公开(公告)号：US06500189B1

公开(公告)日：2002-12-31

申请号：US09563755

申请日：2000-05-01

申请人： Dieter Lang ,  Uwe Bacher ,  Fridolin Anders

发明人： Dieter Lang ,  Uwe Bacher ,  Fridolin Anders

IPC分类号： A61B1732

CPC分类号： A61B17/1611 ,  A61B17/1688 ,  A61B2017/2902 ,  A61B2017/2904

摘要： A medical instrument for dissecting tissue in the human or animal body comprises a shaft. At least one movable tool is arranged at a distal end of the shaft. At least one movable grip element is arranged at a proximal end of the shaft. A force transmission element extends along the shaft, which force transmission element is movable relative to the latter and transmits thrust and/or tension forces and whose proximal end is non-positively joined to the at least one movable grip element and whose distal end is non-positively joined to the at least one movable tool. The shaft is further provided with a bend at at least one point between the distal end and the proximal end. The force transmission element is configured, at least in the region of the bend, as a flexible tubular element conforming to the bend, which is guided in contact with the shaft. According to a second variant, a flattened and flexible configuration is given to the force transmission element in the region of the bend, at least locally transversely to the plane of curvature of the bend, and the force transmission element extends continuously in axial direction, transversely to the plane of curvature, at least over the inner diameter of the shaft in the region of the bend.

摘要翻译： 用于解剖人或动物体中的组织的医疗器械包括轴。 至少一个可移动工具布置在轴的远端。 至少一个可动夹紧元件布置在轴的近端。 力传递元件沿着轴延伸，该力传递元件相对于该传动元件可移动，并且传递推力和/或张力，并且其近端与所述至少一个可动把手元件非正向接合，并且其远端不是 - 正向连接到所述至少一个可移动工具。 轴在远端和近端之间的至少一个点处进一步设置有弯曲部。 至少在弯曲区域中，力传递元件被构造为与弯曲部接触的引导件的柔性管状元件。 根据第二种变型，在弯曲区域中至少部分横向于弯曲曲面的局部向力传递元件施加平坦且柔性的构造，并且力传递元件在轴向方向上连续延伸 至少在弯曲区域内的轴的内径上。

公开(公告)号：US07229456B2

公开(公告)日：2007-06-12

申请号：US10196109

申请日：2002-07-16

申请人： Dieter Lang ,  Uwe Bacher ,  Fridolin Anders

发明人： Dieter Lang ,  Uwe Bacher ,  Fridolin Anders

IPC分类号： A61B17/32

CPC分类号： A61B17/1611 ,  A61B17/1688 ,  A61B2017/2902 ,  A61B2017/2904

摘要： A medical instrument for dissecting tissue in the human or animal body comprises a shaft. At least one movable tool is arranged at a distal end of the shaft. At least one movable grip element is arranged at a proximal end of the shaft. A force transmission element extends along the shaft, which force transmission element is movable relative to the latter and transmits thrust and/or tension forces and whose proximal end is non-positively joined to the at least one movable grip element and whose distal end is non-positively joined to the at least one movable tool. The shaft is further provided with a bend at least one point between the distal end and the proximal end. The force transmission element is configured, at least in the region of the bend, as a flexible tubular element conforming to the bend, which is guided in contact with the shaft. According to a second variant, a flattened and flexible configuration is given to the force transmission element in the region of the bend, at least locally transversely to the plane of curvature of the bend, and the force transmission element extends continuously in axial direction, transversely to the plane of curvature, at least over the inner diameter of the shaft in the region of the bend.

摘要翻译： 用于解剖人或动物体中的组织的医疗器械包括轴。 至少一个可移动工具布置在轴的远端。 至少一个可动夹紧元件布置在轴的近端。 力传递元件沿着轴延伸，该力传递元件相对于该传动元件可移动，并且传递推力和/或张力，并且其近端与所述至少一个可动把手元件非正向接合，并且其远端不是 - 正向连接到所述至少一个可移动工具。 轴还在远端和近端之间至少有一个点设有弯曲部。 至少在弯曲区域中，力传递元件被构造为与弯曲部接触的引导件的柔性管状元件。 根据第二种变型，在弯曲区域中至少部分横向于弯曲曲面的局部向力传递元件施加平坦且柔性的构造，并且力传递元件在轴向方向上连续延伸 至少在弯曲区域内的轴的内径上。

