超声波移动产生远端与超声波波导的近端同轴地相对定位 波导连接坞。
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