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公开(公告)号：US06533772B1
公开(公告)日：2003-03-18
申请号：US09544879
申请日：2000-04-07
申请人： Charles R Sherts , Bruce McClellan
发明人： Charles R Sherts , Bruce McClellan
IPC分类号： A61B1700
CPC分类号： A61M25/0113 , A61B2017/00469 , A61M25/0136 , A61M25/09041 , Y10T279/17299
摘要： A guide wire torque device has an elongate tubular body with interior long axial channel and a rotary clamp wheel for gripping and ungripping a guide wire extending through the channel. The clamp wheel is accommodated within an integral enlargement of the tubular body with a segment of the wheel surface extending through the surface of the enlargement for rotation by a user's thumb in order to grip and ungrip the guide wire for feeding, withdrawing or rotating the wire with respect to a catheter.
摘要翻译： 引导线扭矩装置具有带有内部长轴向通道的细长管状体和用于夹紧和解除延伸穿过通道的导丝的旋转夹紧轮。 夹紧轮被容纳在管状体的整体放大中，一部分轮表面延伸穿过放大器的表面，以便由使用者的拇指旋转，以便抓住和取出夹持导丝以进给，抽出或旋转线 相对于导管。
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公开(公告)号：US5938668A
公开(公告)日：1999-08-17
申请号：US726111
申请日：1996-10-04
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/062 , A61B17/0491 , A61B2017/06019 , A61B2017/06042 , A61B2017/0609 , A61B2017/2936
摘要： The surgical suturing apparatus is configured to pass a surgical suturing needle having an associated length of suture material attached thereto between opposed pairs of jaws. The surgical suturing apparatus generally includes a housing having an elongated tubular portion extending distally therefrom. A pair of jaws extend distally from the elongated tubular portion and are each individually longitudinally movable with respect to the elongated tubular portion and with respect to each other. Each of the jaw structures includes a jaw and a securing mechanism for tightly holding the surgical needle within the jaw. Parts of the securing mechanism engaging the needle also move longitudinally with respect to the associated jaw and the elongated tubular portion. Various control structures are provided to advance the securing mechanism relative to its associated jaw to secure the surgical needle therein and to move the entire jaw structure longitudinally with respect to the suturing apparatus.
摘要翻译： 手术缝合装置被配置为通过具有相邻长度的缝合材料的手术缝合针，所述缝合材料在相对的钳口对之间附接到其上。 外科缝合设备通常包括具有从其向远端延伸的细长管状部分的壳体。 一对钳口从细长的管状部分向远端延伸，并且各自可以相对于细长的管状部分和彼此相对地纵向移动。 每个钳口结构包括钳口和用于将手术针紧紧地夹持在钳夹内的固定机构。 接合针的固定机构的部分还相对于相关联的钳口和细长的管状部分纵向移动。 提供各种控制结构以相对于其相关联的钳口推进固定机构，以将外科手术针固定在其中并使整个钳口结构相对于缝合装置纵向移动。
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公开(公告)号：US5792149A
公开(公告)日：1998-08-11
申请号：US725362
申请日：1996-10-03
申请人： Charles R. Sherts , Richard Yagami
发明人： Charles R. Sherts , Richard Yagami
IPC分类号： A61B17/122 , A61B17/128 , A61B17/10
CPC分类号： A61B17/1227 , A61B17/1285
摘要： A clamp applicator is disclosed having a housing, a clamp support member extending distally from the housing, an actuator assembly and a locking device. The actuator assembly is movable with respect to the clamp support member into engagement with a clamp supported at the distal end of the clamp support member to bias the clamp to an open position. A locking device is provided to retain the actuator assembly in a position to maintain the clamp in the open position.
摘要翻译： 公开了一种夹具施加器，其具有壳体，从壳体向远侧延伸的夹持支撑构件，致动器组件和锁定装置。 致动器组件可相对于夹持支撑构件移动，与夹持支撑构件的远端处的夹具接合，以将夹具偏压到打开位置。 提供锁定装置以将致动器组件保持在将夹具保持在打开位置的位置。
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公开(公告)号：US5562690A
公开(公告)日：1996-10-08
申请号：US150923
申请日：1993-11-12
CPC分类号： A61B17/11 , A61B17/00234
摘要： A compression device for the anastomosis of a tubular hollow organ, having a first collapsible member movable between an expanded configuration and a collapsed configuration, said first collapsible member having a first end and a second end; a second collapsible member movable between an expanded configuration and a collapsed configuration, said second collapsible member adapted to be joined with said first end of said first collapsible member; and a third collapsible member adapted to be joined with said second end of said second collapsible member; wherein at least one of said first, second or third collapsible members comprises at least one resilient hinge portion disposed thereon which is parallel to the longitudinal axis of said device to facilitate the collapsibility thereof. Also provided are surgical instruments for carrying and placing the compression device components and a device for approximating surgical devices. A method for forming a compression anastomosis, is also provided.
