公开(公告)号：US07204811B2

公开(公告)日：2007-04-17

申请号：US10885021

申请日：2004-07-07

Applicant: Juergen Andrew Kortenbach ,  Vincent Turturro

Inventor： Juergen Andrew Kortenbach ,  Vincent Turturro

IPC: A61B10/00

CPC classification number: A61B10/0266 ,  A61B10/0283 ,  A61B10/06 ,  A61B2010/0225 ,  A61B2017/00867 ,  A61B2017/2927 ,  A61B2017/2939 ,  A61B2017/294 ,  A61B2090/035 ,  A61B2217/005 ,  A61B2217/007 ,  A61M1/0084

Abstract: An embodiment of the invention includes an assembly for collecting tissue samples. The assembly includes a sample tray holder having a first connector configured to be placed in communication with a first aspiration tube, a second connector configured to be placed in communication with a second aspiration tube, and a sample tray defining a plurality of sample chambers. Each of the plurality of sample chambers includes a first opening configured to be placed in communication with the first connector, a second opening configured to be placed in communication with the second connector, and a sample catch member disposed between the first and second openings, the sample catch member configured to permit a fluid to pass therethrough.

Abstract translation: 本发明的实施例包括用于收集组织样本的组件。 该组件包括具有构造成与第一抽吸管连通的第一连接器的第一连接器，配置成与第二抽吸管连通的第二连接器和限定多个样品室的样本托盘。 多个样本室中的每一个包括被构造成与第一连接器连通的第一开口，被配置为与第二连接器连通的第二开口，以及设置在第一和第二开口之间的样本捕获构件， 构造成允许流体通过的样品捕获构件。

公开(公告)号：US06193718B1

公开(公告)日：2001-02-27

申请号：US09095307

申请日：1998-06-10

Applicant: Juergen Andrew Kortenbach ,  Michael Sean McBrayer ,  Robert Sixto

Inventor： Juergen Andrew Kortenbach ,  Michael Sean McBrayer ,  Robert Sixto

IPC: A61B1818

CPC classification number: A61B18/1445 ,  A61B2018/126 ,  A61B2018/1412

Abstract: This invention relates to endoscopic electrocautery instruments for performing surgery on the tissue of a patient and passing current through the tissue to cause cauterization thereof. The instrument has a proximal end and a distal end and includes an elongated tube, a push rod located within the elongated tube, and a first and second end effector located adjacent a distal end of the elongated tube and controlled for relative movement by the push rod. Various arrangements are disclosed for creating a first and second cautery current path from the instrument proximal end to the first and second end effectors. In accordance with the invention, the end effectors are formed as scissor blade members having various conductive and non-conductive layer arrangements. The layer arrangements of the scissor blade members allow for different cauterization affects. Coupling arrangements between the blade members and the elongated tube are also disclosed.

Abstract translation: 本发明涉及用于在患者组织上进行手术并使电流通过组织以引起其烧灼的内窥镜电烙术。 仪器具有近端和远端，并且包括细长的管，位于细长管内的推杆，以及位于细长管的远端附近的第一和第二末端执行器，并且被控制以通过推杆相对运动 。 公开了用于创建从仪器近端到第一和第二端部执行器的第一和第二烧结电流路径的各种布置。 根据本发明，端部执行器形成为具有各种导电和非导电层布置的剪刀刀片构件。 剪刀片构件的层布置允许不同的烧灼影响。 还公开了叶片构件和细长管之间的联接布置。

公开(公告)号：US5833656A

公开(公告)日：1998-11-10

申请号：US778641

申请日：1997-01-03

Applicant: Kevin W. Smith ,  Juergen Andrew Kortenbach ,  Charles R. Slater ,  Anthony I. Mazzeo ,  Theodore C. Slack, Jr. ,  Thomas O. Bales

Inventor： Kevin W. Smith ,  Juergen Andrew Kortenbach ,  Charles R. Slater ,  Anthony I. Mazzeo ,  Theodore C. Slack, Jr. ,  Thomas O. Bales

IPC: A61B1/00 ,  A61B17/00 ,  A61B19/00 ,  B25J3/04 ,  B25J9/06 ,  B25J9/10 ,  B25J15/02 ,  A61M37/00

CPC classification number: B25J15/02 ,  A61B34/70 ,  A61B34/71 ,  A61B34/76 ,  B25J3/04 ,  B25J9/06 ,  B25J9/104 ,  A61B17/00234 ,  A61B2017/00477 ,  A61B2034/2059

