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    Pericardial retractor
    2.
    发明授权
    Pericardial retractor 失效
    心包牵开器

    公开(公告)号：US07341558B2

    公开(公告)日：2008-03-11

    申请号：US10666707

    申请日：2003-09-19

    申请人： Ralph de la Torre ,  William E. Cohn ,  Jose Luis Francese ,  Matthew A. Palmer

    发明人： Ralph de la Torre ,  William E. Cohn ,  Jose Luis Francese ,  Matthew A. Palmer

    IPC分类号： A61B1/32

    CPC分类号： A61B17/0218 ,  A61B17/0281 ,  A61B2017/0237

    摘要： A surgical retractor includes a “swivel” having a string extending from one end and a string extending from the midpoint between the two ends. The swivel is delivered by pushing it out of a tube which is inserted through a small incision between the ribs of the patient. After the swivel is deployed, the tube is removed and the string which is attached to the center of the swivel is pulled to lift the pericardium. When the procedure is complete, the swivel is removed from the patient by pulling the string attached to the end of the swivel. According to one embodiment, the swivel is a cylinder with a blunt conical end. According to another embodiment, the swivel has a sharp end which is covered by a spring loaded collar.

    摘要翻译： 手术牵开器包括具有从一端延伸的绳和从两端之间的中点延伸的绳的“旋转”。 通过将其从穿过患者肋骨之间的小切口插入的管中推出来将其转运。 在旋转装置展开之后，将管子取出，并且将牵引到旋转中心的绳子被牵拉以提起心包。 当程序完成时，通过拉动附接到旋转端的连接器的绳索将患者的旋转体移除。 根据一个实施例，旋转件是具有钝锥形端的圆筒。 根据另一个实施例，旋转件具有由弹簧加载的套环覆盖的尖端。

    Bone Plate with Variable Torsional Stiffness at Fixed Angle Holes
    3.
    发明申请
    Bone Plate with Variable Torsional Stiffness at Fixed Angle Holes 有权
    在固定角度孔处具有可变扭转刚度的骨板

    公开(公告)号：US20070233115A1

    公开(公告)日：2007-10-04

    申请号：US11557429

    申请日：2006-11-07

    申请人： Robert Sixto ,  Jose Luis Francese ,  Jorge L. Orbay

    发明人： Robert Sixto ,  Jose Luis Francese ,  Jorge L. Orbay

    IPC分类号： A61F2/30

    CPC分类号： A61B17/80 ,  A61B17/8085 ,  A61B2017/00004

    摘要： A bone plate includes at least one torsional modification feature (TMF). Each TMF is structured to decrease the torsional rigidity of the plate relative to longitudinally opposite portions, but may be modified to increase the torsional rigidity thereat. Each TMF is defined by beams contiguous with the lateral sides of the plate, and an opening extending laterally therebetween. In a preferred embodiment, opposed projections extend into the opening to define threaded discontinuous wall portions for receiving an insert, such as a set screw. In one embodiment, bioabsorbable and/or bioactive inserts may be used to temporarily increase the torsional rigidity of the plate during initial fixation and thereafter have reduced torsional rigidity to mimic normal callus. The plate is preferably used with fixed angle fasteners that may be subject to high torsional loads post-operatively.

    摘要翻译： 骨板包括至少一个扭转修改特征（TMF）。 每个TMF被构造成降低板相对于纵向相对部分的扭转刚度，但是可以被修改以增加其上的扭转刚度。 每个TMF由与板的侧面相邻的梁以及横向延伸的开口限定。 在优选实施例中，相对的突出部延伸到开口中以限定用于接收插入件（例如固定螺钉）的螺纹不连续壁部分。 在一个实施方案中，可以使用生物可吸收和/或生物活性插入物来暂时增加初始固定期间板的扭转刚度，此后具有降低的扭转刚度以模拟正常愈伤组织。 该板最好与固定角紧固件一起使用，固定角紧固件可能在操作后经受高扭转载荷。

    Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes
    4.
    发明授权
    Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes 有权
    内窥镜夹钳与非共线夹钳安装在非共线轴上

    公开(公告)号：US07223272B2

    公开(公告)日：2007-05-29

    申请号：US10867483

    申请日：2004-06-14

    申请人： Jose Luis Francese ,  Kevin W. Smith ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Matthew A. Palmer

