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公开(公告)号：US5618309A
公开(公告)日：1997-04-08
申请号：US337679
申请日：1994-11-10
CPC分类号： A61B17/34 , A61B17/3421 , A61B18/1485 , A61B2017/00473 , A61B2017/3484 , A61B2018/00077 , Y10S128/908
摘要： A conductive cannula assembly is disclosed to dissipate possible, accumulated electrical charges through body tissue. The cannula assembly includes cannula housing means and cannula means formed of a material having an electrical conductivity value which is at least fifty percent the conductivity value of silver. The invention also includes cannula assembly accessories formed of a material having an electrical conductivity value which is at least fifty percent the conductivity value of silver. The invention further provides a method for guiding endoscopic instruments into body tissue utilizing the cannula assembly and the cannula assembly accessories of the present invention.
摘要翻译： 公开了一种导电套管组件，以通过身体组织消散可能的累积电荷。 插管组件包括套管外壳装置和套管装置，套管装置由导电率值至少为银的电导率值的50％的材料形成。 本发明还包括由电导率值至少为银的电导率值的50％的材料形成的插管组件附件。 本发明还提供了一种利用本发明的插管组件和插管组件附件将内窥镜器械引导到身体组织中的方法。
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公开(公告)号：US5387196A
公开(公告)日：1995-02-07
申请号：US885467
申请日：1992-05-19
CPC分类号： A61B17/34 , A61B17/3421 , A61B18/1485 , A61B2017/00473 , A61B2017/3484 , A61B2018/00077 , Y10S128/908
摘要： A conductive cannula assembly is disclosed to dissipate possible, accumulated electrical charges through body tissue. The cannula assembly includes cannula housing means and cannula means formed of a material having an electrical conductivity value which is at least fifty percent the conductivity value of silver. The invention also includes cannula assembly accessories formed of a material having an electrical conductivity value which is at least fifty percent the conductivity value of silver. The invention further provides a method for guiding endoscopic instruments into body tissue utilizing the cannula assembly and the cannula assembly accessories of the present invention.
摘要翻译： 公开了一种导电套管组件，以通过身体组织消散可能的累积电荷。 插管组件包括套管外壳装置和套管装置，套管装置由导电率值至少为银的电导率值的50％的材料形成。 本发明还包括由电导率值至少为银的电导率值的50％的材料形成的插管组件附件。 本发明还提供了一种利用本发明的插管组件和插管组件附件将内窥镜器械引导到身体组织中的方法。
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公开(公告)号：US5431675A
公开(公告)日：1995-07-11
申请号：US323419
申请日：1994-10-13
CPC分类号： A61B17/2909 , A61B17/062 , A61B17/2833 , B25B7/12 , B25B7/14 , A61B2017/1125 , A61B2017/2922 , A61B2017/2946
摘要： A surgical instrument according to an embodiment of the present invention includes a housing portion and an endoscopic portion having a proximal end and a distal end, the endoscopic portion including a pair of coaxial members attached at the proximal end to the housing portion. The endoscopic portion also includes an inner rod member slidable within an outer tube member. The endoscopic portion terminates at the distal end in a pair of jaw members disposed in opposing relation and relatively pivotal about a common point between at least an open position and a closed position. A jaw control mechanism is associated with the housing portion, and includes at least one actuating member movably mounted in the housing portion. The actuation member has at least one gripping portion thereon such that an operator of the instrument can better manipulate the actuating member with a single hand. A linking member is pivotally connected to the actuating member and the inner rod member. A notch portion is disposed on the rod member such that when the actuating member is moved in relation to the housing portion in a first direction to a first position the engaging portion engages the notch, locking the jaws in a closed position. The surgical instrument also includes means for preventing the inner rod member from moving from the first position whereby coaxial reciprocating forces are created in the inner rod member when the locking means are moved to the first position.
