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公开(公告)号：US5755732A
公开(公告)日：1998-05-26
申请号：US799753
申请日：1997-02-11
CPC分类号： A61B17/0218 , A61B17/025 , A61B17/320016 , A61B17/3496 , A61B2017/00261 , A61B2017/0256 , A61B2017/2902 , A61B2017/2931 , A61B2017/2932 , A61B2017/2933 , A61B2017/2937 , A61B2017/2943 , A61B2017/2946
摘要： The present invention provides endoscopic instrumentation and surgical techniques especially useful for accessing and removing at least a portion of an intervertebral disc. Instrumentation includes tissue spreaders and cutting instruments. In particular, the tissue spreading instruments include instruments for spreading pre-sacral tissue such as fascia and for spreading adjacent vertebrae to facilitate access to the intervertebral disc. Endoscopic cutting instruments deliver a cutting blade in a sheathed position to the site of the disc nucleus followed by deployment to remove portions of the disc nucleus.
摘要翻译： 本发明提供了对于访问和去除椎间盘的至少一部分特别有用的内窥镜仪器和外科技术。 仪器包括组织撒布机和切割工具。 特别地，组织扩张仪器包括用于传播诸如筋膜的前骶骨组织和用于扩展相邻椎骨以便于进入椎间盘的器械。 内窥镜切割仪器将护套位置的切割刀片提供到椎间盘细胞核的位置，然后部署以去除椎间盘核的部分。
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公开(公告)号：US5620458A
公开(公告)日：1997-04-15
申请号：US213963
申请日：1994-03-16
CPC分类号： A61B17/0218 , A61B17/025 , A61B17/320016 , A61B17/3496 , A61B2017/00261 , A61B2017/0256 , A61B2017/2902 , A61B2017/2931 , A61B2017/2932 , A61B2017/2933 , A61B2017/2937 , A61B2017/2943 , A61B2017/2946
摘要： The present invention provides endoscopic instrumentation and surgical techniques especially useful for accessing and removing at least a portion of an intervertebral disc. Instrumentation includes tissue spreaders and cutting instruments. In particular, the tissue spreading instruments include instruments for spreading pre-sacral tissue such as fascia and for spreading adjacent vertebrae to facilitate access to the intervertebral disc. Endoscopic cutting instruments deliver a cutting blade in a sheathed position to the site of the disc nucleus followed by deployment to remove portions of the disc nucleus.
摘要翻译： 本发明提供了对于访问和去除椎间盘的至少一部分特别有用的内窥镜仪器和外科技术。 仪器包括组织撒布机和切割工具。 特别地，组织扩张仪器包括用于传播诸如筋膜的前骶骨组织和用于扩展相邻椎骨以便于进入椎间盘的器械。 内窥镜切割仪器将护套位置的切割刀片提供到椎间盘细胞核的位置，然后部署以去除椎间盘核的部分。
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公开(公告)号：US5599279A
公开(公告)日：1997-02-04
申请号：US593191
申请日：1996-01-29
申请人： Gus J. Slotman , Sherman Stein , David T. Green , Salvatore Castro , Carlo A. Mililli , Keith Ratcliff
发明人： Gus J. Slotman , Sherman Stein , David T. Green , Salvatore Castro , Carlo A. Mililli , Keith Ratcliff
CPC分类号： A61B17/025 , A61B2017/00261 , A61B2017/0256 , A61B2017/2936 , A61B2017/2943 , A61B2017/2944 , A61F2/442 , A61F2/4455 , A61F2002/4635
摘要： The present invention provides endoscopic instrumentation and surgical techniques especially useful for accessing at least a portion of an intervertebral disc. Vertebrae spreading instruments are provided for spreading adjacent vertebrae to facilitate access to the intervertebral disc are. The disclosed surgical method uses an anterior approach to access the intervertebral disc and spreads adjacent vertebrae utilizing an endoscopic vertebrae spreading instrument.
