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    Clip Ejector for Endoscopic Clip Applier
    1.
    发明申请
    Clip Ejector for Endoscopic Clip Applier 审中-公开
    用于内窥镜剪辑应用的剪辑弹出器

    公开(公告)号：US20080051808A1

    公开(公告)日：2008-02-28

    申请号：US11928358

    申请日：2007-10-30

    申请人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

    发明人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

    IPC分类号： A61B17/10

    摘要： A flexible endoscopic 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 arranged adjacent to the jaw assembly and a clip pusher is arranged 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 distal portion. The threaded portion engages a threaded member near the pusher and is 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： 灵活的内窥镜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。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 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。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，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。

    Clip ejector for endoscopic clip applier
    2.
    发明申请
    Clip ejector for endoscopic clip applier 有权
    夹子用于内窥镜夹子施放器

    公开(公告)号：US20050049616A1

    公开(公告)日：2005-03-03

    申请号：US10867413

    申请日：2004-06-14

    申请人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

    发明人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

    IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  A61B17/10

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

    摘要： A flexible endoscopic 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 arranged adjacent to the jaw assembly and a clip pusher is arranged 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 distal portion. The threaded portion engages a threaded member near the pusher and is 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： 灵活的内窥镜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。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 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。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，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。

    Surgical clip
    3.
    发明申请
    Surgical clip 有权
    手术夹

    公开(公告)号：US20050033333A1

    公开(公告)日：2005-02-10

    申请号：US10867412

    申请日：2004-06-14

    申请人： Kevin Smith ,  Jose Francese ,  Robert Sixto ,  Juergen Kortenbach ,  Thomas Bales ,  Carlos Rivera ,  Matthew Palmer

    发明人： Kevin Smith ,  Jose Francese ,  Robert Sixto ,  Juergen Kortenbach ,  Thomas Bales ,  Carlos Rivera ,  Matthew Palmer

    IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/28 ,  A61B17/32 ,  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。

    Endoscopic surgical instrument having a rotational actuator with an energy storage element
    4.
    发明申请
    Endoscopic surgical instrument having a rotational actuator with an energy storage element 有权
    内窥镜手术器械具有带有能量存储元件的旋转致动器

    公开(公告)号：US20050277955A1

    公开(公告)日：2005-12-15

    申请号：US10867498

    申请日：2004-06-14

    申请人： Matthew Palmer ,  Kevin Smith ,  Juergen Kortenbach ,  Thomas Bales

    发明人： Matthew Palmer ,  Kevin Smith ,  Juergen Kortenbach ,  Thomas Bales

    IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  A61B17/10

    CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803 ,  Y10T29/53478

    摘要： A flexible endoscopic 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 arranged adjacent to the jaw assembly and a clip pusher is arranged 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 distal portion. The threaded portion engages a threaded member near the pusher and is 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： 灵活的内窥镜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。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 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。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，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。

    Torque-transmitting, variably-flexible, locking insertion device and method for operating the insertion device
    8.
    发明申请
    Torque-transmitting, variably-flexible, locking insertion device and method for operating the insertion device 有权
    用于操作插入装置的扭矩传递，可变灵活的锁定插入装置和方法

    公开(公告)号：US20090005643A1

    公开(公告)日：2009-01-01

    申请号：US11823247

    申请日：2007-06-27

    申请人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Thomas Bales ,  Matthew Palmer ,  Carlos Rivera

    发明人： Kevin Smith ,  Derek Deville ,  Korey Kline ,  Thomas Bales ,  Matthew Palmer ,  Carlos Rivera

    IPC分类号： A61B1/01

    CPC分类号： A61B1/0052 ,  A61B1/00154 ,  A61B1/0055 ,  A61B1/015 ,  A61B1/31

    摘要： A torque-transmitting, variably-flexible, locking insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument, a distal end with a tip for protrusion of the instrument, and a handle to be gripped by an operator. A device locks the handle to and unlocks the handle from the instrument, which is at least partly disposed within the hollow body. A device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A method for operating a torque-transmitting, locking insertion device includes placing the instrument at least partly within the hollow body and locking the handle to and unlocking the handle from the instrument. The hollow body is transitioned between a relatively flexible condition and a relatively stiff condition.

