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公开(公告)号:US20140277175A1
公开(公告)日:2014-09-18
申请号:US13835719
申请日:2013-03-15
申请人: Christopher A. Campbell , Christoph A. Roth , Bryan Griffiths , Mark Grady , Barry M. Fell , Peter W. Dillon , Donald R. Mackay , Randy S. Haluck
发明人: Christopher A. Campbell , Christoph A. Roth , Bryan Griffiths , Mark Grady , Barry M. Fell , Peter W. Dillon , Donald R. Mackay , Randy S. Haluck
CPC分类号: A61B17/809 , A61B17/1615 , A61B17/17 , A61B17/1728 , A61B17/1792 , A61B17/683 , A61B17/8042 , A61B17/8052 , A61B17/8076 , A61B17/808 , A61B17/86 , A61B17/8625 , A61B17/8665 , A61B17/8861 , A61B17/8872 , A61B17/8886 , A61B17/8897 , A61B90/92 , A61B2017/867 , A61B2090/062
摘要: A bone repair system, kit and method for percutaneous repair of a bone segment containing a first bone segment and a second bone segment in a patient, each bone segment having a drill hole. The system comprises a longitudinal member configured to contact the first bone segment and the second bone segment and having at least one opening and cleats on the side adapted to contact the first bone segment and the second bone segment; a first fastener assembly configured to be disposed through the opening of the longitudinal member to hold the longitudinal member in place through the opening and the hole in the first bone segment; and a second fastener assembly configured to be disposed through the opening of the longitudinal member to hold the longitudinal member in place through the opening and the hole in the second bone segment.
摘要翻译: 一种用于经皮修复包含患者第一骨段和第二骨段的骨段的骨修复系统,试剂盒和方法,每个骨段具有钻孔。 所述系统包括构造成接触所述第一骨段和所述第二骨段并且在适于接触所述第一骨段和所述第二骨段的侧上具有至少一个开口和夹板的纵向构件; 第一紧固件组件,其构造成穿过所述纵向构件的开口设置,以通过所述开口和所述第一骨段中的孔将所述纵向构件保持在适当位置; 以及第二紧固件组件,其构造成穿过所述纵向构件的开口设置,以通过所述开口和所述第二骨段中的所述孔将所述纵向构件保持在适当的位置。
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公开(公告)号:US07208005B2
公开(公告)日:2007-04-24
申请号:US10213645
申请日:2002-08-05
IPC分类号: A61B17/295 , A61B17/32
CPC分类号: A61B17/29 , A61B17/320016 , A61B17/3201 , A61B2017/00353 , A61B2017/2902 , A61B2017/2926 , A61B2017/2927 , A61B2017/2936 , A61B2017/2939
摘要: An apparatus and method for minimally invasive surgery. The apparatus can comprise a tool which includes a multi-functioning end effector for insertion into a patient, a user control adapted for use by the surgeon external of the patient, and an intermediate section between the end effector and the user control to translate control instructions from the user control through an actuating mechanism to operate the end effector in one of at least two different functioning states. No instrument exchange is necessary to change between states. The actuation mechanism could be a manually operated mechanical mechanism. Alternatively, it could be partially or fully electromechanical or electrical or electronic. According to one aspect, the end effector is a rigid link mechanism. According to another aspect, the end effector could be a compliant mechanism, at least in part. Another aspect of the invention includes the ability of the end effector to have at least some articulation in addition to grasping and cutting functions.
