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公开(公告)号：US09320562B2
公开(公告)日：2016-04-26
申请号：US13135727
申请日：2011-07-12
CPC分类号： A61B18/1442 , A61B17/30 , A61B2017/0046 , A61B2017/2825 , A61B2018/1462
摘要： A surgical instrument with two legs movable relative to each other is provided. A tip inserted in a receiving space at the distal end of each leg is exchangeably held at the free end of the leg. A two part fixing device is provided for releasable fixation of the tip to the leg, the fixing device having on one of the parts two locking arms which are arranged next to each other and are elastically bendable apart, and on the other of the parts a locking projection extending into the leg transversely to the direction of insertion. The locking projection, when inserting the tip into the receiving space, engages between the locking arms, bending them apart, and at the end of the inserting movement, enters a recess on the inner side of the locking arms. The receiving space widens in the proximal direction from its insertion end.
摘要翻译： 提供具有可相对于彼此移动的两个腿的手术器械。 插入在每个腿的远端的接收空间中的尖端可交换地保持在腿的自由端。 提供两部分固定装置，用于将尖端可释放地固定到腿上，固定装置在其中一个部分上具有彼此相邻布置且可弹性弯曲分开的两个锁定臂，并且在另一个部分a 锁定突出部横向于插入方向延伸到腿部。 锁定突起当将尖端插入接收空间时，在锁定臂之间接合，将它们分开，并且在插入运动结束时进入锁定臂的内侧的凹部。 接收空间从其插入端沿近端方向变宽。
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2.发明申请Surgical system for the preparation of an implant and method for the preparation of an implant 审中-公开用于制备植入物的外科系统和用于制备植入物的方法公开(公告)号：US20060257379A1
公开(公告)日：2006-11-16
申请号：US11386225
申请日：2006-03-21
CPC分类号： A61F2/4657 , A61B5/1076 , A61B5/4514 , A61B5/4528 , A61B17/320016 , A61B34/20 , A61B90/06 , A61B90/36 , A61B90/361 , A61B2017/00969 , A61B2034/2055 , A61B2034/2068 , A61B2090/061 , A61B2090/063 , A61F2/30756 , A61F2/30942 , A61F2002/30762 , A61F2002/30764 , A61F2002/30766 , A61F2002/4632 , A61F2002/4635 , A61F2002/4658
摘要： In order to improve a surgical system for the preparation of an implant for filling a defect on a bone and/or a cartilage of a human or animal body formed as a result of a trauma and/or degeneration, so that the defect can be filled with the implant with as precise a fit as possible, it is proposed that the system enables a provided defect data file to be processed, which contains data in particular for the description of the shape, area and/or volume of the defect, and that the system enables the implant corresponding to the defect in shape and size to be prepared from at least one provided implant material using the defect data file. In addition, a method for filling a defect on a bone and/or cartilage of a human or animal body present as a result of a trauma and/or degeneration is proposed.
摘要翻译： 为了改进用于制备用于填充由于外伤和/或变性而形成的人或动物体的骨和/或软骨上的缺陷的植入物的外科系统，从而可以填充缺陷 尽可能精确地配合植入物，提出该系统使得能够处理所提供的缺陷数据文件，其包含特别用于描述缺陷的形状，面积和/或体积的数据，并且该缺陷数据文件 该系统使得能够使用缺陷数据文件从至少一个提供的植入材料制备对应于形状和尺寸缺陷的植入物。 此外，提出了一种用于填充由于创伤和/或变性而存在的人或动物体的骨和/或软骨上的缺陷的方法。
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公开(公告)号：US5902303A
公开(公告)日：1999-05-11
申请号：US8165
申请日：1998-01-16
申请人： Stephan Eckhof , Karl-Ernst Kienzle , Lino Taddia , Rudolf Zepf
发明人： Stephan Eckhof , Karl-Ernst Kienzle , Lino Taddia , Rudolf Zepf
CPC分类号： A61B17/8872 , A61B17/8047
摘要： In order to connect the core undetachably to the holding element in the case of a pin-type holding element for an orthopaedic holding system with an elastically compressible, head-shaped widened portion and with a central opening, into which a core may be inserted, which prevents an elastic compression of the head-shaped widened portion by filling out the central opening in the region of the widened portion without expanding this, it is proposed that the core is displaceable in the opening between a locking position, in which it fills out the central opening in the region of the widened portion, and a release position plunging deeper into the central opening, in which it releases the central opening in the region of the widened portion and thus allows its elastic compression