    摘要翻译： 扭矩传递的，可变弹性的锁定插入装置包括具有近端的中空本体，其具有用于接收器械的入口，具有用于突出仪器的尖端的远端以及由操作者握持的手柄。 一种装置将手柄锁定在手柄上并将手柄解锁，该装置至少部分地设置在中空体内。 一种装置在相对柔性的状态和较硬的状态之间转变中空体。 用于操作扭矩传递的锁定插入装置的方法包括将所述器械至少部分地放置在所述中空体内并且将所述手柄锁定并将所述手柄从所述器械解锁。 中空体在相对柔性的状态和较硬的状态之间转变。

    Multifilar Flexible Rotary Shaft and Medical Instruments Incorporating the Same
    9.
    发明申请
    Multifilar Flexible Rotary Shaft and Medical Instruments Incorporating the Same 有权
    多功能柔性旋转轴和医疗仪器相结合

    公开(公告)号：US20070299428A1

    公开(公告)日：2007-12-27

    申请号：US11854206

    申请日：2007-09-12

    申请人： Thomas Bales ,  Juergen Kortenbach

    发明人： Thomas Bales ,  Juergen Kortenbach

    IPC分类号： F16C1/02

    CPC分类号： A61B17/32056 ,  A61B17/320016 ,  A61B17/32002 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2929 ,  F16C1/02 ,  F16C1/08 ,  F16C2316/10

    摘要： A multifilar flexible rotary shaft includes a plurality of individual filaments which are not wound around each other or around a central core, a loose ensemble of filaments. The input ends of each filament are coupled to each other and the output ends of each filament are coupled to each other. A loose ensemble of N filaments can transmit N times the torque of a single filament, and will have N times the torsional stiffness of a single filament, while retaining the minimum radius of operation of a single filament. Since a loose ensemble of filaments does not have any appreciable contact forces among the filaments (because they are not forcibly twisted together), there is no appreciable internal friction or hysteresis. The filaments should be no more than loosely twisted together, if at all. Several practical applications of the invention are also disclosed.

    摘要翻译： 多针柔性旋转轴包括多个单独的细丝，它们彼此不缠绕或围绕中心芯，松散的细丝组合。 每个灯丝的输入端彼此耦合，并且每个灯丝的输出端彼此耦合。 N细丝的松散组合可以传播N倍的单丝的扭矩，并且将具有单丝的扭转刚度的N倍，同时保持单丝的最小操作半径。 由于长丝的松散组合在细丝之间没有任何明显的接触力（因为它们不被强制扭曲在一起），所以没有明显的内部摩擦或滞后。 如果有的话，长丝不应该松散地扭曲在一起。 还公开了本发明的几个实际应用。

    Optimal Tissue Compression Electrical Surgical Instrument
    10.
    发明申请
    Optimal Tissue Compression Electrical Surgical Instrument 有权
    最佳组织压缩电手术器械

    公开(公告)号：US20080251569A1

    公开(公告)日：2008-10-16

    申请号：US12102181

    申请日：2008-04-14

    申请人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

    发明人： Kevin W. Smith ,  Thomas Bales ,  Derek Dee Deville ,  Carlos Rivera ,  Matthew A. Palmer

    IPC分类号： A61B17/10

    CPC分类号： A61B17/072 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B90/03 ,  A61B2017/00017 ,  A61B2017/00115 ,  A61B2017/00398 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2090/032 ,  A61B2090/064 ,  G06F19/00

    摘要： An OTC surgical device includes a handle having therein a compression controller and thereat an end effector, which has an electrically controlled tissue-compressor coupled to the controller and powered thereby to selectively control tissue compression. A mechanical binary-output electrical switch is disposed in-line with the compressor to place a compressing force directed upon the compressed tissue proportionally upon the switch. The switch has two switching states initiated and changed only by mechanical movement. The switch includes a biasing device retaining the switch in a first switching state until a force imparted thereupon overcomes the bias force to change to the second switching state. A switching-state-status output provides information identifying a current state and communicates with the compression controller to selectively control compression of tissue based upon the information. With appropriate feedback, the controller can keep the tissue at OTC while the surgical procedure is carried out.

    摘要翻译： OTC手术装置包括手柄，其中具有压缩控制器，并且其末端执行器具有耦合到控制器并由此供电的电控组织压缩机，从而选择性地控制组织压缩。 机械二进制输出电开关设置成与压缩机成一直线，以将压缩的压缩力按比例放置在开关上。 开关具有两个开关状态，仅通过机械运动启动和更改。 开关包括偏置装置，该偏置装置将开关保持在第一开关状态，直到其上施加的力克服偏压力以改变到第二开关状态。 开关状态输出提供识别当前状态并与压缩控制器通信的信息，以便基于该信息选择性地控制组织的压缩。 通过适当的反馈，控制器可以在执行外科手术时将组织保持在OTC处。