公开(公告)号：US09072427B2

公开(公告)日：2015-07-07

申请号：US13334628

申请日：2011-12-22

申请人： David Elias Hegeman ,  David J. Danitz ,  Cameron D. Hinman ,  Lincoln J. Alvord

发明人： David Elias Hegeman ,  David J. Danitz ,  Cameron D. Hinman ,  Lincoln J. Alvord

IPC分类号： A61B1/00 ,  A61B1/005 ,  A61B1/008 ,  A61B17/29 ,  A61B19/00 ,  A61B17/00

CPC分类号： A61B1/0055 ,  A61B1/008 ,  A61B17/29 ,  A61B17/2909 ,  A61B90/50 ,  A61B2017/00477 ,  A61B2017/291 ,  A61B2017/2927 ,  A61B2017/2946

摘要： The invention provides surgical or diagnostic tools and associated methods that offer user control for operating remotely within regions of the body. These tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. An articulation lock allows the fixing and releasing of both neutral and articulated configurations of the tool and of consequent placement of the end effector. The tool may also include other features. A multi-state ratchet for end effector actuation provides enablement-disablement options with tactile feedback. A force limiter mechanism protects the end effector and manipulated objects from the harm of potentially excessive force applied by the operator. A rotation lock provides for enablement and disablement of rotatability of the end effector.

摘要翻译： 本发明提供了提供用户控制以在身体的区域内远程操作的手术或诊断工具和相关联的方法。 这些工具包括用于远端执行器的操作的向近侧定位的致动器，以及用于端部执行器的关节和旋转运动的近端定位的致动器。 控制机构和方法可以完善操纵器对末端执行器启动和这些铰接和旋转运动的控制。 铰接锁允许固定和释放工具的中性和铰接构型以及随后的端部执行器的放置。 该工具还可以包括其他特征。 用于末端执行器致动的多状态棘轮提供带触觉反馈的启用禁用选项。 力限制器机构保护末端执行器和操纵物体免受操作者施加的潜在过大的力的伤害。 旋转锁定提供了端部执行器的可旋转性的启用和禁用。

公开(公告)号：US08100824B2

公开(公告)日：2012-01-24

申请号：US11787543

申请日：2007-04-16

申请人： David Elias Hegeman ,  David J. Danitz ,  Cameron D. Hinman ,  Lincoln J. Alvord

发明人： David Elias Hegeman ,  David J. Danitz ,  Cameron D. Hinman ,  Lincoln J. Alvord

IPC分类号： A61B1/00

CPC分类号： A61B1/0055 ,  A61B1/008 ,  A61B17/29 ,  A61B17/2909 ,  A61B90/50 ,  A61B2017/00477 ,  A61B2017/291 ,  A61B2017/2927 ,  A61B2017/2946

摘要： The invention provides surgical or diagnostic tools and associated methods that offer user control for operating remotely within regions of the body. These tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. An articulation lock allows the fixing and releasing of both neutral and articulated configurations of the tool and of consequent placement of the end effector. The tool may also include other features. A multi-state ratchet for end effector actuation provides enablement-disablement options with tactile feedback. A force limiter mechanism protects the end effector and manipulated objects from the harm of potentially excessive force applied by the operator. A rotation lock provides for enablement and disablement of rotatability of the end effector.

摘要翻译： 本发明提供了提供用户控制以在身体的区域内远程操作的手术或诊断工具和相关联的方法。 这些工具包括用于远端执行器的操作的向近侧定位的致动器，以及用于端部执行器的关节和旋转运动的近端定位的致动器。 控制机构和方法可以完善操纵器对末端执行器启动和这些铰接和旋转运动的控制。 铰接锁允许固定和释放工具的中性和铰接构型以及随后的端部执行器的放置。 该工具还可以包括其他特征。 用于末端执行器致动的多状态棘轮提供带触觉反馈的启用禁用选项。 力限制器机构保护末端执行器和操纵物体免受操作者施加的潜在过大的力的伤害。 旋转锁定提供了端部执行器的可旋转性的启用和禁用。