摘要翻译： 在用于具有可弹性压缩的头部加宽部分和具有中心开口的整形外科保持系统的销式保持元件的情况下，为了将芯不可靠地连接到保持元件，芯可以插入其中， 其通过在扩宽部分的区域中填充中心开口而防止头部加宽部分的弹性压缩，而不会使其膨胀，因此提出芯部可以在开口之间在锁定位置之间移动，锁定位置在其中填充 在加宽部分的区域中的中心开口，以及更深地插入中心开口的释放位置，在该开口中释放加宽部分区域中的中心开口，从而允许其弹性压缩
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公开(公告)号：US20120004685A1
公开(公告)日：2012-01-05
申请号：US13135727
申请日：2011-07-12
IPC分类号： A61B17/28
CPC分类号： A61B18/1442 , A61B17/30 , A61B2017/0046 , A61B2017/2825 , A61B2018/1462
摘要： In a surgical instrument with two legs movable relative to each other, a tip inserted in a receiving space at the distal end of the leg being exchangeably held at the free end of the legs, with a fixing device for releasable fixation to the leg, the fixing device comprising on one of the two parts two locking arms which are arranged next to each other and are elastically bendable apart, and comprising on the other one of the two parts a locking projection extending into the leg transversely to the direction of insertion of the tip, the locking projection, when inserting the tip into the receiving space of the leg, engaging between the two locking arms, bending these elastically apart, and at the end of the inserting movement, entering a recess on the inner side of the locking arms, so that the locking arms approach each other again after they have been elastically bent apart, in order to simplify the structure and, in particular, to reduce soiling and risk of injury, it is proposed that the receiving space widen in the proximal direction from its insertion end.
摘要翻译： 在具有可相对于彼此移动的两个腿的手术器械中，插入在腿的远端处的接收空间中的尖端可交换地保持在腿的自由端，具有用于可释放地固定到腿的固定装置， 固定装置包括在两个部分中的一个部分上的彼此相邻布置并且可弹性地弯曲分开的两个锁定臂，并且在两个部分中的另一个部分上包括一个锁定突起，其横向于横向于插入的方向 所述锁定突起当将所述尖端插入所述腿的接收空间中时，在所述两个锁定臂之间接合，将所述弹性分开地弯曲，并且在所述插入运动结束时，进入所述锁定臂的内侧的凹部 ，使得锁定臂在弹性弯曲分开之后再次相互接近，为了简化结构，特别是减少损伤和损伤的风险，建议使用 使接收空间从其插入端沿近端方向变宽。
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5.发明授权Suture anchor system for joining pieces of tissue and instrument for inserting an anchor implant 有权用于连接组织片和用于插入锚植入物的器械的缝合锚系统公开(公告)号：US06818010B2
公开(公告)日：2004-11-16
申请号：US10281921
申请日：2002-10-25
IPC分类号： A61B1704
CPC分类号： A61B17/0401 , A61B17/0466 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0427 , A61B2017/0445 , A61B2017/0454 , A61B2017/0646 , A61B2017/0647 , A61F2/0811 , A61F2002/0858 , A61F2002/0888 , Y10S606/908 , Y10S606/916
摘要： In a suture anchor system for joining pieces of tissue, in particular, for repairing meniscal tears, comprising at least two arrow-shaped or pin-shaped anchor implants joined to one another by a flexible suture fastened to the anchor implants, in order to facilitate installation of the anchor implants, it is proposed that at least one of the anchor implants have a continuous longitudinal passageway for receiving a longitudinally displaceable core, that a suture guide for receiving a suture common to all anchor implants for longitudinal displacement in the suture guide be disposed on this anchor implant, that a clamping device for securing the suture in the suture guide be associated with the suture guide, and that the clamping device be inactive so long as the core is located inside the longitudinal passageway and only become active when the core is pulled out of the longitudinal passageway. An instrument for inserting such anchor implants is also described.