摘要翻译： 一种用于管状中空器官的吻合的压缩装置，具有可在膨胀构型和折叠构型之间移动的第一可折叠构件，所述第一可折叠构件具有第一端和第二端; 第二可折叠构件，其可在展开构型和折叠构造之间移动，所述第二可折叠构件适于与所述第一可折叠构件的所述第一端连接; 以及适于与所述第二可折叠构件的所述第二端连接的第三可折叠构件; 其中所述第一，第二或第三可折叠构件中的至少一个包括设置在其上的至少一个弹性铰链部分，其平行于所述装置的纵向轴线以促进其可折叠。 还提供了用于携带和放置压缩装置部件的外科器械和用于近似手术装置的装置。 还提供了形成压缩吻合的方法。
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公开(公告)号：US5407374A
公开(公告)日：1995-04-18
申请号：US155593
申请日：1993-11-22
CPC分类号： B63B35/812
摘要： A water ski has an automatic step-in binding which remains open while a skier is being pulled from the water and closes when the skier steps into the binding after being pulled from the water. The rear closure of the step-in binding pivots around an axis at the heel when the skier enters the binding, and is engaged by a latch which secures the rear closure in a closed position. Alternatively, the rear closure of the step-in binding includes a heelpiece which moves slidably along a track. The heelpiece is moved slidably along the track by a spring which is released when the skier steps into the binding by a trigger assembly and trigger lip.
摘要翻译： 滑水者具有自动步进装订功能，当滑水者从水中被拉出时保持打开状态，并且在滑水者从水中拉出之后进入装订状态时关闭。 当滑雪者进入装订装置时，踏板装订的后盖围绕跟部的轴线枢转，并且通过将后部闭合件固定在关闭位置的闩锁接合。 或者，踏入装订的后盖包括沿着轨道可滑动地移动的高跟部件。 鞋跟通过弹簧可滑动地沿着轨道移动，弹簧当滑雪者通过扳机组件进入装订并触发唇部时释放。
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公开(公告)号：US06537212B2
公开(公告)日：2003-03-25
申请号：US09779037
申请日：2001-02-07
申请人： Charles R. Sherts , David A. Nicholas , David Farascioni , Keith Ratcliff , Peter W. J. Hinchliffe , Cathy Aranyi
发明人： Charles R. Sherts , David A. Nicholas , David Farascioni , Keith Ratcliff , Peter W. J. Hinchliffe , Cathy Aranyi
IPC分类号： A61B132
CPC分类号： A61B17/0293 , A61B17/12 , A61B17/1325 , A61B90/50 , A61B2017/00243 , A61B2017/0237 , A61B2017/0243 , A61B2017/2905 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61M1/0058
摘要： Apparatus and method for surgery is disclosed which includes a retractor having a substantially planar base defining an opening for overlying an operative site on a patient, and at least one retractor blade slidably mounted to the base. The base is positioned on the patient such that the opening therein overlies the operative site. The operative site is percutaneously accessed, and obstructing tissue is retracted by engaging the tissue with the retractor blade. A surgical instrument is provided which is engageable with the base and operable at the operative site through the opening in the base. A surgical procedure is carried out through the opening in the base with the surgical instrument.
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公开(公告)号：US5947896A
公开(公告)日：1999-09-07
申请号：US718283
申请日：1996-09-20
申请人： Charles R. Sherts , David A. Nicholas , Keith Ratcliff , John Charles Robertson , David Farascioni , Daniel E. Alesi , Patrick M. Flanagan
发明人： Charles R. Sherts , David A. Nicholas , Keith Ratcliff , John Charles Robertson , David Farascioni , Daniel E. Alesi , Patrick M. Flanagan
CPC分类号： A61B17/0293 , A61B17/12 , A61B17/1325 , A61B2017/00243 , A61B2017/0237 , A61B2017/0243 , A61B2017/2905 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61B90/50 , A61M1/0058
摘要： Apparatus and method for surgery is disclosed which includes a retractor having a substantially planar base defining an opening for overlying an operative site on a patient, and at least one retractor blade slidably mounted to the base. The base is positioned on the patient such that the opening therein overlies the operative site. The operative site is percutaneously accessed, and obstructing tissue is retracted by engaging the tissue with the retractor blade. A surgical instrument is provided which is engageable with the base and operable at the operative site through the opening in the base. A surgical procedure is carried out through the opening in the base with the surgical instrument.