公开(公告)号：US20080255421A1

公开(公告)日：2008-10-16

申请号：US11787608

申请日：2007-04-16

申请人： David Elias Hegeman ,  David J. Danitz ,  Karrie S. Bertsch ,  Lincoln J. Alvord ,  Cameron D. Hinman

发明人： David Elias Hegeman ,  David J. Danitz ,  Karrie S. Bertsch ,  Lincoln J. Alvord ,  Cameron D. Hinman

IPC分类号： A61B1/008

CPC分类号： A61B1/0052 ,  A61B1/0055 ,  A61B17/29 ,  A61B2017/003 ,  A61B2017/291 ,  A61B2017/2927

摘要： The invention provides surgical or diagnostic tools and associated methods that offer improved user control for operating remotely within regions of the body, and improved methods of assembling the tools. In some embodiments these tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. The articulation mechanisms comprise pairs of links, one link distal and the other proximal, configured such that movement of a proximal link is transferred to the distal link by way of tension bearing members. Embodiments of the invention include a guide for such tension bearing members that facilitates assembly of the tool. Embodiments also include improved methods for attaching tension bearing members to the links. The inventions disclosed herein may also be used with articulating devices outside of the surgical and diagnostic fields.

摘要翻译： 本发明提供了外科或诊断工具和相关联的方法，其提供改进的用户控制以在身体的区域内远程操作，以及改进的组装工具的方法。 在一些实施例中，这些工具包括近端定位的致动器，用于远端执行器的操作，以及靠近位置的致动器，用于末端执行器的关节和旋转运动。 控制机构和方法可以完善操纵器对末端执行器启动和这些铰接和旋转运动的控制。 关节运动机构包括一对连杆，一个连杆远端和另一个近侧，构造成使得近端连杆的运动通过张力承载部件传递到远端连杆。 本发明的实施例包括一种便于组装工具的这种张紧轴承部件的引导件。 实施例还包括用于将张力承载构件附接到连杆的改进方法。 本文公开的发明也可以用于手术和诊断领域外的关节装置。

公开(公告)号：US20120095451A1

公开(公告)日：2012-04-19

申请号：US13334628

申请日：2011-12-22

申请人： David Elias Hegeman ,  David J. Danitz ,  Cameron D. Hinman ,  Lincoln J. Alvord

发明人： David Elias Hegeman ,  David J. Danitz ,  Cameron D. Hinman ,  Lincoln J. Alvord

IPC分类号： A61B17/00

CPC分类号： A61B1/0055 ,  A61B1/008 ,  A61B17/29 ,  A61B17/2909 ,  A61B90/50 ,  A61B2017/00477 ,  A61B2017/291 ,  A61B2017/2927 ,  A61B2017/2946

摘要： The invention provides surgical or diagnostic tools and associated methods that offer user control for operating remotely within regions of the body. These tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. An articulation lock allows the fixing and releasing of both neutral and articulated configurations of the tool and of consequent placement of the end effector. The tool may also include other features. A multi-state ratchet for end effector actuation provides enablement-disablement options with tactile feedback. A force limiter mechanism protects the end effector and manipulated objects from the harm of potentially excessive force applied by the operator. A rotation lock provides for enablement and disablement of rotatability of the end effector.

摘要翻译： 本发明提供了提供用户控制以在身体的区域内远程操作的手术或诊断工具和相关联的方法。 这些工具包括用于远端执行器的操作的向近侧定位的致动器，以及用于端部执行器的关节和旋转运动的近端定位的致动器。 控制机构和方法可以完善操纵器对末端执行器启动和这些铰接和旋转运动的控制。 铰接锁允许固定和释放工具的中性和铰接构型以及随后的端部执行器的放置。 该工具还可以包括其他特征。 用于末端执行器致动的多状态棘轮提供带触觉反馈的启用禁用选项。 力限制器机构保护末端执行器和操纵物体免受操作者施加的潜在过大的力的伤害。 旋转锁定提供了端部执行器的可旋转性的启用和禁用。

公开(公告)号：US07862554B2

公开(公告)日：2011-01-04

申请号：US11787608

申请日：2007-04-16

申请人： David Elias Hegeman ,  David J. Danitz ,  Karrie S. Bertsch ,  Lincoln J. Alvord ,  Cameron D. Hinman

