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公开(公告)号：US06419684B1
公开(公告)日：2002-07-16
申请号：US09572035
申请日：2000-05-16
IPC分类号： A61B1732
CPC分类号： A61B17/32002 , A61B2090/0817
摘要： An end-cutting arthroscopic shaver blade having a tubular inner member rotatable within a tubular outer member. The distal ends of each of the tubular members are provided with at least two notches each of which has longitudinally extending sides provided with cutting edges. In one of the embodiments the outer tubular member is provided with an arcuate extension in order to guide tissue toward the notches.
摘要翻译： 一种端切割关节镜剃须刀，其具有可在管状外部构件内旋转的管状内部构件。 每个管状构件的远端设置有至少两个切口，每个切口具有设置有切削刃的纵向延伸的侧面。 在一个实施例中，外部管状构件设置有弓形延伸部，以便朝向凹口引导组织。
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公开(公告)号：US06217598B1
公开(公告)日：2001-04-17
申请号：US09193899
申请日：1998-11-18
IPC分类号： A61B1732
CPC分类号： A61B17/32002
摘要： A rotary shaver blade assembly having a laterally facing and end facing cutting window enabling it to resect tissue presented end-wise or at relatively small angles. The assembly is provided with a stationary elongated outer tube and a rotatable inner tube, both having laterally facing and end facing cutting windows and both having planar transverse end walls at their distal tips. The transverse end walls are abutting and are sharpened into edges by being tapered in opposite directions. The end wall of the outer tube is tapered into a concave surface to allow the inner and outer transverse edges to be situated close to target tissue. The edge on the end wall of the inner tube is transversely arcuate and has a point at each end to enable it, in cooperation with the outer edge, to resect tissue presented axially or at shallow angles to the axis of the shaver blade. A method for producing such a shaver blade assembly comprises the formation of intersecting arcuate surfaces to create the various aforementioned edges.
摘要翻译： 一种旋转剃须刀刀片组件，其具有横向面向和面向端的切割窗，使得其能够切除呈现出端部或以相对较小角度的组织。 组件设置有固定的细长外管和可旋转的内管，两者都具有横向面向和面向端的切割窗，并且在其远端处具有平面的横向端壁。 横向端壁通过沿相反方向逐渐变细而抵接并被锐化成边缘。 外管的端壁渐缩成凹面，以允许内外横向边缘靠近目标组织。 内管的端壁上的边缘是横向弓形的，并且在每个端部具有点，以使其能够与外边缘协作，以切除与剃须刀片的轴线呈轴向或以较小角度呈现的组织。 用于制造这种剃须刀组件的方法包括形成交叉的弧形表面以产生各种上述边缘。
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公开(公告)号：US08986351B2
公开(公告)日：2015-03-24
申请号：US12983207
申请日：2010-12-31
CPC分类号： A61B17/7055 , A61B17/70 , A61B17/7002 , A61B17/7059
摘要： Plate devices are provided for mounting to bone and receiving one or more spinal rods. The devices may include coupling members or rod receiving members coupled to the plate member and configured to have multiple degrees of adjustability in order to accommodate elongate connecting members of various orientations. The plate devices may also include quick locking features or locking devices that secure multiple points of articulation simultaneously.
摘要翻译： 板装置被提供用于安装到骨骼并且接收一个或多个脊柱杆。 装置可以包括联接构件或杆接收构件，其联接到板构件并且被构造成具有多个可调节度，以便容纳各种取向的细长连接构件。 平板装置还可以包括同时固定多个关节点的快速锁定特征或锁定装置。
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公开(公告)号：US08956285B2
公开(公告)日：2015-02-17
申请号：US12161944
申请日：2007-01-23
CPC分类号： A61B1/32 , A61B17/02 , A61B17/025 , A61B17/0293
摘要： A retraction apparatus and method are disclosed that provide optimized access to a surgical site. In one form, a retraction frame has a retraction opening with two sets of blades operating therein. The blades are used to sequentially retract the tissue from about an incision. The sequential retraction of the blades generates only narrow gaps between the blades so that tissue and blood encroachment during the surgical procedure are minimized.