摘要翻译： 本发明提供了特别适用于进入椎间盘的至少一部分的内窥镜检查仪器和手术技术。 提供椎骨扩张器械用于扩展邻近的椎骨以便于进入椎间盘。 所公开的手术方法使用前路进入椎间盘并利用内窥镜脊椎传播器传播邻近的椎骨。
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公开(公告)号：US5697889A
公开(公告)日：1997-12-16
申请号：US435511
申请日：1995-05-05
申请人： Gus J. Slotman , Sherman Stein , David T. Green , Salvatore Castro , Carlo A. Mililli , Keith Ratcliff
发明人： Gus J. Slotman , Sherman Stein , David T. Green , Salvatore Castro , Carlo A. Mililli , Keith Ratcliff
CPC分类号： A61B17/025 , A61B2017/00261 , A61B2017/0256 , A61B2017/2936 , A61B2017/2943 , A61B2017/2944 , A61F2/442 , A61F2/4455 , A61F2002/4635
摘要： The present invention provides endoscopic instrumentation and surgical techniques especially useful for accessing at least a portion of an intervertebral disc. Vertebrae spreading instruments are provided for spreading adjacent vertebrae to facilitate access to the intervertebral disc are. The disclosed surgical method uses an anterior approach to access the intervertebral disc and spreads adjacent vertebrae utilizing an endoscopic vertebrae spreading instrument.
摘要翻译： 本发明提供了特别适用于进入椎间盘的至少一部分的内窥镜检查仪器和手术技术。 提供椎骨扩张器械用于扩展相邻的椎骨以便于进入椎间盘。 所公开的手术方法使用前路进入椎间盘并利用内窥镜脊椎传播器传播邻近的椎骨。
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公开(公告)号：US5549617A
公开(公告)日：1996-08-27
申请号：US392295
申请日：1995-02-21
CPC分类号： A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61F2/0036 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30 , A61F2/0045 , Y10T24/3973 , Y10T24/3996
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence are provided. The apparatus include an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the operative length of the suture, an articulating apparatus for applying the anchoring device during an endoscopic or laparoscopic procedure, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced.
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公开(公告)号：US5431322A
公开(公告)日：1995-07-11
申请号：US146804
申请日：1993-11-02
申请人： David T. Green , Henry Bolanos , Keith Ratcliff , Jeffrey J. Blewett , Randolph F. Lehn , Charles R. Sherts , Graham W. Bryan , Salvatore Castro , Gary S. Kappel
发明人： David T. Green , Henry Bolanos , Keith Ratcliff , Jeffrey J. Blewett , Randolph F. Lehn , Charles R. Sherts , Graham W. Bryan , Salvatore Castro , Gary S. Kappel
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes an anvil member and a surgical fastener cartridge member mounted to the distal end of an elongated endoscopic portion. A tubular collar of the endoscopic portion moves distally to engage the anvil member and bias the anvil member and the cartridge member into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and the cartridge member. A self contained pneumatic system is disposed in the surgical apparatus and is actuable to eject and/or form the surgical fasteners in the clamped body tissue. The apparatus further comprises a locking mechanism for preventing firing of the instrument after it has been fired a predetermined number of times. A counter for displaying the number of times the apparatus has been fired may be provided. A firing interlock is also shown which prevents accidental actuation of the firing trigger. A clamping interlock is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument.
摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括安装到细长内窥镜部分的远端的砧构件和手术紧固件仓构件。 内窥镜部分的管状颈部向远侧移动以接合砧座构件并将砧座构件和暗盒构件偏压成协调对准，从而将要紧固的身体组织夹紧在砧座构件和筒构件之间。 自包含气动系统设置在手术设备中并且可致动以在夹持的身体组织中弹出和/或形成外科紧固件。 该设备还包括一个锁定机构，用于防止仪器在其被点火预定次数之后发射。 可以提供用于显示设备被触发次数的计数器。 还示出了防止触发触发器的意外致动的触发互锁。 示出了夹紧互锁，其防止当钳口不对准或不适当地插入仪器时近似钳口。
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公开(公告)号：US5562689A
公开(公告)日：1996-10-08
申请号：US385524
申请日：1995-02-08
申请人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo , Dragomir C. Marinkovich
发明人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo , Dragomir C. Marinkovich
CPC分类号： A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61F2/0036 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30 , A61F2/0045 , Y10T24/3973 , Y10T24/3996
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence are provided. The apparatus include an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the operative length of the suture, an articulating apparatus for applying the anchoring device during an endoscopic or laparoscopic procedure, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced.