发明人： David Elias Hegeman ,  David J. Danitz ,  Karrie S. Bertsch ,  Lincoln J. Alvord ,  Cameron D. Hinman

IPC分类号： A61B1/008

CPC分类号： A61B1/0052 ,  A61B1/0055 ,  A61B17/29 ,  A61B2017/003 ,  A61B2017/291 ,  A61B2017/2927

摘要： The invention provides surgical or diagnostic tools and associated methods that offer improved user control for operating remotely within regions of the body, and improved methods of assembling the tools. In some embodiments these tools include a proximally-located actuator for the operation of a distal end effector, as well as proximally-located actuators for articulational and rotational movements of the end effector. Control mechanisms and methods refine operator control of end effector actuation and of these articulational and rotational movements. The articulation mechanisms comprise pairs of links, one link distal and the other proximal, configured such that movement of a proximal link is transferred to the distal link by way of tension bearing members. Embodiments of the invention include a guide for such tension bearing members that facilitates assembly of the tool. Embodiments also include improved methods for attaching tension bearing members to the links. The inventions disclosed herein may also be used with articulating devices outside of the surgical and diagnostic fields.

摘要翻译： 本发明提供了外科或诊断工具和相关联的方法，其提供改进的用户控制以在身体的区域内远程操作，以及改进的组装工具的方法。 在一些实施例中，这些工具包括近端定位的致动器，用于远端执行器的操作，以及靠近位置的致动器，用于末端执行器的关节和旋转运动。 控制机构和方法可以完善操纵器对末端执行器启动和这些铰接和旋转运动的控制。 关节运动机构包括一对连杆，一个连杆远端和另一个近侧，构造成使得近端连杆的运动通过张力承载部件传递到远端连杆。 本发明的实施例包括一种便于组装工具的这种张紧轴承部件的引导件。 实施例还包括用于将张力承载构件附接到连杆的改进方法。 本文公开的发明也可以用于手术和诊断领域外的关节装置。

公开(公告)号：US06941598B2

公开(公告)日：2005-09-13

申请号：US10730453

申请日：2003-12-08

申请人： Robert J. Ferrand ,  Marc M. Thomas ,  Lincoln J. Alvord ,  Stephen D. Smith ,  Steven N. Roe ,  Richard W. O'Connor ,  William A. Gilmartin ,  William Loh ,  William R. Fish ,  Jonathan Salsado ,  Charles W. Neder ,  William Silva ,  Wesley E. Grass

发明人： Robert J. Ferrand ,  Marc M. Thomas ,  Lincoln J. Alvord ,  Stephen D. Smith ,  Steven N. Roe ,  Richard W. O'Connor ,  William A. Gilmartin ,  William Loh ,  William R. Fish ,  Jonathan Salsado ,  Charles W. Neder ,  William Silva ,  Wesley E. Grass

IPC分类号： A47C27/00 ,  A47C20/04 ,  A47C20/08 ,  A47C21/08 ,  A47C27/10 ,  A61G7/00 ,  A61G7/002 ,  A61G7/02 ,  A61G7/05 ,  A61G7/057 ,  A61G7/08 ,  A61H7/00 ,  A61G7/06

CPC分类号： A61G7/05776 ,  A61G7/00 ,  A61G7/002 ,  A61G7/02 ,  A61G7/05 ,  A61G7/0506 ,  A61G7/0507 ,  A61G7/0509 ,  A61G7/0514 ,  A61G7/0516 ,  A61G7/052 ,  A61G7/0524 ,  A61G7/0527 ,  A61G2203/20 ,  A61G2203/44 ,  A61G2203/74 ,  G06F19/00

摘要： A bed comprises a mattress supported on a support surface. The mattress has first and second inflatable cells for supporting a patient.