摘要翻译： 在用于连接组织片的缝合锚固系统中，特别是用于修复半月板撕裂，包括通过固定到锚固植入物的柔性缝合线彼此连接的至少两个箭形或销状锚固植入物，以便于 锚固植入物的安装，提出至少一个锚固植入物具有用于接收纵向可移位的芯的连续纵向通道，用于接收用于缝合线引导件中的纵向移位的所有锚固植入物共同的缝合线的缝合线引导件 设置在该锚固植入物上，用于将缝合线固定在缝合线引导件中的夹持装置与缝合线引导件相关联，并且夹紧装置无活动，只要芯位于纵向通道内部并且仅当芯 被拉出纵向通道。 还描述了用于插入这种锚固植入物的装置。
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6.发明授权Device for introducing an endoscope or a surgical tool into body cavities with a feed for a flushing medium and an extractor for said flushing medium 失效用于将内窥镜或手术工具引入体腔中的装置，用于冲洗介质的进料和用于所述冲洗介质的提取器
公开(公告)号：US4765314A
公开(公告)日：1988-08-23
申请号：US815584
申请日：1986-01-02
申请人： Dietmar Kolditz , Hans Keller , Karl Ernst-Kienzle
发明人： Dietmar Kolditz , Hans Keller , Karl Ernst-Kienzle
CPC分类号： A61B1/00135 , A61B1/12 , A61B1/317 , A61B17/3421 , A61B17/3498 , A61B17/3474
摘要： A device for introducing an endoscope or a surgical tool into body cavities with a feed for a flushing medium and an extractor for said flushing medium, which permits as versatile as possible an application of the endoscope or tool and maintains a higher pressure in the interior of the body as compared with the environment. The device includes a sluice, insertable into the body cavity from outside. The sluice has a cylindrical stem along whose inner wall extend two separate longitudinal grooves which have openings at their ends which pass through the wall of the stem. The openings outside the body are connected to the feed and the extractor for the flushing medium. A cylindrical endoscope or tool is inserted into the device with its outer wall tightly contacting the inner wall of the stem. The outer wall of the endoscope or tool, together with the longitudinal grooves of the stem, form sealed channels for the flushing medium.
摘要翻译： 一种用于将内窥镜或手术工具引入体腔中的装置，其具有用于冲洗介质的进料和用于所述冲洗介质的提取器，其允许尽可能多功能地应用内窥镜或工具，并且在内部或内部的内部保持较高的压力 身体与环境相比。 该装置包括可从外部插入体腔的闸门。 闸门具有圆柱形杆，其内壁延伸两个分开的纵向凹槽，其在其端部具有穿过杆的壁的开口。 主体外部的开口连接到进料和冲洗介质的萃取器。 将圆柱形内窥镜或工具插入设备中，其外壁紧紧地接触杆的内壁。 内窥镜或工具的外壁与杆的纵向槽一起形成用于冲洗介质的密封通道。
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公开(公告)号：US06273898B1
公开(公告)日：2001-08-14
申请号：US09573357
申请日：2000-05-17
IPC分类号： A61B1704
CPC分类号： A61B17/2909 , A61B17/128
摘要： In a clip applicator having a handle, a magazine mountable on the handle and containing a number of clips, and a movable actuating grip on the handle, which is in direct or indirect engagement with a clip advancing device in the magazine when the magazine is mounted on the handle, to ensure that the coupling between the actuating grip on the handle and the clip advancing device in the magazine is in any event successful when mounting the magazine, it is proposed that a locking device be arranged on the handle for locking when in a lock position the actuating grip in an engagement position in which the engagement with the clip advancing device is able to be made upon mounting the magazine and for releasing the actuating grip when in a release position.
摘要翻译： 在具有把手的夹具施加器中，可安装在手柄上并容纳多个夹子的盒子以及在手柄上的可移动致动夹持器，其在安装盒子时与钉仓中的夹子推进装置直接或间接接合 在手柄上，为了确保手柄上的致动把手和刀库中的夹子前进装置之间的联接在安装刀库时成功，建议在手柄上布置锁定装置 将致动夹具锁定在接合位置，在接合位置中，能够在安装料仓时与夹子推进装置接合，并且在处于释放位置时释放致动夹具。
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公开(公告)号：US5895394A
公开(公告)日：1999-04-20
申请号：US819305
申请日：1997-03-18
IPC分类号： A61B17/128 , A61B17/04
CPC分类号： A61B17/1285
摘要： In a surgical applicator for U-shaped clips comprising a handle, a tubular shaft adjoining the handle, a forceps-type applicator tool at the free end of the tubular shaft, a closing mechanism for the applicator tool arranged in the tubular shaft and actuatable from the handle, an advancing mechanism for the clips arranged in the tubular shaft and also actuatable from the handle, two separate actuating elements on the handle, each being movable between a rest position and a work position, one of the actuating elements being associated with the closing mechanism and the other with the advancing mechanism, in order to improve the safety measures and the actuating aids, it is proposed that a locking member be mounted on one of the actuating elements and enter into operative connection with the other actuating element, thereby to prevent each of the two actuating elements from moving so long as the respective other actuating element is not in its rest position.
