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    Surgical cutting instrument
    1.
    发明授权
    Surgical cutting instrument 失效
    手术切割仪器

    公开(公告)号：US5275609A

    公开(公告)日：1994-01-04

    申请号：US790583

    申请日：1991-11-08

    Applicant: Edward D. Pingleton ,  Paul G. Thomson

    Inventor： Edward D. Pingleton ,  Paul G. Thomson

    IPC: A61B17/32 ,  A61M1/00 ,  A61B17/39

    CPC classification number: A61B17/32002 ,  A61B2217/005

    Abstract: A surgical cutting instrument is disclosed for percutaneously debulking tissue through an access sheath commonly used in minimally invasive laparoscopic or endoscopic surgical procedures. The cutting instrument includes a inner rotary member tube having a cutting edge at the distal end thereof for cutting and slicing tissue. The outside surface of the rotary inner cutting member tube and outer sheath annularly close about the distal ends thereof for preventing perforation of the surgical tissue bag in which the tissue is contained. The inner cutting member tube includes a hollow passageway for suctioning and aspirating tissue and fluid through the tube and into a collection chamber or out through a vacuum or suction line attached thereto. Vacuum or suction control ports are included at the proximal end of the inner cutting member tube and stationary sheath for also controlling the amount of vacuum or suction applied to the tissue. The surgical cutting instrument includes a control handle for grasping by the physician. A collection chamber is connected to a coupler connected to the stationary sheath for collecting tissue therein. The inner cutting member tube extends through the collection chamber to a drive motor or to a remotely positioned rotary drive mechanism. A vacuum line is attached to the collection chamber for drawing tissue and fluid through the inner cutting member tube and into the collection chamber.

    Abstract translation: 公开了一种通过通常用于微创腹腔镜或内窥镜外科手术的通路鞘的经皮减压组织的外科切割仪器。 该切割器具包括内部旋转构件管，该内部旋转构件管在其远端具有切割和切割组织的切割边缘。 旋转内切割构件管和外护套的外表面围绕其远端环形地闭合，用于防止其中容纳组织的外科组织袋的穿孔。 内切割构件管包括中空通道，用于抽吸和抽吸组织和流体通过管并进入收集室或通过附接到其的真空或吸入管线流出。 内切割构件管和固定护套的近端处包括真空或抽吸控制口，用于还控制施加到组织上的真空量或抽吸量。 外科切割仪器包括用于由医生掌握的控制手柄。 收集室连接到连接到固定护套的耦合器，用于在其中收集组织。 内切割构件管延伸通过收集室到驱动马达或远程定位的旋转驱动机构。 真空管线附接到收集室，用于将组织和流体通过内切割构件管并进入收集室。

    Rotational surgical instrument handle
    2.
    发明授权
    Rotational surgical instrument handle 失效
    旋转手术器械手柄

    公开(公告)号：US5338317A

    公开(公告)日：1994-08-16

    申请号：US695297

    申请日：1991-05-03

    Applicant: Harrith M. Hasson ,  Edward D. Pingleton ,  Paul G. Thomson

    Inventor： Harrith M. Hasson ,  Edward D. Pingleton ,  Paul G. Thomson

    IPC: A61B17/3211 ,  A61B17/28

    CPC classification number: A61B17/2909

    Abstract: A rotational surgical instrument including a working head connected to a rotatable, pencil-like handle. The handle includes a casing with distal and proximal end caps, an elongated outer member extending into the casing, and a actuation link extending from the distal end cap through the casing and elongated member to the working head. An actuating mechanism is positioned distally from the distal end cap about the proximal portion of the elongated member for slidably actuating the working head between and open and closed positions. A compression spring is included in the passageway of the casing around the actuation link between the proximal end cap and the proximal end of the elongated member to return the working head to the nonactuated position. Keyed surfaces are included within the passageway of the casing and attached to the distal end of the casing and the proximal end of the elongated member for preventing rotation of the elongated member with respect to the casing and actuation link. A spring is also positioned between the distal end cap and the actuating mechanism for varying the combined tension of the two springs for operating the handle. The variable tension spring is varied by rotating a knob of the actuating mechanism which adjusts the distance from the distal end cap.