摘要翻译： 床包括支撑在支撑表面上的床垫。 床垫具有用于支撑病人的第一和第二充气细胞。

公开(公告)号：USD477658S1

公开(公告)日：2003-07-22

申请号：US29160686

申请日：2002-05-14

申请人： Joe A. Love ,  Herman T. Charity, III ,  Lincoln J. Alvord

设计人： Joe A. Love ,  Herman T. Charity, III ,  Lincoln J. Alvord

公开(公告)号：US06438776B2

公开(公告)日：2002-08-27

申请号：US09862545

申请日：2001-05-22

申请人： Robert J. Ferrand ,  Marc M. Thomas ,  Lincoln J. Alvord ,  Stephen D. Smith ,  Steven N. Roe ,  Richard W. O'Connor ,  William A. Gilmartin ,  William Loh ,  William R. Fish ,  Jonathan Salsado ,  Charles W. Neder ,  William Silva ,  Wesley E. Grass

发明人： Robert J. Ferrand ,  Marc M. Thomas ,  Lincoln J. Alvord ,  Stephen D. Smith ,  Steven N. Roe ,  Richard W. O'Connor ,  William A. Gilmartin ,  William Loh ,  William R. Fish ,  Jonathan Salsado ,  Charles W. Neder ,  William Silva ,  Wesley E. Grass

IPC分类号： A61G705

CPC分类号： A61G7/05776 ,  A61G7/00 ,  A61G7/002 ,  A61G7/02 ,  A61G7/05 ,  A61G7/0506 ,  A61G7/0507 ,  A61G7/0509 ,  A61G7/0514 ,  A61G7/0516 ,  A61G7/052 ,  A61G7/0524 ,  A61G7/0527 ,  A61G2203/20 ,  A61G2203/44 ,  A61G2203/74 ,  G06F19/00

摘要： A bed configured to support a patient having a weight comprises a frame, a patient support, and a plurality of sensors coupled between the frame and the patient support. Each of the plurality of sensors is configured to generate an analog signal in response to a portion of the weight of the patient on the patient support. The bed also comprises a circuit coupled to the plurality of sensors to receive the analog signals therefrom. The circuit includes a plurality of analog-to-digital converters, each analog-to-digital converter being coupled to one of the sensors to generate a separate digital signal for each of the plurality of sensors, and a processor coupled to the plurality of analog-to-digital converters to determine the weight of the patient on the patient support.

摘要翻译： 被配置为支撑具有重量的患者的床包括框架，患者支架和耦合在框架和患者支架之间的多个传感器。 所述多个传感器中的每一个被配置为响应于患者在患者支架上的重量的一部分而产生模拟信号。 床还包括耦合到多个传感器以从其接收模拟信号的电路。 该电路包括多个模数转换器，每个模拟 - 数字转换器耦合到传感器中的一个以产生用于多个传感器中的每一个的独立数字信号，以及耦合到多个模拟 数字转换器以确定患者对患者支架的重量。

公开(公告)号：US5906017A

公开(公告)日：1999-05-25

申请号：US825761

申请日：1997-04-03

申请人： Robert J. Ferrand ,  Marc M. Thomas ,  Lincoln J. Alvord ,  Stephen D. Smith ,  Steven N. Roe ,  Richard W. O'Connor ,  William A. Gilmartin ,  William Loh ,  William R. Fish ,  Jonathan Salzedo ,  Charles W. Neder ,  Wesley E. Grass ,  John E. Looper ,  Dean I. Miller ,  Celia Oakley

发明人： Robert J. Ferrand ,  Marc M. Thomas ,  Lincoln J. Alvord ,  Stephen D. Smith ,  Steven N. Roe ,  Richard W. O'Connor ,  William A. Gilmartin ,  William Loh ,  William R. Fish ,  Jonathan Salzedo ,  Charles W. Neder ,  Wesley E. Grass ,  John E. Looper ,  Dean I. Miller ,  Celia Oakley

IPC分类号： A47C27/00 ,  A47C20/04 ,  A47C20/08 ,  A47C21/08 ,  A47C27/10 ,  A61G7/00 ,  A61G7/002 ,  A61G7/02 ,  A61G7/05 ,  A61G7/057 ,  A61G7/08 ,  A61H7/00 ,  A61G7/018

CPC分类号： A61G7/05776 ,  A61G7/00 ,  A61G7/002 ,  A61G7/02 ,  A61G7/05 ,  A61G7/0507 ,  A61G7/0509 ,  A61G7/0514 ,  A61G7/0516 ,  A61G7/052 ,  A61G7/0524 ,  A61G7/0527 ,  A61G2203/20 ,  A61G2203/44 ,  A61G2203/74 ,  A61G7/0506

摘要： A bed for supporting a patient having a seat panel and a back panel coupled together by a joint assembly that allows the panels to rotate about an axis coincident with the patient's hip joint.