摘要翻译: 一种用于微创手术的装置和方法。 该装置可以包括工具,其包括用于插入病人的多功能末端执行器,适于由外科医生在患者外部使用的使用者控制装置,以及末端执行器和使用者控制之间的中间部分,以翻译控制指令 从用户控制通过致动机构来操作末端执行器至少两个不同的功能状态之一。 不需要交换仪器来改变状态。 致动机构可以是手动操作的机械机构。 或者,它可以是部分或完全机电的或电的或电子的。 根据一个方面,末端执行器是刚性连杆机构。 根据另一方面,端部执行器至少部分地可以是柔顺机构。 本发明的另一方面包括除了抓握和切割功能之外,端部执行器具有至少一些关节的能力。
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公开(公告)号:US07331978B2
公开(公告)日:2008-02-19
申请号:US10744669
申请日:2003-12-23
申请人: Randy S. Haluck
发明人: Randy S. Haluck
IPC分类号: A61B17/28
CPC分类号: A61B17/29 , A61B17/295 , A61B17/3417 , A61B17/3421 , A61B2017/00473 , A61B2017/2923 , A61B2017/2926 , A61B2017/3456 , A61B2017/346
摘要: A surgical instrument is provided for use in performing endoscopic procedures having a handle and an elongate tubular member having a proximal end coupled with the handle for being disposed externally of the anatomical cavity and a distal end for being disposed within the anatomical cavity. The distal end further includes a pair of opposed, relatively movable jaws that form a grasping portion operable by manipulation of the handle to releasably grasp a releasable trocar. The releasable trocar has a complementarily shaped shank, a relatively sharp tip and may include a pair of blunt-edge tissue separators that project outwardly from the outer surface of the trocar. In an alternative embodiment, the relatively movable jaws define (i) a grasping portion operable by manipulation of the handle to grasp or cut objects; and (ii) a pair of blunt-edge tissue separators that project outwardly from the outer surface of the jaws so that when the jaws are in a closed position they may be used as a trocar. In another embodiment, a portal tube is sealingly positioned on the elongate tubular member and is operative to move between (i) a first position in which the portal is in a proximal location on the elongate tubular member and in spaced relation to the anatomical cavity, and (ii) a second position in which the portal is in a distal location on the elongate tubular member and in sealed communication with said anatomical cavity. The optional portal may be used with either the releasable trocar or the jaw trocar. A method for using the surgical instrument is also provided.
摘要翻译: 提供外科器械用于执行具有手柄的内窥镜手术和细长的管状构件,所述细长管状构件具有与手柄相连的近端,用于设置在解剖腔的外部,以及设置在解剖腔内的远端。 远端还包括一对相对的可相对移动的钳口,其形成一个把持部分,该抓握部分通过操纵手柄可操作地可释放地抓住可释放的套管针。 可释放的套针针具有互补形状的柄,相对尖锐的尖端,并且可以包括从套管针的外表面向外突出的一对钝边组织分离器。 在替代实施例中,相对可动的夹爪限定(i)通过操纵手柄来抓握或切割物体可操作的抓握部分; 和(ii)一对钝边组织分离器,其从夹爪的外表面向外突出,使得当夹爪处于关闭位置时,它们可用作套管针。 在另一个实施例中,入口管被密封地定位在细长管状构件上并且可操作以在(i)第一位置和第二位置之间移动,在第一位置,入口处于细长管状构件的近端位置并且与解剖腔相隔开, 和(ii)第二位置,其中入口处于细长管状构件的远侧位置并与所述解剖腔密封连通。 可选择的入口可以与可释放套管针或下巴套管针一起使用。 还提供了一种使用该外科器械的方法。
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公开(公告)号:US06685724B1
公开(公告)日:2004-02-03
申请号:US09644011
申请日:2000-08-22
申请人: Randy S. Haluck
发明人: Randy S. Haluck
IPC分类号: A61B1728
CPC分类号: A61B17/29 , A61B17/295 , A61B17/3417 , A61B17/3421 , A61B2017/00473 , A61B2017/2923 , A61B2017/2926 , A61B2017/3456 , A61B2017/346
摘要: A surgical instrument is provided for use in performing endoscopic procedures having a handle and an elongate tubular member having a proximal end coupled with the handle for being disposed externally of the anatomical cavity and a distal end for being disposed within the anatomical cavity. The distal end further includes a pair of opposed, relatively movable jaws that form a grasping portion operable by manipulation of the handle to releasably grasp a releasable trocar. The releasable trocar has a complementarily shaped shank, a relatively sharp tip and may include a pair of blunt-edge tissue separators that project outwardly from the outer surface of the trocar. In an alternative embodiment, the relatively movable jaws define (i) a grasping portion operable by manipulation of the handle to grasp or cut objects; and (ii) a pair of blunt-edge tissue separators that project outwardly from the outer surface of the jaws so that when the jaws are in a closed position they may be used as a trocar. In another embodiment, a portal tube is sealingly positioned on the elongate tubular member and is operative to move between (i) a first position in which the portal is in a proximal location on the elongate tubular member and in spaced relation to the anatomical cavity, and (ii) a second position in which the portal is in a distal location on the elongate tubular member and in sealed communication with said anatomical cavity. The optional portal may be used with either the releasable trocar or the jaw trocar. A method for using the surgical instrument is also provided.