    Abstract translation: 一种旋转手术器械，包括连接到可旋转的铅笔状手柄的工作头。 手柄包括具有远端和近端盖的壳体，延伸到壳体中的细长外部构件以及从远端帽通过壳体和细长构件延伸到工作头的致动连杆。 致动机构围绕远端帽远离远端帽定位在细长构件的近端部分上，用于在工作头之间滑动地启动和打开和关闭位置。 压缩弹簧包括在壳体的通道周围围绕细长构件的近端盖和近端之间的致动连​​杆上，以将工作头返回到非活动位置。 键合表面包括在壳体的通道内并且附接到壳体的远端和细长构件的近端，用于防止细长构件相对于壳体和致动连杆的旋转。 弹簧还位于远端盖和致动机构之间，用于改变用于操作手柄的两个弹簧的组合张力。 通过旋转致动机构的旋钮来调整与远端帽的距离，可变张力弹簧是变化的。

    Percutaneously insertable, needle-sized tissue retractor and system
    3.
    发明授权
    Percutaneously insertable, needle-sized tissue retractor and system 失效
    经皮插入，针状组织牵开器和系统

    公开(公告)号：US5312432A

    公开(公告)日：1994-05-17

    申请号：US877644

    申请日：1992-05-01

    Applicant: Edward D. Pingleton ,  Paul G. Thomson

    Inventor： Edward D. Pingleton ,  Paul G. Thomson

    IPC: A61B17/34 ,  A61B17/02 ,  A61B17/32 ,  A61B19/00 ,  A61B17/00

    CPC classification number: A61B17/320016 ,  A61B17/0218 ,  A61B90/50

    Abstract: A percutaneously insertable, needle-sized retractor and system for grasping and retracting tissue in a cavity of a patient. The system comprises a needle-sized trocar sheath having an outside diameter in a range from 10 to 22 gauge, a pointed distal end stylet insertable into the trocar sheath, and a tissue-grasping retractor also insertable through the trocar sheath. The stylet is inserted through the trocar sheath with the pointed distal end extending therefrom. The trocar sheath and stylet are then inserted through a patient's skin and subtending tissue and organs into a desired cavity. When the trocar sheath is inserted, the stylet is removed and the tissue grasping retractor inserted through the sheath and into the cavity. A retaining cap at the proximal end of the sheath fixedly positions the retractor with respect to the trocar sheath while a retention flange positioned around the outside surface of the sheath fixedly positions the sheath with respect to the patient. Thus, the tissue grasping retractor and system grasps and retracts tissue during a minimally invasive procedure with minimal trauma to the patient.

    Abstract translation: 一种经皮可插入的针状收缩器和用于在患者的空腔中抓住和缩回组织的系统。 该系统包括具有10至22号范围外径的针状套管针护套，可插入套管针鞘中的尖头远端探针和可插入穿过套管针鞘的组织夹紧牵开器。 探针插入套管针鞘中，其尖端远端从其延伸。 然后将套管针鞘和探针插入患者的皮肤并将组织和器官对准成所需的腔。 套管针鞘插入时，取出探针并将组织夹紧器从护套插入腔内。 在鞘的近端处的保持帽将牵开器相对于套管针护套固定地定位，而围绕护套的外表面定位的保持凸缘相对于患者固定地定位护套。 因此，组织抓取牵开器和系统在微创手术中抓住和缩回组织，同时对患者的创伤最小。

    Surgical cutting instrument
    4.
    发明授权
    Surgical cutting instrument 失效
    手术切割仪器