公开(公告)号：US06419688B1

公开(公告)日：2002-07-16

申请号：US09631194

申请日：2000-08-02

申请人： Uwe Bacher ,  Fridolin Anders

发明人： Uwe Bacher ,  Fridolin Anders

IPC分类号： A61B1728

CPC分类号： A61B17/295 ,  A61B90/70 ,  A61B2017/2902 ,  A61B2017/2904 ,  A61B2090/0813 ,  A61B2217/005 ,  A61B2217/007

摘要： A medical tubular-shaft instrument has an elongated tubular shaft, at least one movable tool at the distal end, furthermore at least one movable grip element at the proximal end, and lastly an elongated force transmitting element. A distal end of the force transmitting element is operatively connected to the at least one tool and a proximal end of the force transmitting element to the at least one movable grip element. The force transmitting element extends through the tubular shaft. The force transmitting element, at least in its region extending through the tubular shaft and at least locally, reaches radially at at least three circumferential points as far as an inner wall of the tubular shaft and between the three circumferential points has a clearance from the inner wall, and in its remaining segments extending through the tubular shaft has a clearance from the inner wall at least over part of its circumference.

摘要翻译： 医疗管状轴乐器具有细长的管状轴，在远端处的至少一个可移动工具，以及在近端处的至少一个可移动抓握元件，以及最后是细长的力传递元件。 力传递元件的远端可操作地连接到所述至少一个工具，并且所述力传递元件的近端到达所述至少一个可移动抓握元件。 力传递元件延伸穿过管状轴。 至少在其区域中延伸穿过管状轴并且至少局部的力传递元件在至少三个周向点处径向到达管状轴的内壁并且在三个圆周点之间具有与内部的间隙 并且在其延伸穿过管状轴的其余部分中，至少在其圆周的至少一部分上具有与内壁的间隙。

公开(公告)号：US09433342B2

公开(公告)日：2016-09-06

申请号：US13312477

申请日：2011-12-06

申请人： Silvana Perretta ,  Bernard Dallemagne ,  Uwe Bacher ,  Sabine Zahler ,  Sebastian Wagner

发明人： Silvana Perretta ,  Bernard Dallemagne ,  Uwe Bacher ,  Sabine Zahler ,  Sebastian Wagner

IPC分类号： A61B1/04 ,  A61B1/018 ,  A61B1/005 ,  A61B1/00 ,  A61B17/062 ,  A61B17/00 ,  A61B17/29

CPC分类号： A61B1/018 ,  A61B1/005 ,  A61B17/062 ,  A61B2017/00296 ,  A61B2017/00305 ,  A61B2017/2919

摘要： An endoscopic instrument system for performing endoscopic interventions via a natural access path, including a flexible endoscope with an endoscope handle and an elongate endoscope shaft introducible into a hollow space in a body, wherein the endoscope shaft includes a steerable end section and at least one instrument channel, and also includes an endoscopic instrument with a handle, an elongate instrument shaft and a tool which can be actuated by a pull and/or push element arranged within the instrument shaft and connected to the handle and to the tool, wherein the endoscopic instrument can be introduced into the instrument channel for conducting manipulations in the hollow space in the body, and wherein the instrument shaft includes a continuous flexible tube that is connected, such that it is rotationally fixed, to the handle and to the tool with respect to a longitudinal direction of the tube.

摘要翻译： 一种用于通过自然进入路径进行内窥镜干预的内窥镜仪器系统，包括具有内窥镜手柄的柔性内窥镜和可导入体内的中空空间的细长内窥镜轴，其中所述内窥镜轴包括可转向端部和至少一个仪器 并且还包括具有手柄的内窥镜器械，细长器械轴和可由设置在器械轴内并连接到手柄和工具的拉动和/或推动元件致动的工具，其中内窥镜器械 可以引入到仪器通道中以在体内的中空空间中进行操纵，并且其中仪器轴包括连续的柔性管，连续的柔性管相对于一个连接的柔性管被连接到手柄和工具上 管的纵向。

公开(公告)号：US09017369B2

公开(公告)日：2015-04-28

申请号：US11840486

申请日：2007-08-17

申请人： Uwe Renger ,  Martin Blocher ,  Uwe Bacher

发明人： Uwe Renger ,  Martin Blocher ,  Uwe Bacher

IPC分类号： A61B17/00 ,  A61B17/29

CPC分类号： A61B17/29 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/2919 ,  A61B2017/292

摘要： The invention relates to a tubular medical instrument having a hollow shaft, a handle positioned on the proximal end of the shaft and equipped with at least two gripping members, and at least one push-pull rod that is positioned in the hollow shaft and has on its distal end a tool consisting of at least two jaw members, wherein for opening and closing at least one jaw member of the tool, the push-pull rod can be coupled with at least one rotatable gripping member of the handle and wherein the push-pull rod and the handle can be detachably connected to one another by a coupling mechanism that is configured as at least one clamping device comprising at least one clamping claw characterized in that the at least one clamping claw can rotate in a guide track mounted between a closed position and an open installation position. To create a coupling mechanism that is easy to handle, it is proposed according to the invention that the at least one clamping claw is mounted in a guide track so that it can rotate between a closed clamping position and an open installation position.