摘要翻译： 根据本发明的实施例的外科器械包括：壳体部分和具有近端和远端的内窥镜部分，所述内窥镜部分包括一对同轴部件，所述同轴部件在近端附接到所述壳体部分。 内窥镜部分还包括可在外管构件内滑动的内杆构件。 内窥镜部分在远端处终止于相对的关系中设置的一对钳口构件，并且在至少打开位置和关闭位置之间的共同点相对枢转。 夹爪控制机构与壳体部分相关联，并且包括可移动地安装在壳体部分中的至少一个致动构件。 致动构件在其上具有至少一个把持部分，使得仪器的操作者可以用单手更好地操纵致动构件。 连接构件枢转地连接到致动构件和内杆构件。 凹口部分设置在杆构件上，使得当致动构件相对于壳体部分沿第一方向移动到第一位置时，接合部分接合凹口，将夹爪锁定在关闭位置。 手术器械还包括用于防止内杆构件从第一位置移动的装置，由此当锁定装置移动到第一位置时，在内杆构件中产生同轴的往复力。
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公开(公告)号：US5376101A
公开(公告)日：1994-12-27
申请号：US173904
申请日：1993-12-27
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
IPC分类号： A61B17/04 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0487 , A61B17/06 , A61B17/122 , A61B2017/045 , A61B2017/0454 , A61B2017/0464
摘要： A suture holding clip including legs each having a suture contacting surface. The legs can be closed to define an interface for holding a suture in a serpentine configuration. In another embodiment the suture holding clip is initially in a spider leg configuration with a spine and legs projecting from the spine and alternately angled to one or the other of two directions so as to define therebetween a lengthwise extending passage for the reception therethrough of a suture.
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公开(公告)号：US5522795A
公开(公告)日：1996-06-04
申请号：US7941
申请日：1993-01-25
申请人： David T. Green , H. Jonathan Tovey , Ian M. Scott , David A. Nicholas , Oleg Shikhman , William J. Francis
发明人： David T. Green , H. Jonathan Tovey , Ian M. Scott , David A. Nicholas , Oleg Shikhman , William J. Francis
CPC分类号： A61B10/04 , A61B17/00234 , A61B2017/320012 , A61B2017/320044 , A61F13/36
摘要： An endoscopic swab device comprising an elongated housing, a swab operatively associated with a distal end of the elongated housing and a connection member for connecting the swab relative to the housing and extending through the housing. A rotatable member is positioned on the housing to engage the connection member and further prevents separation of the swab from the housing. The tautness of the swab may be adjusted by rotating the rotatable member which positions the swab longitudinally relative to the elongated housing.
摘要翻译： 一种内窥镜拭子装置，包括细长壳体，与细长壳体的远端可操作地相关联的拭子和用于将拭子相对于壳体连接并延伸穿过壳体的连接构件。 可旋转构件定位在壳体上以接合连接构件，并且进一步防止拭子与壳体分离。 可以通过旋转使拭子相对于细长壳体纵向布置的可旋转构件来调节拭子的紧度。
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公开(公告)号：US20110282360A1
公开(公告)日：2011-11-17
申请号：US13191560
申请日：2011-07-27
IPC分类号： A61B19/00
CPC分类号： A61B19/2203 , A61B10/0233 , A61B17/0469 , A61B17/0491 , A61B17/062 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/1285 , A61B17/32053 , A61B17/3211 , A61B18/20 , A61B34/30 , A61B34/70 , A61B34/76 , A61B2017/0023 , A61B2017/00247 , A61B2017/00464 , A61B2017/00477 , A61B2017/00778 , A61B2017/06047 , A61B2017/0609 , A61B2018/00392 , A61B2034/305
摘要： Disposable loading units (DLUs) configured for mounting to a robotic arm for performing at least one surgical task are presented. Each DLU includes an attachment platform having at least one connector for engaging at least one connector on a distal end of the robotic arm for connecting the DLU to the robotic arm, a head portion connected to the attachment platform at one end and configured for housing an electromechanical actuation assembly therein, and at least one surgical tool member extending from the head portion and operatively associated with the electromechanical actuation assembly for controlling the operation and movement of the at least one surgical tool member. The at least one surgical tool member may include a cutting assembly, an aortic hole punch assembly, a lasing assembly, a coring assembly, or a vascular suturing assembly.