摘要翻译： 公开了一种提供对外科手术部位的优化访问的收缩装置和方法。 在一种形式中，缩回框架具有在其中操作的两组叶片的缩回开口。 刀片用于从切口周围顺序地收回组织。 叶片的顺序收缩仅在叶片之间产生窄的间隙，使得在手术过程中的组织和血液侵占最小化。
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公开(公告)号：US20100160977A1
公开(公告)日：2010-06-24
申请号：US12579345
申请日：2009-10-14
IPC分类号： A61B17/86
CPC分类号： A61B17/7035 , A61B17/7052 , A61B17/7082 , A61B17/7086 , A61B17/8605
摘要： A coupling device for securing an elongate member to the spine is provided. The coupling device comprises a compressible inner member that secures an anchor member therein when the inner member is axially shifted within an outer member. The elongate member is retained within the device by an axially inserted locking member, and may be secured independently of the anchor member. The coupling device and anchor may be configured to provide increased angulation of the anchor with respect to the coupling device. For instance, anchor member may have an offset head portion in order to provide normal pivoting of the coupling device when the anchor is attached to bone at an angle.
摘要翻译： 提供了用于将细长构件固定到脊柱的联接装置。 联接装置包括可压缩的内部构件，其在内部构件在外部构件内轴向移动时将锚定构件固定在其中。 细长构件通过轴向插入的锁定构件保持在装置内，并且可以独立于锚定构件固定。 联接装置和锚固件可以被配置为提供锚固件相对于联接装置的增大的角度。 例如，锚固构件可以具有偏移头部，以便当锚固件以一定角度附接到骨头时提供联接装置的正常枢转。
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公开(公告)号：US20090299148A1
公开(公告)日：2009-12-03
申请号：US12475067
申请日：2009-05-29
IPC分类号： A61B1/32
CPC分类号： A61B17/0293
摘要： A retraction apparatus and method are provided including slider assemblies for being slidably connected to a retractor body with end portions of the slider assemblies disposed within a central retractor opening. A retractor blade is slidably connected to one of the slider assembly end portions such that the depth of the retractor blade can be readily adjusted. Once the retractor blade is at the desired depth within the incision, a handle is pivoted to a locked position to fix the blade relative to the slider assembly. A cantilever lock between the blade and the slider assembly pivots the blade relative to the slider assembly to fix the blade thereto. In one form, the retractor body has a substantially flat surface configured to be placed adjacent a bone and slide connections which position slider assemblies such that the connected blades avoid contact with the bone during retraction.
摘要翻译： 提供了一种缩回装置和方法，包括滑动组件，滑块组件可滑动地连接到牵开器主体，滑块组件的端部设置在中央牵开器开口内。 牵开器叶片可滑动地连接到滑块组件端部中的一个，使得能够容易地调节牵开器叶片的深度。 一旦收缩器叶片处于切口内的所需深度，则手柄枢转到锁定位置以相对于滑块组件固定刀片。 刀片和滑块组件之间的悬臂锁相对于滑块组件枢转刀片以将刀片固定在其上。 在一种形式中，牵开器主体具有基本上平坦的表面，其构造成邻近骨头放置并滑动连接件，其将滑动器组件定位成使得连接的叶片避免在收回期间与骨骼接触。
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公开(公告)号：US5669921A
公开(公告)日：1997-09-23
申请号：US617524
申请日：1996-03-15
申请人： Phillip J. Berman , Raymond A. Carr
发明人： Phillip J. Berman , Raymond A. Carr
CPC分类号： H01H13/785 , A61B17/32002 , H01H3/14 , H03K17/9625 , A61B2017/00973 , A61B2217/005 , H01H2201/036 , H01H2300/014
摘要： A positioning system for controlling the orientation of the movable elongated inner member relative to the fixed elongated outer member of a surgical instrument. An endoscopic rotatable shaver instrument incorporates a shaver blade assembly adapted to be received in and driven by a handpiece. The movable component of the shaver blade assembly is provided with a position indicator which is read by a sensor in the handpiece in order to control the position at which the inner member is stopped relative to the outer member. The invention is embodied in an apparatus and method enabling use of a shaver blade assembly as an aspirating device or as a probe without any aspirating function.