摘要翻译: 提供外科器械用于执行具有手柄的内窥镜手术和细长的管状构件,所述细长管状构件具有与手柄相连的近端,用于设置在解剖腔的外部,以及设置在解剖腔内的远端。 远端还包括一对相对的可相对移动的钳口,其形成一个把持部分,该抓握部分通过操纵手柄可操作地可释放地抓住可释放的套管针。 可释放的套针针具有互补形状的柄,相对尖锐的尖端,并且可以包括从套管针的外表面向外突出的一对钝边组织分离器。 在替代实施例中,相对可动的夹爪限定(i)通过操纵手柄来抓握或切割物体可操作的抓握部分; 和(ii)一对钝边组织分离器,其从夹爪的外表面向外突出,使得当夹爪处于关闭位置时,它们可用作套管针。 在另一个实施例中,入口管被密封地定位在细长管状构件上并且可操作以在(i)第一位置和第二位置之间移动,在第一位置,入口处于细长管状构件的近端位置并且与解剖腔相隔开, 和(ii)第二位置,其中入口处于细长管状构件的远侧位置并与所述解剖腔密封连通。 可选择的入口可以与可释放套管针或下巴套管针一起使用。 还提供了一种使用该外科器械的方法。
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公开(公告)号:US08728133B2
公开(公告)日:2014-05-20
申请号:US12825967
申请日:2010-06-29
CPC分类号: A61B17/8076 , A61B17/1792 , A61B17/3421 , A61B17/3468 , A61B17/3472 , A61B17/84 , A61B17/842 , A61B17/8665 , A61B90/92 , A61B2017/00004
摘要: A bone repair system and method for percutaneously fixing a first bone segment to a second bone segment, such as rib bone segments, in a body of a patient include drilling a first hole through the first bone segment and a second hole through the second bone segment, and feeding a first tether through the first hole and a second tether through the second hole, each tether having a proximal end and a distal end. The first and second tether distal ends are withdrawn from the body while the first and second tether proximal ends have not passed through the first and second bone segments, respectively. A reinforcing member, such as a bone plate, having first and second openings, is passed onto the first and second tether distal ends, and the reinforcing member is pulled into engagement with the first and second bone segments guided by the tethers. The reinforcing member is secured to the first bone segment with a first fastener assembly through the first hole and the first opening and to the second bone segment with a second fastener assembly through the second hole and the second opening to fix the first bone segment to the second bone segment.