    发明人： Jose Luis Francese ,  Kevin W. Smith ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Matthew A. Palmer

    IPC分类号： A61B17/10 ,  A61B17/08

    CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

    摘要： A clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is adjacent to the jaw assembly and a clip pusher is adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a portion. The threaded portion engages a threaded member coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

    摘要翻译： 施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存储器与钳口组件相邻，并且夹子推动器邻近夹子存储。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着一部分螺纹的第二控制构件。 螺纹部分接合联接到推动器的螺纹构件，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

    Bone plate bender system
    6.
    发明授权
    Bone plate bender system 有权
    骨板弯曲系统

    公开(公告)号：US08419745B2

    公开(公告)日：2013-04-16

    申请号：US12766539

    申请日：2010-04-23

    申请人： Robert Sixto, Jr. ,  Jose Luis Francese ,  Juergen A. Kortenbach

    发明人： Robert Sixto, Jr. ,  Jose Luis Francese ,  Juergen A. Kortenbach

    IPC分类号： A61B17/88

    CPC分类号： A61B17/8863 ,  A61B17/80

    摘要： A pair of plate benders are provided for bending a bone plate. Each bender includes a lever arm having a first end and a second end. The first end includes a fulcrum for placement on the upper surface of the plate, and a foot insertable through the oblong screw hole to contact the lower surface of the plate. The second end includes a cut-out with a central divider. The cut-out has a length dimensioned to extend widthwise about the plate at the location of the oblong screw hole with the divider extending into the oblong screw hole for stability. The second end may also be provided with a deep slot that accommodates the thickness of the plate. In use, plate benders with such structure can be used in pairs to longitudinal bend the plate; bend the plate in plane; or twist the plate along its axis.

    摘要翻译： 提供一对弯板机用于弯曲骨板。 每个弯曲机包括具有第一端和第二端的杠杆臂。 第一端包括用于放置在板的上表面上的支点，以及可插入通过长方形螺钉孔的脚以接触板的下表面。 第二端包括带中央分隔线的切口。 切口的长度尺寸设计成在长方形螺丝孔的位置处围绕板宽度延伸，分隔件延伸到长方形螺钉孔中以确保稳定性。 第二端还可以设置有容纳板的厚度的深槽。 在使用中，具有这种结构的板式弯曲机可成对使用以纵向弯曲板; 在平面上弯曲板; 或沿其轴线扭转板。

    Method for retracting tissue during surgery
    7.
    发明授权
    Method for retracting tissue during surgery 有权
    手术中收缩组织的方法

    公开(公告)号：US07850607B2

    公开(公告)日：2010-12-14

    申请号：US12045205

    申请日：2008-03-10

    申请人： Ralph de la Torre ,  William E. Cohn ,  Jose Luis Francese ,  Matthew A. Palmer

    发明人： Ralph de la Torre ,  William E. Cohn ,  Jose Luis Francese ,  Matthew A. Palmer

    IPC分类号： A61B1/32

    CPC分类号： A61B17/0218 ,  A61B17/0281 ,  A61B2017/0237

    摘要： A surgical retractor includes a “swivel” having a string extending from one end and a string extending from the midpoint between the two ends. The swivel is delivered by pushing it out of a tube which is inserted through a small incision between the ribs of the patient. After the swivel is deployed, the tube is removed and the string which is attached to the center of the swivel is pulled to lift the pericardium. When the procedure is complete, the swivel is removed from the patient by pulling the string attached to the end of the swivel. According to one embodiment, the swivel is a cylinder with a blunt conical end. According to another embodiment, the swivel has a sharp end which is covered by a spring loaded collar.

    摘要翻译： 手术牵开器包括具有从一端延伸的绳和从两端之间的中点延伸的绳的“旋转”。 通过将其从穿过患者肋骨之间的小切口插入的管中推出来将其转运。 在旋转装置展开之后，将管子取出，并且将牵引到旋转中心的绳子被牵拉以提起心包。 当程序完成时，通过拉动附接到旋转端的连接器的绳索将患者的旋转体移除。 根据一个实施例，旋转件是具有钝锥形端的圆筒。 根据另一个实施例，旋转件具有由弹簧加载的套环覆盖的尖端。