摘要翻译： 公开了一种用于手术的装置和方法，其包括牵开器，所述牵开器具有限定用于覆盖患者的手术部位的开口的基本上平坦的基部，以及可滑动地安装到所述基部的至少一个牵开器刀片。 基座定位在患者身上，使得其中的开口覆盖在手术部位上。 手术部位经皮访问，并且通过使组织与牵开器叶片接合来阻止组织缩回。 提供了一种外科器械，其可与基座接合并且可通过基座中的开口在操作部位操作。 外科手术通过手术器械在基部的开口进行。
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公开(公告)号：US5941899A
公开(公告)日：1999-08-24
申请号：US109654
申请日：1998-07-02
CPC分类号： A61B17/06066 , A61B2017/06047 , A61B2017/0609 , A61B2017/061
摘要： Channel-bodied surgical needles and surgical incision members are disclosed having a generally U-shaped cross-sectional body portion and a penetrating tip portion formed on at least one end thereof. Preferably, penetrating tip portions are formed at both ends of the channel-bodied portion. The surgical needle and/or surgical incision member may additionally includes apparatus engagement structure formed adjacent either end of the body portion and engagable with a suitable surgical suturing apparatus. The channel-bodied surgical needle and/or surgical incision member may additionally include securement structure for attachment of a length of suture material thereto. There is also disclosed apparatus for forming a channel-shaped body portion and the suture attachment structure. Additionally, methods for suturing tissue sections, particularly vascular tissue sections, with the channel-bodied surgical needle and the channel-bodied surgical incision members, are disclosed. Also, methods for forming the channel-bodied surgical needle and channel-bodied surgical incision member are disclosed.
摘要翻译： 公开了通道体外科手术针和外科切口部件，其具有大致呈U形的截面主体部分和形成在其至少一端上的穿透尖端部分。 优选地，在通道部分的两端形成穿透尖端部分。 手术针和/或手术切口部件还可以包括邻近主体部分的任一端形成并且可与适合的手术缝合装置接合的装置接合结构。 通道外科手术针和/或手术切口部件还可以包括用于将一定长度的缝合材料附接到其上的固定结构。 还公开了用于形成通道形主体部分和缝合线附接结构的装置。 此外，公开了用于缝合组织切片，特别是血管组织切片的方法，其具有通道体外科手术针和通道外科切口部件。 此外，公开了形成通道体外科手术针和通道外科切口部件的方法。
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公开(公告)号：US5902264A
公开(公告)日：1999-05-11
申请号：US845313
申请日：1997-04-25
申请人： Kenneth E. Toso , Charles R. Sherts
发明人： Kenneth E. Toso , Charles R. Sherts
CPC分类号： A61B18/1482 , A61M1/0064 , A61M1/0084 , A61M1/0043
摘要： An endoscopic surgical instrument for aspiration, irrigation, and blowing gas adjacent a surgical site is provided. The instrument includes a handle portion and a cannula member extending distally from the handle portion. First and second connection ports are supported by the handle and are in fluid communication with the cannula member. An insertion port is also supported by the handle portion and is preferably axially aligned with the cannula member. A blow tube is removably positioned within the cannula member via the insertion port. The first and second connection ports are adapted to communicate with a source of irrigation fluid and a vacuum source and the blow tube is adapted to be connected to a source of pressurized gas such that irrigation fluid, aspiration, and/or pressurized gas can be selectively provided via the cannula member at the surgical site.
摘要翻译： 提供了一种用于在外科手术部位附近进行抽吸，冲洗和吹气的内镜手术器械。 该器械包括手柄部分和从手柄部分向远侧延伸的套管部件。 第一和第二连接端口由手柄支撑并且与套管构件流体连通。 插入口也由手柄部分支撑并且优选地与套管构件轴向对准。 吹管可经由插入口可移除地定位在套管构件内。 第一和第二连接端口适于与冲洗流体源和真空源连通，并且吹管适于连接到加压气体源，使得冲洗流体，抽吸和/或加压气体可以选择性地 通过外科手术部位处的套管构件提供。
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公开(公告)号：US5746751A
公开(公告)日：1998-05-05
申请号：US470757
申请日：1995-06-06
申请人： Charles R. Sherts
发明人： Charles R. Sherts
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/062 , A61B2017/06019 , A61B2017/06042 , A61B2017/0609 , A61B2017/2936
摘要： There is disclosed an apparatus for suturing vascular tissue sections which includes first and second arms pivotally connected together and each having a needle receiving recess and a needle engaging member mounted for movement within the arms. The apparatus also includes a toggle wheel reciprocating mechanism connected to the first and second needle engaging members and movable for alternately moving the first and second needle engaging members into and out of the first and second needle receiving recesses. The reciprocating mechanism is movable between a first position advancing the first needle engaging member with respect to the first arm and a second position advancing the second needle engaging member with respect to the second arm to alternately secure a surgical needle within the arms. A cam actuating lever is provided on one of the arms to automatically cam the reciprocating mechanism between the first and second positions upon closure of the first arm against the second arm. There is also disclosed a method of suturing a pair of vascular tissue sections utilizing the disclosed apparatus.
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