摘要翻译： 本发明涉及一种具有中空轴的管状医疗器械，位于轴的近端上的手柄，并配备有至少两个夹紧构件，以及至少一个推拉杆，其位于空心轴中并具有 其远端是由至少两个钳口构件组成的工具，其中用于打开和关闭工具的至少一个钳口构件，推拉杆可与手柄的至少一个可旋转夹持构件联接， 拉杆并且手柄可以通过联接机构可拆卸地彼此连接，所述联接机构构造成至少一个夹紧装置，该至少一个夹紧装置包括至少一个夹紧爪，其特征在于，所述至少一个夹爪可以安装在封闭的 位置和开放的安装位置。 为了创建易于处理的联接机构，根据本发明提出，至少一个夹爪安装在导轨中，使得其可以在闭合的夹紧位置和开放的安装位置之间旋转。

公开(公告)号：US08882750B2

公开(公告)日：2014-11-11

申请号：US13444578

申请日：2012-04-11

申请人： Jochen Stefan ,  Daniel Kaercher ,  Uwe Bacher

发明人： Jochen Stefan ,  Daniel Kaercher ,  Uwe Bacher

IPC分类号： A61B17/00 ,  A61B17/29

CPC分类号： A61B17/29 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/2929 ,  A61B2017/2931 ,  A61B2017/2939 ,  A61B2017/294 ,  A61B2017/2945

摘要： A tool, which is detachably coupleable with a shaft for a micro-invasive surgical instrument, includes an articulated device on which a jaw member or other active device is affixed, a connecting component that is rotatably connected with the articulated device and that includes a coupling device for detachable coupling with a distal end of a shaft, a transmission rod to transmit at least either a force or torque from one proximal end of a shaft detachably coupled with the tool to the jaw member or other active device, and a locking device that is coupled with the transmission rod in such a way that the locking device can be rotated with respect to the transmission rod but not slid axially, so that the locking device is mounted in the connecting component in such a way that it can be axially slid but not rotated in relation to the connecting component.

摘要翻译： 可拆卸地与用于微创手术器械的轴联接的工具包括铰接装置，其上固定有钳口构件或其他有源装置，连接部件，其与铰接装置可旋转地连接，并且包括联接器 用于与轴的远端可分离联接的装置，传动杆，用于将至少一个力或扭矩传递到与工具可拆卸地联接到颚构件或其它有源装置的轴的一个近端;以及锁定装置， 与传动杆联接，使得锁定装置可以相对于传动杆旋转但不能轴向滑动，使得锁定装置以可以轴向滑动的方式安装在连接部件中，但是 不相对于连接部件旋转。

公开(公告)号：US20130150792A1

公开(公告)日：2013-06-13

申请号：US13714137

申请日：2012-12-13

申请人： Jose Ramon Alonso ,  Uwe Bacher ,  Martin Oberlaender ,  Michael Sauer ,  Sebastian Wagner

发明人： Jose Ramon Alonso ,  Uwe Bacher ,  Martin Oberlaender ,  Michael Sauer ,  Sebastian Wagner

IPC分类号： A61B17/34

CPC分类号： A61B17/3417 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/00862 ,  A61M39/0247 ,  A61M39/06 ,  A61M2039/0626 ,  A61M2039/0633 ,  A61M2039/064 ,  A61M2039/0686

摘要： A sealing means for sealing an introduction facility for a medical instrument includes a first sealing membrane of an elastic material with a first slit and a second sealing membrane of an elastic material with a second slit. The first sealing membrane and the second sealing membrane abut laminarily on each other. The first sealing membrane and the second sealing membrane are arranged such that the first slit and the second slit are not parallel with each other. Each of the first slit and the second slit is unbranched.