Abstract: The methods and devices of the invention include an encoder, an endoscopic robotic instrument, and an encoder/robotic instrument interface. A preferred embodiment of the encoder has a chest/shoulder plate provided with telescoping tubes and joints. Each joint is provided with a direct drive potentiometer to monitor movement and provide a corresponding signal. The chest plate is preferably adaptable to a large range of human chest sizes and the telescopic segments are strapped to the arms of the practitioner at the elbows. A pistol grip is provided at the wrist end of the telescopic segments. According to the presently preferred embodiment, the encoder encodes flexion and rotation at the shoulder, elbow and wrist of each arm in addition to gripping at each hand. The encoding device is coupled to a circuit which operates a servo system. The servo system includes a series of servo motors. A series of pulleys corresponding to the number of servo motors are arranged in a housing. The robotic instrument preferably comprises two arms mounted at the distal end of a multi-lumen tube. Each arm has rotational and flexional joints corresponding to the shoulder, elbow, and wrist of the practitioner. Tendons are coupled to the pulleys of the servo motors and are fed through the multi-lumen tube to the joints of the two arms.

公开(公告)号：US5643307A

公开(公告)日：1997-07-01

申请号：US355057

申请日：1994-12-13

Applicant: David Turkel ,  Juergen Andrew Kortenbach

Inventor： David Turkel ,  Juergen Andrew Kortenbach

IPC: A61B10/00 ,  A61B10/02 ,  A61B10/06 ,  A61B17/28 ,  A61B17/14

CPC classification number: A61B10/06 ,  A61B2010/0225 ,  A61B2017/2931 ,  A61B2017/2934

Abstract: A colposcopic surgical punch instrument includes a hollow tube and a push rod extending through the hollow tube. A handle is coupled to the proximal end of the tube and an actuation lever is pivotally coupled to the handle and the proximal end of the push rod for effecting axial movement of the push rod relative to the tube. A stationary jaw in the form of a die having an open top and bottom is coupled to the distal end of the tube and a movable jaw in the form of a punch is pivotally coupled to the stationary jaw by a tongue and groove arrangement. In one embodiment, the stationary jaw is provided with a pair of ramped projections on its sides and a tab projection on its distal end. A removable plastic sleeve fits over the stationary jaw. The plastic sleeve has an open proximal end and an open top. A pair of holes in the sides of the sleeve engage the ramped projections on the sides of the stationary jaw and a hole in the distal end of the sleeve engages the distal tab on the stationary jaw. The top opening of the sleeve is dimensioned to allow free movement of the movable jaw into and out of the stationary jaw. When attached to the stationary jaw, the sleeve functions as a multiple sample basket beneath the open bottom of the stationary jaw. In another embodiment, the jaw has surface recesses and the sleeve has interior projections.

Abstract translation: 阴道镜手术穿刺器具包括中空管和延伸穿过中空管的推杆。 手柄联接到管的近端，并且致动杠杆枢转地联接到推杆的近端和推杆的近端，用于实现推杆相对于管的轴向移动。 具有开口顶部和底部的模具形式的固定夹爪联接到管的远端，并且冲头形式的可动夹爪通过榫舌和凹槽布置枢转地联接到固定夹爪。 在一个实施例中，固定夹爪在其侧面上设置有一对倾斜突起，在其顶端设置有突出部。 可拆卸的塑料套管装配在固定的颚上。 塑料套筒具有开放的近端和敞开的顶部。 套筒侧面的一对孔与固定颚的侧面上的倾斜突起接合，并且套筒远端的一个孔与固定颚上的远端接头接合。 套筒的顶部开口的尺寸设计成允许可动夹爪自由移动进入和离开静止颚。 当连接到固定颚上时，套筒作为固定颚的开口底部下方的多个样品篮起作用。 在另一个实施例中，钳口具有表面凹槽，并且套筒具有内部突起。

公开(公告)号：US20130197544A1

公开(公告)日：2013-08-01

申请号：US13778796

申请日：2013-02-27

Applicant: Juergen Andrew KORTENBACH

Inventor： Juergen Andrew KORTENBACH

IPC: A61B17/10

CPC classification number: A61F5/0086 ,  A61B1/00087 ,  A61B1/00179 ,  A61B1/273 ,  A61B17/00234 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/10 ,  A61B17/29 ,  A61B2017/00827 ,  A61B2017/0647 ,  A61B2017/2905 ,  A61B2017/2923

Abstract: An instrument for fastening tissue within a body includes an elongated tube having a proximal end for extending outside of the body and a distal end for positioning proximate the tissue; and a distal member configured to fold the tissue together. The distal member includes a first member having a proximal end coupled to the distal end of the tube; and a second member pivotably coupled to the distal end of the first member. The first and second members are configured to install at least one fastener. A grasper is coupled to at least one of the first member and the second member. The second member is pivotable between an open position for receiving tissue and a closed position for folding tissue therebetween. The grasper is configured to project outward from at least one of the first member and the second member when in the open position.