    公开(公告)号：US5290303A

    公开(公告)日：1994-03-01

    申请号：US942134

    申请日：1992-09-08

    Applicant: Edward D. Pingleton ,  Paul G. Thomson

    Inventor： Edward D. Pingleton ,  Paul G. Thomson

    IPC: A61B17/3201 ,  A61B17/32 ,  A61M1/00 ,  A61B17/20

    CPC classification number: A61B17/32002 ,  A61B2217/005

    Abstract: A surgical cutting instrument is disclosed for percutaneously debulking tissue through an access sheath commonly used in minimally invasive laparoscopic or endoscopic surgical procedures. The cutting instrument includes a inner rotary member tube having a cutting edge at the distal end thereof for cutting and slicing tissue. The distal end of the cutting member tube extends from the distal end of a stationary sheath which prevents tissue from wrapping around the inner cutting member tube. The inner cutting member tube includes a hollow passageway for suctioning and aspirating tissue and fluid through the tube and into a collection chamber or out through a vacuum or suction line attached thereto. The instrument further includes an outer safety shield having a rounded distal end for preventing the puncture of a surgical tissue bag or from unintentionally cutting tissue by the attending physician. The outer shield has a channel across the distal end through the hollow passageway therein for feeding tissue into the cutting edge and controlling the vacuum applied to the tissue. Vacuum or suction control ports are included at the proximal end of the inner cutting member tube and stationary sheath for also controlling the amount of vacuum or suction applied to the tissue. The surgical cutting instrument includes a control handle for grasping by the physician. A removable collection chamber is connected to a coupler connected to the stationary sheath for collecting tissue therein. The inner cutting member tube extends through the collection chamber to a drive motor or to a remotely positioned rotary drive mechanism. A vacuum line is attached to the collection chamber for drawing tissue and fluid through the inner cutting member tube and into the collection chamber.

    Abstract translation: 公开了一种通过通常用于微创腹腔镜或内窥镜外科手术的通路鞘的经皮减压组织的外科切割仪器。 该切割器具包括内部旋转构件管，该内部旋转构件管在其远端具有切割和切割组织的切割边缘。 切割构件管的远端从固定护套的远端延伸，防止组织围绕内切割构件管缠绕。 内切割构件管包括中空通道，用于抽吸和抽吸组织和流体通过管并进入收集室或通过附接到其的真空或吸入管线流出。 仪器还包括具有圆形远端的外部安全护罩，用于防止外科组织袋的穿刺或由主治医师无意地切割组织。 外屏蔽件通过其中的中空通道穿过远端的通道，用于将组织输送到切割边缘并控制施加到组织上的真空。 内切割构件管和固定护套的近端处包括真空或抽吸控制口，用于还控制施加到组织上的真空量或抽吸量。 外科切割仪器包括用于由医生掌握的控制手柄。 可拆卸的收集室连接到连接到固定护套的耦合器，用于在其中收集纸巾。 内切割构件管延伸通过收集室到驱动马达或远程定位的旋转驱动机构。 真空管线附接到收集室，用于将组织和流体通过内切割构件管并进入收集室。

    Rotational surgical instrument handle
    5.
    发明授权
    Rotational surgical instrument handle 失效

    公开(公告)号：US5192299A

    公开(公告)日：1993-03-09

    申请号：US695297

    申请日：1991-05-03

    Applicant: Harrith M. Hasson ,  Edward D. Pingleton ,  Paul G. Thomson

    Inventor： Harrith M. Hasson ,  Edward D. Pingleton ,  Paul G. Thomson

    Abstract: A rotational surgical instrument including a working head connected to a rotatable, pencil-like handle. The handle includes a casing with distal and proximal end caps, an elongated outer member extending into the casing, and a actuation link extending from the distal end cap through the casing and elongated member to the working head. An actuating mechanism is positioned distally from the distal end cap about the proximal portion of the elongated member for slidably actuating the working head between and open and closed positions. A compression spring is included in the passageway of the casing around the actuation link between the proximal end cap and the proximal end of the elongated member to return the working head to the nonactuated position. Keyed surfaces are included within the passageway of the casing and attached to the distal end of the casing and the proximal end of the elongated member for preventing rotation of the elongated member with respect to the casing and actuation link. A spring is also positioned between the distal end cap and the actuating mechanism for varying the combined tension of the two springs for operating the handle. The variable tension spring is varied by rotating a knob of the actuating mechanism which adjusts the distance from the distal end cap.