摘要翻译： 用于密封用于医疗器械的引入设备的密封装置包括具有第一狭缝的弹性材料的第一密封膜和具有第二狭缝的弹性材料的第二密封膜。 第一密封膜和第二密封膜彼此层叠。 第一密封膜和第二密封膜被布置成使得第一狭缝和第二狭缝彼此不平行。 第一狭缝和第二狭缝中的每一个都是未分支的。

公开(公告)号：US08449530B2

公开(公告)日：2013-05-28

申请号：US12415110

申请日：2009-03-31

申请人： Uwe Bacher ,  Egon Deufel ,  Sabine Zahler

发明人： Uwe Bacher ,  Egon Deufel ,  Sabine Zahler

IPC分类号： A61B17/00

CPC分类号： A61B17/2909 ,  A61B2017/003 ,  A61B2017/2902 ,  A61B2017/2911 ,  A61B2017/292 ,  A61B2017/2925 ,  A61B2017/2931 ,  A61B2017/2939 ,  A61B2017/2946

摘要： A medical instrument comprises a shaft whose distal end is bendable. Arranged at the proximal end of the shaft there is a handle on which a bend control mechanism for controlling the bending movement is arranged. The bend control mechanism has a pivotable control element. The pivotable control element runs over a friction element, and an actuating element is provided via which the friction element can be brought out of a locking engagement with the control element.

摘要翻译： 医疗器械包括其远端可弯曲的轴。 在轴的近端处布置有手柄，在该手柄上布置有用于控制弯曲运动的弯曲控制机构。 弯曲控制机构具有可枢转的控制元件。 可枢转控制元件在摩擦元件上方延伸，并且提供致动元件，通过该致动元件可以使摩擦元件脱离与控制元件的锁定接合。

公开(公告)号：US08398620B2

公开(公告)日：2013-03-19

申请号：US12762090

申请日：2010-04-16

申请人： Uwe Bacher ,  Sabine Summerer

发明人： Uwe Bacher ,  Sabine Summerer

IPC分类号： A61B17/00

CPC分类号： A61B17/2833 ,  A61B17/29 ,  A61B17/2909 ,  A61B2017/003 ,  A61B2017/2837 ,  A61B2017/2911 ,  A61B2017/2946

摘要： A medical instrument comprises a shaft, a handle connected to said shaft and having a movable gripping part. An insert is guided along said shaft and connected to said movable part at its proximal end. A tool is provided at a distal end of said insert. A lock is provided for locking said movable grip part in a position. A detent is provided for releasing said locking of said lock. A rotatable stopping member is arranged on said movable grip part. A rotational plane of said rotatable stopping member lying across a longitudinal axis of a movement direction of said movable grip part. Said rotatable stopping member can be rotated between a first position not influencing said locking function of said lock and a second position keeping said lock permanently away from said locking engagement.

摘要翻译： 医疗器械包括轴，与所述轴连接并具有可动夹持部的手柄。 插入件沿着所述轴被引导并且在其近端处连接到所述可移动部分。 在所述刀片的远端设置刀具。 提供一种用于将所述可动把手部分锁定在一个位置上的锁。 设置有用于释放所述锁的所述锁定的制动器。 可旋转止动构件布置在所述可动把手部分上。 所述可旋转止动构件的旋转平面横跨所述可动把手部分的移动方向的纵向轴线。 所述可旋转止动构件可以在不影响所述锁的所述锁定功能的第一位置与保持所述锁永久地远离所述锁定接合的第二位置之间旋转。

公开(公告)号：US08231622B2

公开(公告)日：2012-07-31

申请号：US12847551

申请日：2010-07-30

申请人： Uwe Bacher ,  Rainer Hermle

发明人： Uwe Bacher ,  Rainer Hermle

IPC分类号： A61B18/14

CPC分类号： A61B18/1482 ,  A61B2218/007 ,  A61M1/0047 ,  A61M1/0058

摘要： The invention relates to a bipolar coagulation instrument having a hollow shaft configured as a suction and/or flushing tube and having two electrodes that are electrically insulated with respect to one another and extend beyond the distal end of the shaft. To provide a bipolar coagulation instrument that is both of simple structure and ensures an effective suction/flushing capacity, it is proposed with the invention that the hollow shaft should consist of two electrically conductive tubes coaxially mounted on one another that are electrically insulated with respect to one another and from the outside, so that the tubes constitute the electrodes.

摘要翻译： 本发明涉及一种具有构造成抽吸和/或冲洗管并具有相对于彼此电绝缘并延伸超过轴的远端的两个电极的中空轴的双极凝结仪器。 为了提供一种结构简单并确保有效的吸入/冲洗能力的双极凝结仪器，本发明提出，空心轴应由彼此同轴安装的两个导电管组成，它们相对于 彼此并且从外部，使得管构成电极。