摘要翻译： 用于支撑具有座面板和通过联接组件联接在一起的患者的床，其允许面板围绕与患者髋关节重合的轴线旋转。

公开(公告)号：US5802640A

公开(公告)日：1998-09-08

申请号：US162514

申请日：1993-12-03

申请人： Robert J. Ferrand ,  Marc M. Thomas ,  Lincoln J. Alvord ,  Stephen D. Smith ,  Steven N. Roe ,  Richard W. O'Connor ,  William A. Gilmartin ,  William Loh ,  William R. Fish ,  Jonathan Salzedo ,  Charles W. Neder ,  Wesley E. Grass ,  John E. Looper ,  Dean T. Miller ,  Celia Oakley

发明人： Robert J. Ferrand ,  Marc M. Thomas ,  Lincoln J. Alvord ,  Stephen D. Smith ,  Steven N. Roe ,  Richard W. O'Connor ,  William A. Gilmartin ,  William Loh ,  William R. Fish ,  Jonathan Salzedo ,  Charles W. Neder ,  Wesley E. Grass ,  John E. Looper ,  Dean T. Miller ,  Celia Oakley

IPC分类号： A47C27/00 ,  A47C20/04 ,  A47C20/08 ,  A47C21/08 ,  A47C27/10 ,  A61G7/00 ,  A61G7/002 ,  A61G7/02 ,  A61G7/05 ,  A61G7/057 ,  A61G7/08 ,  A61H7/00

CPC分类号： A61G7/05776 ,  A61G7/00 ,  A61G7/002 ,  A61G7/02 ,  A61G7/05 ,  A61G7/0507 ,  A61G7/0509 ,  A61G7/0514 ,  A61G7/0516 ,  A61G7/052 ,  A61G7/0524 ,  A61G7/0527 ,  A61G2203/20 ,  A61G2203/44 ,  A61G2203/74 ,  A61G7/0506

摘要： A bed comprises an inflatable mattress supported on a platform of articulable links by a support system mounted on a weigh frame. The weigh frame is supported on a base frame supported relative to a floor. A pneumatic system includes a platform-mounted blower directing air through passageways in the articulable links. An exhaust passageway parallels the pressure passageway for exhausting opposite the blower. Air flow into and out of air cells in the mattress are controlled by valves coupling the pressurized air chamber and exhaust chamber to cell ports. A connector assembly is used to couple the cells to the platform, to adjacent cells, and to tubes connected to other cells. An alternative pneumatic system includes fans distributed on the platform in association with sets of mattress cells. A footboard assembly is formed as two gates that swing out from the foot of the bed. Each gate has a storable tray that is positionable on either side of the gate. A headboard has a removable central panel for providing emergency patient access. Additionally, each corner of the headboard has a telescoping equipment support post positionable at a variety of heights and having equipment supports that automatically drop into place upon removal from storage in the headboard. A three-point weight sensing system tracks patient weight and generates pre-exit and exit alarms based on sensed movement of the patient on the mattress. A portable control unit wraps around a guard rail to provide both patient and nurse controls, and uses a unitary membrane to cover exposed faces of the controls and resiliently wrap around the guard rail. Selectively engagable guide or fifth wheels are mounted to the base frame to provide direction stability during bed movement. The platform is articulable to allow a patient to enter or exit the bed in a standing position. An adjustable stand up board is selectively positionable at the foot of the bed to take the patient's weight during this process. A vertically telescoping guard rail elevation system provides energy storage to resist lowering and assist raising the guard rail. A brace is provided for seating the platform on the weigh frame when the bed is in a low position and to assist in movement of the bed longitudinally when in the low position. An expanding joint between panels allows the panels to separate with increasing angle between the panels. A hydraulic valve produces linear changes in fluid flow with linear changes in a valve plunger.