摘要翻译: 将第一骨段经皮固定到患者体内的第二骨段(例如肋骨段)的骨修复系统和方法包括:穿过第一骨段钻出第一孔,穿过第二骨段钻第二孔 并且通过所述第一孔和第二系绳穿过所述第二孔并且馈送第一系绳,每个系绳具有近端和远端。 当第一和第二系绳近端分别没有穿过第一和第二骨段时,第一和第二系绳远端从体内抽出。 具有第一和第二开口的诸如骨板的加强构件被传递到第一和第二系绳远端上,并且加强构件被牵引成与由系绳引导的第一和第二骨段接合。 加强构件通过第一孔和第一开口的第一紧固件组件固定到第一骨段,并且通过第二孔和第二开口的第二紧固件组件固定到第二骨段,以将第一骨段固定到 第二骨段。
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公开(公告)号:US08530039B2
公开(公告)日:2013-09-10
申请号:US12534329
申请日:2009-08-03
申请人: James H. Adair , Mary Frecker , Christopher Muhlstein , Eric Mockensturm , Harriet Black Nembhard , Randy S. Haluck , Abraham Mathew , Nicholas Antolino , Gregory R Hayes , Milton Aguirre , Rebecca Kirkpatrick , Chumpol Yuangyai
发明人: James H. Adair , Mary Frecker , Christopher Muhlstein , Eric Mockensturm , Harriet Black Nembhard , Randy S. Haluck , Abraham Mathew , Nicholas Antolino , Gregory R Hayes , Milton Aguirre , Rebecca Kirkpatrick , Chumpol Yuangyai
CPC分类号: A61B17/30 , A61B2017/00345 , A61B2017/00526 , A61B2017/00831 , B81B2203/019 , B81C99/002 , B81C99/0085
摘要: A polycrystalline mesoscale component, formed through a process including filing a mold cavity formed in a photoresist with a mold fill, is provided with an overall length L divided into multiple segments with a second segment extending from a first segment at a nonlinear angle. The first segment has a first segment height H1 and a first segment thickness T1, while the second segment has a second segment height H2 and a second segment thickness T2, with the lesser of H1 and H2 defining a minimum segment height Hmin and the lesser of T1 and T2 defining a minimum segment thickness Tmin. The resultant component has a ratio of L:Hmin:Tmin of 20-80:1:0.5-10 where Hmin is between 5 and 500 microns. In specific instances, the nonlinear angle is acute, the multiple segments are rectilinear in cross section, and a segment thickness has an edge resolution of between 0.1 and 2 microns.
摘要翻译: 通过包括用模具填充物形成在光致抗蚀剂中的模具腔的方法形成的多晶中尺度部件设置有分为多个段的总长度L,第二段以非线性角度从第一段延伸。 第一段具有第一段高度H1和第一段厚度T1,而第二段具有第二段高度H2和第二段厚度T2,其中较小的H1和H2限定最小段高度Hmin,并且较小的 T1和T2限定最小段厚度Tmin。 所得组分的比例为20:80:1:0.5-10的L:Hmin:Tmin,其中Hmin为5至500微米。 在具体情况下,非线性角度是锐角的,多个截面的横截面是直线的,而段的厚度分辨率在0.1到2微米之间。
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公开(公告)号:US20100331892A1
公开(公告)日:2010-12-30
申请号:US12825967
申请日:2010-06-29
CPC分类号: A61B17/8076 , A61B17/1792 , A61B17/3421 , A61B17/3468 , A61B17/3472 , A61B17/84 , A61B17/842 , A61B17/8665 , A61B90/92 , A61B2017/00004
摘要: A bone repair system and method for percutaneously fixing a first bone segment to a second bone segment, such as rib bone segments, in a body of a patient include drilling a first hole through the first bone segment and a second hole through the second bone segment, and feeding a first tether through the first hole and a second tether through the second hole, each tether having a proximal end and a distal end. The first and second tether distal ends are withdrawn from the body while the first and second tether proximal ends have not passed through the first and second bone segments, respectively. A reinforcing member, such as a bone plate, having first and second openings, is passed onto the first and second tether distal ends, and the reinforcing member is pulled into engagement with the first and second bone segments guided by the tethers. The reinforcing member is secured to the first bone segment with a first fastener assembly through the first hole and the first opening and to the second bone segment with a second fastener assembly through the second hole and the second opening to fix the first bone segment to the second bone segment.