Abstract translation: 用于将组织紧固在主体内的仪器包括细长管，其具有用于延伸到身体外部的近端和用于在组织附近定位的远端; 以及构造成将组织折叠在一起的远端构件。 远侧构件包括第一构件，其具有联接到管的远端的近端; 以及可枢转地联接到所述第一构件的远端的第二构件。 第一和第二构件构造成安装至少一个紧固件。 抓持器联接到第一构件和第二构件中的至少一个。 第二构件可在用于接收组织的打开位置和用于折叠组织之间的关闭位置之间枢转。 抓持器构造成当处于打开位置时从第一构件和第二构件中的至少一个向外突出。

公开(公告)号：US06832990B2

公开(公告)日：2004-12-21

申请号：US10228278

申请日：2002-08-27

Applicant: Juergen Andrew Kortenbach ,  Vincent Turturro

Inventor： Juergen Andrew Kortenbach ,  Vincent Turturro

IPC: A61B1000

CPC classification number: A61B10/0266 ,  A61B10/0283 ,  A61B10/06 ,  A61B2010/0225 ,  A61B2017/00867 ,  A61B2017/2927 ,  A61B2017/2939 ,  A61B2017/294 ,  A61B2090/035 ,  A61B2217/005 ,  A61B2217/007 ,  A61M1/0084

Abstract: According to an aspect, the invention includes a biopsy instrument for retrieving a tissue sample from a patient that may include a tubular member having an aspiration conduit, a distal end effector assembly coupled to the distal end of the tubular member and adapted to detach the tissue sample from the patient, and a proximal actuation handle coupled to the proximal end of the tubular member. The biopsy instrument may further include a sample catch assembly coupled to the aspiration conduit and adapted to receive the tissue sample from the aspiration conduit, the sample catch assembly including a chamber and a sample catch member adapted to separate the tissue sample from the fluid, the sample chamber having a first opening to receive the fluid, a second opening to discharge the fluid from the chamber, and a third opening to removably receive the sample catch member.

Abstract translation: 根据本发明的一个方面，本发明包括一种用于从患者中取出组织样本的活检器械，其可包括具有抽吸导管的管状构件，所述远端末端执行器组件联接到所述管状构件的远端并适于分离所述组织 来自患者的样品，以及耦合到管状构件的近端的近侧致动手柄。 活检器械还可以包括联接到抽吸导管并适于从抽吸导管接收组织样本的样本捕捉组件，样本捕获组件包括适于将组织样本与流体分离的室和样品捕获构件， 样品室具有用于接收流体的第一开口，用于从腔室排出流体的第二开口，以及可拆卸地容纳样品捕获构件的第三开口。

公开(公告)号：US06663640B2

公开(公告)日：2003-12-16

申请号：US09953428

申请日：2001-09-17

Applicant: Juergen Andrew Kortenbach

Inventor： Juergen Andrew Kortenbach

IPC: A61B1704

CPC classification number: A61F5/0086 ,  A61B1/00087 ,  A61B1/00179 ,  A61B1/273 ,  A61B17/00234 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/10 ,  A61B17/29 ,  A61B2017/00827 ,  A61B2017/0647 ,  A61B2017/2905 ,  A61B2017/2923

Abstract: An endoscopic surgical instrument includes a flexible tube, a grasping and fastening end effector coupled to the distal end of the tube, and a manual actuator coupled to the proximal end of the tube. The manual actuator is coupled to the end effector by a plurality of flexible cables which extend through the tube. The tube contains a lumen for receiving a manipulable endoscope and the end effector includes a passage for the distal end of the endoscope. The end effector has a store for a plurality of male fastener parts, a store for a plurality of female fastener parts, a rotatable grasper, a rotatable fastener head for aligning a female fastener part and a male fastener part with tissues therebetween, and a firing member for pressing a male fastener part through tissues grasped by the grasper and into a female fastener part. According to a presently preferred embodiment the overall diameters of the flexible tube and the end effector (when rotated to the open position) do not exceed approximately 20 mm so that the instrument may be delivered transorally to the fundus of the stomach. The manual actuator is provides with a lock-out feature which prevents firing male fastener parts before the fastener head is closed. The instrument is advantageously utilized in a fundoplication procedure.