摘要翻译： 呈现配置用于安装到机器人手臂以执行至少一个手术任务的一次性装载单元（DLU）。 每个DLU包括具有至少一个连接器的附接平台，所述至少一个连接器用于接合机器人臂的远端上的至少一个连接器，用于将DLU连接到机器人手臂，头部部分在一端连接到附接平台并构造成用于容纳 机电致动组件，以及从头部部分延伸并与机电致动组件可操作地相关联的至少一个手术工具构件，用于控制至少一个手术工具构件的操作和移动。 所述至少一个手术工具构件可包括切割组件，主动脉孔冲孔组件，激光组件，取芯组件或血管缝合组件。
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公开(公告)号：US06280407B1
公开(公告)日：2001-08-28
申请号：US09521440
申请日：2000-03-07
申请人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranyi
发明人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranyi
IPC分类号： A61B1720
CPC分类号： A61B17/320092 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2948 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is spaced form the cutting surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.
摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可从其中组织接触表面从切割表面间隔开的打开位置移动到夹紧位置，在该夹紧位置中，组织接触表面与 切割表面以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。
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公开(公告)号：US6036667A
公开(公告)日：2000-03-14
申请号：US911207
申请日：1997-08-14
申请人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
发明人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
IPC分类号： A61B17/3201 , A61B17/28 , A61B17/32 , A61B18/00 , A61B17/20
CPC分类号： A61B17/320092 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2948 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is spaced form the cutting surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.
摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可从其中组织接触表面从切割表面间隔开的打开位置移动到夹紧位置，在该夹紧位置中，组织接触表面与 切割表面以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。
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9.发明授权Apparatus for applying surgical clips with improved jaw and closure mechanisms 失效用于用改进的颌和闭合机构应用手术夹具的装置
公开(公告)号：US5792150A
公开(公告)日：1998-08-11
申请号：US476607
申请日：1995-06-07
申请人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
发明人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
IPC分类号： A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure. The apparatus includes a ratchet mechanism for permitting incremental closure of a pair of jaw members. A slide member is associated with the ratchet mechanism to prevent a movable handle from opening during a closing stroke until the closing stroke is completed.
摘要翻译： 提供了一种用于施加外科夹具的装置，其包括在外科手术期间将部分闭合的夹子施加到管道或分流器的设备。 该装置包括用于允许一对钳口构件的增量关闭的棘轮机构。 滑动构件与棘轮机构相关联，以防止可动手柄在关闭行程期间打开，直到闭合行程完成。
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公开(公告)号：US5607450A
公开(公告)日：1997-03-04
申请号：US359625
申请日：1994-12-20
CPC分类号： A61B17/29 , A61B17/0218 , A61B18/1442 , A61B2017/292 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936
摘要： A surgical instrument is provided for use in endoscopic or laparoscopic surgery. The instrument includes a handle portion and an endoscopic portion. The endoscopic portion has an elongated tubular section having opposed proximal and distal ends, the proximal end of which extends from the handle portion, and an articulating section which is pivotally connected to the tubular section adjacent the distal end thereof. Tool means depend from the articulating section and a linkage mechanism is associated with the endoscopic portion for pivoting the articulating section relative to the longitudinal axis of the tubular section, within a 90.degree. sector of rotation. In addition, the instrument includes means for rotating the endoscopic portion about its longitudinal axis.
摘要翻译： 提供用于内窥镜或腹腔镜手术的手术器械。 仪器包括手柄部分和内窥镜部分。 内窥镜部分具有细长的管状部分，其具有相对的近端和远端，其近端从手柄部分延伸，以及铰接部分，其枢转地连接到邻近其远端的管状部分。 工具装置取决于铰接部分，并且联动机构与内窥镜部分相关联，用于在90°旋转区域内相对于管状部分的纵向轴线枢转关节部分。 此外，该仪器包括用于使内窥镜部分围绕其纵向轴线旋转的装置。
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