摘要翻译： 提供了用于升高，近似和/或限制内部器官或结构，更特别地用于治疗女性尿失禁的方法和装置。 该装置包括锚定装置，其具有在其每个端部处具有锚固件的细长缝合线和其间的紧固构件，用于调节缝合线的操作长度，用于在内窥镜或腹腔镜手术期间施加锚定装置的关节运动装置，以及用于 在缝合物被放置后相对于收紧构件绘制缝合线。
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公开(公告)号：US5569283A
公开(公告)日：1996-10-29
申请号：US412599
申请日：1995-03-29
CPC分类号： A61B17/320036 , A61B17/3417 , A61B2017/320044 , A61B2090/373
摘要： A surgical cutting instrument for performing endoscopic procedures such as carpal tunnel release. The cutting instrument consists of a tubular sheath or obturator constructed of a transparent material which is connected to a handle which includes means for securing a viewing instrument such as an endoscope thereto. A cutting blade is moved from a first protected or enclosed position to a second armed position, where only the blade edge is exposed at an opening in the obturator.
摘要翻译： 一种外科手术切割器械，用于执行腕管释放等内镜手术。 该切割仪器包括由透明材料构成的管状护套或闭塞器，该透明材料连接到手柄，该手柄包括用于固定诸如内窥镜的观察器具的装置。 切割刀片从第一受保护或封闭位置移动到第二布置位置，其中只有叶片边缘在封闭器的开口处露出。
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公开(公告)号：US5507754A
公开(公告)日：1996-04-16
申请号：US109779
申请日：1993-08-20
CPC分类号： A61F2/0036 , A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence is provided. The invention includes an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the length of the suture, an apparatus for applying the anchoring device, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced. The method involves securing a first anchor to a first structure, such as the vaginal wall, securing a second anchor to a second structure, such as Cooper's ligament, and drawing the suture relative to the cinching member to approximate the first and second anchors, and thereby move the first structure and the second structure into juxtaposition so as to approximate them.
摘要翻译： 提供了用于升高，近似和/或限制内部器官或结构，更特别地用于治疗女性尿失禁的方法和装置。 本发明包括一种锚定装置，其具有在其每个端部处具有锚固件的细长缝合线和其间用于调节缝合线的长度的紧固构件，用于施加锚定装置的装置以及用于相对于收紧构件拉伸缝合线的装置 在它被放置之后。 该方法包括将第一锚固件固定到第一结构，例如阴道壁，将第二锚固件固定到第二结构（例如库珀氏韧带），并且相对于收紧构件拉紧缝合线以近似第一和第二锚固件，以及 从而将第一结构和第二结构移动到并置以便近似它们。
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公开(公告)号：US5913870A
公开(公告)日：1999-06-22
申请号：US696410
申请日：1996-08-13
CPC分类号： A61B17/00008 , A61B2017/00278 , A61B2017/320048 , A61B2017/3445
摘要： A method for percutaneous dissection of a segment of vascular tissue from a patient is provided which includes providing an elongated tubular member having a proximal end and a distal end, and blunt dissection structure positioned adjacent the distal end of the tubular member and remotely actuable from adjacent the proximal end of the tubular member. The method further provides for percutaneously accessing a first end portion of the vascular tissue segment, the blunt dissection structure is positioned adjacent the vascular tissue segment and is actuated to bluntly dissect the vascular tissue segment from surrounding body tissue.
摘要翻译： 提供了一种用于经皮切开患者血管组织段的方法，其包括提供具有近端和远端的细长管状构件，以及邻近所述管状构件的远端定位并且可从邻近的远端致动的钝性解剖结构 管状构件的近端。 该方法进一步提供经皮进入血管组织段的第一端部分，钝性解剖结构定位在血管组织段附近，并被致动以使血管组织段从周围的身体组织钝性切除。
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