Abstract translation: 内窥镜手术器械包括柔性管，连接到管的远端的抓握和紧固端部执行器，以及联接到管的近端的手动致动器。 手动致动器通过延伸穿过管的多根柔性电缆连接到端部执行器。 管包含用于接收可操纵内窥镜的内腔，并且末端执行器包括用于内窥镜的远端的通道。 端部执行器具有用于多个阳紧固件部件的储存器，用于多个阴紧固件部件的储存器，可旋转抓紧器，用于使阴紧固件部件与阳紧固件部件与其间的组织对准的可旋转紧固头部， 用于通过由抓紧器抓握的组织将男性紧固件部件按压到阴扣件部件中。 根据目前优选的实施例，柔性管和端部执行器（当旋转到打开位置时）的总直径不超过约20mm，使得器械可以经胃传递到胃的底部。 手动致动器具有锁定特征，其在紧固件头部闭合之前防止击发雄性紧固件部件。 该仪器有利地用于基底术过程。

公开(公告)号：US5893876A

公开(公告)日：1999-04-13

申请号：US886221

申请日：1997-07-01

Applicant: David Turkel ,  Juergen Andrew Kortenbach

Inventor： David Turkel ,  Juergen Andrew Kortenbach

IPC: A61B10/00 ,  A61B10/02 ,  A61B10/06 ,  A61B17/28

CPC classification number: A61B10/06 ,  A61B2010/0225 ,  A61B2017/2931 ,  A61B2017/2934

Abstract: A colposcopic surgical punch instrument includes a hollow tube and a push rod extending through the hollow tube. A handle is coupled to the proximal end of the tube and an actuation lever is pivotally coupled to the handle and the proximal end of the push rod for effecting axial movement of the push rod relative to the tube. A stationary jaw in the form of a die having an open top and bottom is coupled to the distal end of the tube and a movable jaw in the form of a punch is pivotally coupled to the stationary jaw by a tongue and groove arrangement. In one embodiment, the stationary jaw is provided with a pair of ramped projections on its sides and a tab projection on its distal end. A removable plastic sleeve fits over the stationary jaw. The plastic sleeve has an open proximal end and an open top. A pair of holes in the sides of the sleeve engage the ramped projections on the sides of the stationary jaw and a hole in the distal end of the sleeve engages the distal tab on the stationary jaw. The top opening of the sleeve is dimensioned to allow free movement of the movable jaw into and out of the stationary jaw. When attached to the stationary jaw, the sleeve functions as a multiple sample basket beneath the open bottom of the stationary jaw. In another embodiment, the jaw has surface recesses and the sleeve has interior projections.

Abstract translation: 阴道镜手术穿刺器具包括中空管和延伸穿过中空管的推杆。 手柄联接到管的近端，并且致动杠杆枢转地联接到推杆的近端和推杆的近端，用于实现推杆相对于管的轴向移动。 具有开口顶部和底部的模具形式的固定夹爪联接到管的远端，并且冲头形式的可动夹爪通过榫舌和凹槽布置枢转地联接到固定夹爪。 在一个实施例中，固定夹爪在其侧面上设置有一对倾斜突起，在其顶端设置有突出部。 可拆卸的塑料套管装配在固定的颚上。 塑料套筒具有开放的近端和敞开的顶部。 套筒侧面的一对孔与固定颚的侧面上的倾斜突起接合，并且套筒远端的一个孔与固定颚上的远端接头接合。 套筒的顶部开口的尺寸设计成允许可动夹爪自由移动进入和离开静止颚。 当连接到固定颚上时，套筒作为固定颚的开口底部下方的多个样品篮起作用。 在另一个实施例中，钳口具有表面凹槽，并且套筒具有内部突起。

公开(公告)号：US5846240A

公开(公告)日：1998-12-08

申请号：US530740

申请日：1995-09-19

Applicant: Juergen Andrew Kortenbach ,  Michael Sean McBrayer ,  Joel F. Giurtino ,  Saul Gottlieb

Inventor： Juergen Andrew Kortenbach ,  Michael Sean McBrayer ,  Joel F. Giurtino ,  Saul Gottlieb

IPC: A61B18/14 ,  A61B17/38

CPC classification number: A61B18/14 ,  A61B18/1445 ,  A61B18/1815 ,  A61B2018/00083 ,  A61B2018/00107 ,  A61B2018/00178 ,  A61B2018/126 ,  A61B2018/1412 ,  A61B2018/146 ,  A61B2018/1861