摘要翻译: 将第一骨段经皮固定到患者体内的第二骨段(例如肋骨段)的骨修复系统和方法包括:穿过第一骨段钻出第一孔,穿过第二骨段钻第二孔 并且通过所述第一孔和第二系绳穿过所述第二孔并且馈送第一系绳,每个系绳具有近端和远端。 当第一和第二系绳近端分别没有穿过第一和第二骨段时,第一和第二系绳远端从体内抽出。 具有第一和第二开口的诸如骨板的加强构件被传递到第一和第二系绳远端上,并且加强构件被牵引成与由系绳引导的第一和第二骨段接合。 加强构件通过第一孔和第一开口的第一紧固件组件固定到第一骨段,并且通过第二孔和第二开口的第二紧固件组件固定到第二骨段,以将第一骨段固定到 第二骨段。
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公开(公告)号:US20100075170A1
公开(公告)日:2010-03-25
申请号:US12534329
申请日:2009-08-03
申请人: James H. Adair , Mary Frecker , Christopher Muhlstein , Eric Mockensturm , Randy S. Haluck , Abraham Mathew , Milton Aguirre , Rebecca Kirkpatrick , Chumpol Yuangyai
发明人: James H. Adair , Mary Frecker , Christopher Muhlstein , Eric Mockensturm , Randy S. Haluck , Abraham Mathew , Milton Aguirre , Rebecca Kirkpatrick , Chumpol Yuangyai
CPC分类号: A61B17/30 , A61B2017/00345 , A61B2017/00526 , A61B2017/00831 , B81B2203/019 , B81C99/002 , B81C99/0085
摘要: A polycrystalline mesoscale component is provided that has an overall length L divided into multiple segments with a second segment extending from a first segment at a nonlinear angle. The first segment has a first segment height H1 and a first segment thickness T1, while the second segment has a second segment height H2 and a second segment thickness T1, with the lesser of H1 and H2 defining a minimum segment height Hmin and the lesser of T1 and T2 defining a minimum segment thickness Tmin. The resultant component has a ratio of L:Hmin:Tmin of 20-80:1:0.5-10 where Hmin is between 5 and 500 microns. In specific instances, the nonlinear angle is acute, the multiple segments are rectilinear in cross section, and a segment thickness has an edge resolution of between 0.1 and 2 microns.A process for forming a polycrystalline mesoscale component is provided that includes filling a mold cavity formed in a photoresist with a mold fill. The mold fill includes a slurry of particles of ceramic, metal, or a combination thereof in a polymerizable monomer in an amount to form a polymer that imparts strength to the mold fill. Thereafter the photoresist is removed and the gel cast mold fill is heated to remove the polymer and form the polycrystalline sintered mesoscale component. In a particular embodiment, the mold fill after removal of the photoresist is heated in contact with a second mold fill to form a composite component with a sintered interface between the mold fill and the second mold fill.
摘要翻译: 提供了多晶中尺度部件,其具有被分成多个段的总长度L,第二段以非线性角度从第一段延伸。 第一段具有第一段高度H1和第一段厚度T1,而第二段具有第二段高度H2和第二段厚度T1,其中较小的H1和H2限定最小段高度Hmin,并且较小的 T1和T2限定最小段厚度Tmin。 所得组分的比例为20:80:1:0.5-10的L:Hmin:Tmin,其中Hmin为5至500微米。 在具体情况下,非线性角度是锐角的,多个截面的横截面是直线的,而段的厚度分辨率在0.1到2微米之间。 提供一种用于形成多晶中尺度部件的方法,其包括用模具填充物填充形成在光致抗蚀剂中的模腔。 模具填充物包括陶瓷,金属或其组合的颗粒在可聚合单体中的浆料,其量形成赋予模具填充物强度的聚合物。 此后,除去光致抗蚀剂,并加热凝胶铸模填料以除去聚合物并形成多晶烧结中尺度组分。 在特定实施例中,去除光致抗蚀剂之后的模具填充物与第二模具填充物接触地加热,以形成具有在模具填充物和第二模具填充物之间的烧结界面的复合部件。
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