    Surgical clip
    8.
    发明授权
    Surgical clip 有权
    手术夹

    公开(公告)号：US07727248B2

    公开(公告)日：2010-06-01

    申请号：US10867412

    申请日：2004-06-14

    申请人： Kevin W. Smith ,  Jose Luis Francese ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Thomas O. Bales ,  Carlos Rivera ,  Matthew A. Palmer

    发明人： Kevin W. Smith ,  Jose Luis Francese ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Thomas O. Bales ,  Carlos Rivera ,  Matthew A. Palmer

    IPC分类号： A61B17/08

    CPC分类号： A61B17/1285 ,  A61B17/122 ,  A61B2017/2905 ,  A61B2017/320064 ,  Y10T24/44752

    摘要： A surgical clip has a base portion and two generally parallel, spaced arms extending from the base portion and defining an opening therebetween. The arms terminate distally in fingers which are of reduced width and thickness relative to the arms and which are adapted to be bent towards and past each other. A transition section from each arm to the finger provides curved structures which extending away from each other and providing a wider mouth for the opening between the arms. The arms also have a proximal section with an undercut which helps in flexure of the arms. The base is an extended structure having a rounded proximal end with outwardly extending shoulders which are arranged to be engaged by the curved structures of the mouth of another clip.

    摘要翻译： 手术夹具具有从基部延伸并在其间限定开口的基部和两个大致平行的间隔开的臂。 臂在远离手指的位置处终止，手指相对于手臂减小了宽度和厚度，并且它们适于朝彼此弯曲并且彼此相交。 从每个臂到手指的过渡部分提供了彼此延伸的弯曲结构，并为臂之间的开口提供更宽的口。 臂还具有带有底切的近端部分，其有助于臂的挠曲。 底座是具有圆形近端的延伸结构，其具有向外延伸的肩部，其被布置成与另一个夹子的口部的弯曲结构接合。

    Surgical port device
    10.
    发明授权
    Surgical port device 失效
    手术口装置

    公开(公告)号：US07473220B2

    公开(公告)日：2009-01-06

    申请号：US10634049

    申请日：2003-08-04

    申请人： Jose Luis Francese ,  Matthew A. Palmer ,  Ralph de la Torre

    发明人： Jose Luis Francese ,  Matthew A. Palmer ,  Ralph de la Torre

    IPC分类号： A61B1/00

    CPC分类号： A61B17/3421 ,  A61B17/3423 ,  A61B2017/3484 ,  A61B2017/3492

    摘要： An improved surgical port device includes a port body with a tubular section having a distal end. A flexible flange is disposed at the distal end. A retention member is slidably mated along the tubular section such that a distance between the retention member and the flexible flange can be adjusted. In this manner, the position of the retention member with respect to the flexible flange is adjustably fixed to clamp portions of a body wall disposed therebetween, thus effectively clamping the port body in place. The flexible flange has an adaptable diameter that is reduced when the port body passes through a narrow opening in the body wall. Preferably, the flexible flange has a conically-shape that butts up against the inner surface of the body wall during use to thereby provide a seal between the body wall and the frusto-conical flange. It may also have an annular projection that projects radially outward from the conical surface of the flange to provide a drip edge that directs fluids around its periphery and thus prevent fluids from flowing over the projection. This reduces the smearing of optical imaging devices that are disposed in the vicinity of the distal end of the device. The surgical port device of the present invention may also be operated to provide improved fields of view for such optical imaging devices.

    摘要翻译： 一种改进的外科口装置包括具有远端的管状部分的端口主体。 柔性凸缘设置在远端。 保持构件沿着管状部分可滑动地配合，使得能够调整保持构件与柔性凸缘之间的距离。 以这种方式，保持构件相对于柔性凸缘的位置可调节地固定到设置在其间的主体壁的夹紧部分，从而有效地将端口本体固定在适当位置。 柔性凸缘具有适应性的直径，当端口主体通过体壁中的窄开口时，该直径减小。 优选地，柔性凸缘具有圆锥形状，其在使用期间抵靠主体壁的内表面，从而在主体壁和截头圆锥形凸缘之间提供密封。 它还可以具有从凸缘的锥形表面径向向外突出的环形突起，以提供引导流体围绕其周边并因此防止流体流过突起的滴落边缘。 这减少了设置在装置的远端附近的光学成像装置的污迹。 本发明的手术端口装置也可以被操作以为这种光学成像装置提供改进的视野。