Abstract: A bipolar push rod assembly is disclosed in conjunction with an endoscopic bipolar cautery scissors instrument. The push rod assembly has two conductive push rods which are substantially covered and insulated from each other by a double lumen flexible sheath. The proximal ends of the push rods are stabilized by an overmolded plastic collar and the distal ends of the push rods are stabilized by a ceramic insulator. The plastic collar is provided with a snap retainer for coupling it to a plastic plug retainer having a pair of spaced apart passages. A pair of female plug adapters are press fit onto the proximal ends of the push rods and are maintained in place by the plug retainer with each adaptor residing in a respective one of the passages. The distal ends of the push rods are swaged approximately 90.degree. in opposite directions. A ceramic insulator is disclosed as a one-piece unit into which the distal ends of the push rods are inserted. Another ceramic insulator is disclosed as a two-piece member which fits around the distal ends of the push rods. A double lumen sealing gasket which interrupts the double lumen sheath is also disclosed.

Abstract translation: 结合内窥镜双极烧刀剪刀公开了双极推杆组件。 推杆组件具有两个导电推杆，其通过双腔柔性护套基本上被彼此覆盖和绝缘。 推杆的近端通过包覆成型的塑料套环稳定，并且推杆的远端由陶瓷绝缘体稳定。 塑料套环设置有卡扣保持器，用于将其连接到具有一对间隔开的通道的塑料塞保持器。 一对母插头适配器压配合到推杆的近端上，并且通过插头保持器保持在适当位置，每个适配器位于相应的一个通道中。 推杆的远端在相反的方向上大约90度锻造。 公开了陶瓷绝缘体作为一体式单元，推杆的远端插入其中。 公开了另一种陶瓷绝缘体作为两件式构件，其围绕推杆的远端配合。 还公开了一种中断双腔护套的双腔密封垫片。

公开(公告)号：US5779701A

公开(公告)日：1998-07-14

申请号：US429596

申请日：1995-04-27

Applicant: Michael Sean McBrayer ,  Juergen Andrew Kortenbach

Inventor： Michael Sean McBrayer ,  Juergen Andrew Kortenbach

IPC: A61B18/12 ,  A61B18/14 ,  A61B17/39

CPC classification number: A61B18/1445 ,  A61B18/1815 ,  A61B2017/0088 ,  A61B2017/2945 ,  A61B2018/00107 ,  A61B2018/126 ,  A61B2018/1412 ,  A61B2018/1415 ,  A61B2018/1432 ,  A61B2018/146 ,  A61B2018/1861

Abstract: Endoscopic bipolar scissor blades are formed in a laminate assembly of an outer electrically conductive layer, an intermediate electrically insulating layer, and an inner face layer which is a coating of titanium dioxide, chromium dioxide, or zirconium dioxide. In one embodiment, the conductive layer is a metal blade, while the insulating material is a ceramic which is fixed to the metal blade. In a second preferred embodiment, the insulating layer and the inner face layer are applied simultaneously by coating the metal blade with a mixture of ceramic and titanium dioxide, chromium dioxide, or zirconium dioxide. In a third embodiment, the insulating layer is a molded ceramic blade, and the electrically conductive layer is metalized or otherwise fixed to the ceramic blade. In all embodiments, the cutting edges and shearing surfaces are insulated from the electrodes, and no short circuit can form between the electrodes even though the cutting edges and shearing surfaces are metal. Each of the embodiments may be applied to straight or curved scissor blades. A bipolar endoscopic instrument utilizing blades according to the invention is also disclosed.

Abstract translation: 内窥镜双极剪刀刀片形成在外部导电层，中间电绝缘层和作为二氧化钛，二氧化铬或二氧化锆的涂层的内表面层的层压组件中。 在一个实施例中，导电层是金属刀片，而绝缘材料是固定在金属刀片上的陶瓷。 在第二优选实施例中，通过用陶瓷和二氧化钛，二氧化铬或二氧化锆的混合物涂覆金属刀片来同时施加绝缘层和内表面层。 在第三实施例中，绝缘层是模制陶瓷刀片，并且导电层被金属化或以其它方式固定到陶瓷刀片。 在所有实施例中，切割边缘和剪切表面与电极绝缘，并且即使切割边缘和剪切表面是金属，也不会在电极之间形成短路。 每个实施例可以应用于直的或弯曲的剪刀片。 还公开了利用根据本发明的刀片的双极内窥镜仪器。