摘要翻译： 在用于U形夹子的手术施放器中，其包括手柄，邻接手柄的管状轴，在管状轴的自由端处的镊子型施用工具，用于施用器工具的封闭机构，其布置在管状轴中并可从 手柄，用于夹持器的前进机构，其布置在管状轴中并且还可从手柄致动，在手柄上的两个单独的致动元件，每个可在静止位置和工作位置之间移动，致动元件中的一个与 关闭机构，另一个具有推进机构，为了改进安全措施和致动辅助装置，建议将锁定构件安装在一个致动元件上并与另一个致动元件起作用连接，从而 只要相应的其他致动元件不处于其静止位置，就防止两个致动元件中的每一个移动。
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公开(公告)号：US5709706A
公开(公告)日：1998-01-20
申请号：US774901
申请日：1996-12-27
CPC分类号： A61B17/29 , A61B17/0469 , A61B2017/2939 , A61B2017/2941 , A61B90/03
摘要： A surgical instrument including a shank, at least one tool mounted for swivel movement at the end of the shank, a swivel element mounted for swivel movement about an axis of rotation for swivelling the tool between an open position and a closed position, and an actuating member actuatable from an end of the shank located opposite the tool for swivelling the swivel element about the axis of rotation. The high closing forces required for plastic deformation of objects can also be achieved without excessive forces being transmitted to the drive mechanisms. The actuating member is an arm which is articulatedly connected at a first articulation point to the swivel element, and that in the open position of the tool, the arm be at an incline to an axis of the swivel element extending perpendicularly to the axis of rotation through the first articulation point and in the closed position of the tool, be essentially perpendicular to the axis of the swivel element.
摘要翻译： 一种手术器械，包括柄，至少一个安装用于在柄端部旋转运动的工具;旋转元件，其安装成围绕旋转轴线旋转运动，用于在打开位置和关闭位置之间旋转工具;以及致动器 构件可从位于工具相对的柄的端部致动，以使旋转元件围绕旋转轴线旋转。 也可以实现物体塑性变形所需的高关闭力，而不会有过大的力传递到驱动机构。 致动构件是在第一铰接点处铰接地连接到旋转元件的臂，并且在工具的打开位置中，臂处于与旋转轴线垂直于旋转轴线延伸的旋转元件的轴线的倾斜处 穿过第一铰接点并在工具的关闭位置，基本上垂直于旋转元件的轴线。
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公开(公告)号：US06352541B1
公开(公告)日：2002-03-05
申请号：US09570459
申请日：2000-05-12
IPC分类号： A61B1703
CPC分类号： A61B17/1285 , A61B17/1227
摘要： In order to be able to simplify the construction of a magazine for a surgical clip applicator comprising a receiving chamber for clips which are arranged one behind the other, are displaceable in the receiving chamber towards its open end and have two arms connected via a bridge and pivotable away from one another into an open position contrary to an elastic force and projections associated with these arms and projecting rearwards beyond the bridge, and comprising two opening tools which are located opposite one another, are movable towards one another like pincers and can be abutted on the projections of the respectively foremost clip, it is suggested that the opening tools be connected in a hinge-like manner to an advancing element displaceable in the magazine parallel to the direction of displacement of the clips and during its advancing movement in the direction towards the open end of the receiving chamber come to rest on a deflection surface of the magazine and thereby be pivoted inwards transversely to the direction of displacement towards the opening tool located respectively opposite.
摘要翻译： 为了能够简化用于外科夹子施放器的包装盒的构造，其包括一个彼此靠后配置的夹子的容纳室，可在容纳室中朝向其开口端移动，并且具有通过桥连接的两个臂 可以相对于与这些臂相关联的弹性力和突出部突出并且向后突出超过桥的方式彼此远离彼此转动到打开位置，并且包括彼此相对定位的两个打开工具，可相对于彼此相对地移动，并且可以抵靠 在分别最前面的夹子的突起上，建议打开工具以铰链状的方式连接到平行于夹子的移动方向移动的钉仓中的前进元件，并且在其前进方向朝向 接收室的开口端静止在料仓的偏转表面上，从而枢转 向内横向于相对于分别相对设置的打开工具的位移方向。
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