    Surgical access sheath
    6.
    发明授权
    Surgical access sheath 失效
    手术通道鞘

    公开(公告)号：US5290249A

    公开(公告)日：1994-03-01

    申请号：US947095

    申请日：1992-09-17

    Applicant: Thomas L. Foster ,  John S. Lyttle ,  Edward D. Pingleton ,  Paul G. Thomson

    Inventor： Thomas L. Foster ,  John S. Lyttle ,  Edward D. Pingleton ,  Paul G. Thomson

    IPC: A61B1/00 ,  A61B17/34 ,  A61B19/00 ,  A61M25/00 ,  A61M25/04

    CPC classification number: A61B17/34 ,  A61B2017/00986 ,  A61B2017/3486 ,  A61B2090/036 ,  A61M2025/0233

    Abstract: A surgical trocar access sheath having a laterally expandable retention mechanism for percutaneous insertion through a body cavity wall. The expandable retention mechanism is positioned about the distal end of the sheath for retaining the access sheath within the body cavity. The access sheath has an inner elongated member cannula and an outer elongated member tube having a slick surface for ready insertion through a puncture site. The laterally expandable retention mechanism includes a plurality of strips extending and formed longitudinally in the outer tube. The retention mechanism has an expanded state and a retracted state. In the expanded state, the longitudinal strips extend radially from the outer elongated member tube to engage the interior surface of the body cavity wall. The expandable retention mechanism is actuated by sliding an actuating mechanism hub attached to the distal end of the outer elongated member tube against another hub fixedly attached to the inner elongated member cannula. To insert or retract the access sheath through the cavity wall of a patient, the physician squeezes the actuating mechanism hub against the fixed hub to collapse the longitudinal strips against the surface of the inner elongated member cannula. Once inserted, the actuating mechanism is released to expand the retention mechanism.

    Abstract translation: 一种具有横向可扩张的保持机构的手术套管针存取护套，用于通过体腔壁经皮插入。 可扩张保持机构围绕护套的远端定位，以将进入护套保持在体腔内。 进入护套具有内部细长构件插管和具有光滑表面的外部细长构件管，用于通过穿刺部位准备插入。 横向可扩张的保持机构包括在外管中纵向延伸和形成的多个条。 保持机构具有展开状态和缩回状态。 在展开状态下，纵向条带从外部细长构件管径向延伸，以接合体腔壁的内表面。 通过将连接到外细长构件管的远端的致动机构毂滑动到固定地连接到内部细长构件插管的另一轮毂上来致动可扩张保持机构。 为了通过患者的腔壁插入或缩回通路护套，医师将致动机构毂挤压在固定轮毂上，以使纵向条带抵靠内部细长构件套管的表面。 一旦插入，释放致动机构以扩大保持机构。

    Bladeless obturator
    7.
    发明授权
    Bladeless obturator 有权
    无盖的闭孔器

    公开(公告)号：US08636759B2

    公开(公告)日：2014-01-28

    申请号：US12750372

    申请日：2010-03-30

    Applicant: Edward D. Pingleton ,  Matthew A. Wixey ,  Henry Kahle

    Inventor： Edward D. Pingleton ,  Matthew A. Wixey ,  Henry Kahle

    IPC: A61B17/34

    CPC classification number: A61B17/02 ,  A61B17/3417 ,  A61B17/3478 ,  A61B2017/320044 ,  A61B2017/3456 ,  A61B2017/346

    Abstract: A surgical obturator adapted to penetrate a body wall includes an elongate shaft having an axis which extends between a proximal end and a distal end. A bladeless tip, disposed at the distal end of the shaft has an outer surface which extends to a blunt point The outer surface has a pair of side sections separated by an intermediate section The side sections extend from the blunt point radially outwardly with progressive positions proximally along the axis. These side sections include a distal portion in proximity to the blunt point, and a proximal portion in proximity to the shaft. The distal portion of the side section is twisted radially with respect to the proximal portion of the side section. The outer surface in radial cross section has the general configuration of a geometric shape which rotates in a first direction about the axis with progressive proximal radial cross sections along the axis.

    Abstract translation: 适于穿透身体壁的手术闭孔器包括具有在近端和远端之间延伸的轴线的细长轴。 设置在轴的远端的无叶尖具有延伸到钝点的外表面。外表面具有由中间部分分隔开的一对侧部。侧部从平直点径向向外延伸，具有向近侧的渐进位置 沿着轴。 这些侧部分包括靠近钝点的远侧部分和靠近轴的近端部分。 侧部的远侧部分相对于侧部的近侧部分径向扭转。 径向横截面中的外表面具有几何形状的总体构型，该几何形状沿着围绕轴线的第一方向旋转，并且具有沿轴线的渐进近端径向横截面。

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