摘要翻译： 一种用于控制可移动细长内部构件相对于外科器械的固定细长外部构件的取向的定位系统。 内窥镜可旋转剃须器仪器包括适于容纳在手机中并由手持件驱动的剃须刀组件。 剃须刀组件的可移动部件设置有位置指示器，该位置指示器由机身中的传感器读取，以便控制内部构件相对于外部构件停止的位置。 本发明体现在能够使用剃须刀组件作为抽吸装置或无任何抽吸功能的探针的装置和方法中。
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8.发明授权Method of making arthroscopic shaver with rotatable collet and slide aspiration control valve 失效具有可旋转夹头和滑动吸引控制阀的关节镜剃须刀的方法
公开(公告)号：US5592727A
公开(公告)日：1997-01-14
申请号：US542204
申请日：1995-10-12
CPC分类号： A61M1/0043 , A61B17/32002 , A61B2017/00455 , A61B2017/00477 , A61B2017/00482 , A61B2017/2837 , A61B2017/2929 , A61M1/008 , Y10T29/4984 , Y10T29/4998
摘要： A rotatable surgical shaver handpiece having a rotating elongated inner member within a fixed outer member is provided with a means for varying the cutting window orientation of the outer tubular member. The window orientation is adjusted by providing a rotatable collet assembly which has a hollow, outer, longitudinally movable body to which the outer hub member is keyed. The outer collet member is concentrically situated about an inner collet body and is fixed to an annular, toothed locking surface which is movably biased against an identical toothed locking surface fixed to the inner collet body. The teeth have sloped sides and are shallow such that the pre-loaded force compressing the two locking surfaces together is easily overcome by rotating the outer collet body to cause the teeth of one locking surface to slide along the teeth of the mating locking surface. In another embodiment, the invention is provided with a blade recognition means for identifying a code associated with a particular blade assembly regardless of the window orientation of the outer tubular member of the blade assembly. In another embodiment of the invention the handpiece is provided with an extruded body fitted with a longitudinally slidable aspiration control switch.
摘要翻译： 具有在固定的外部构件内的旋转细长内部构件的可旋转手术剃须刀手柄设置有用于改变外部管状构件的切割窗取向的装置。 通过提供可旋转的夹头组件来调整窗口方位，该夹头组件具有中空的外部纵向移动的主体，外部轮毂构件被键入到该中心。 外夹头构件围绕内夹头本体同心地定位并且固定到环形有齿的锁定表面，该锁定表面可移动地偏压固定到内夹头本体上的相同的带齿锁定表面。 齿具有倾斜的侧面并且较浅，使得通过旋转外夹头本体使得将两个锁定表面压缩在一起的预加载力容易地克服，使得一个锁定表面的齿沿着配合锁定表面的齿滑动。 在另一个实施例中，本发明提供了一种刀片识别装置，用于识别与特定刀片组件相关联的代码，而与刀片组件的外部管状构件的窗口取向无关。 在本发明的另一个实施例中，手持件具有装配有纵向可滑动的抽吸控制开关的挤压体。
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公开(公告)号：US08262570B2
公开(公告)日：2012-09-11
申请号：US12475067
申请日：2009-05-29
IPC分类号： A61B1/32
CPC分类号： A61B17/0293
摘要： A retraction apparatus and method are provided including slider assemblies for being slidably connected to a retractor body with end portions of the slider assemblies disposed within a central retractor opening. A retractor blade is slidably connected to one of the slider assembly end portions such that the depth of the retractor blade can be readily adjusted. Once the retractor blade is at the desired depth within the incision, a handle is pivoted to a locked position to fix the blade relative to the slider assembly. A cantilever lock between the blade and the slider assembly pivots the blade relative to the slider assembly to fix the blade thereto. In one form, the retractor body has a substantially flat surface configured to be placed adjacent a bone and slide connections which position slider assemblies such that the connected blades avoid contact with the bone during retraction.
摘要翻译： 提供了一种缩回装置和方法，包括滑动组件，滑块组件可滑动地连接到牵开器主体，滑块组件的端部设置在中央牵开器开口内。 牵开器叶片可滑动地连接到滑块组件端部中的一个，使得能够容易地调节牵开器叶片的深度。 一旦收缩器叶片处于切口内的所需深度，则手柄枢转到锁定位置以相对于滑块组件固定刀片。 刀片和滑块组件之间的悬臂锁相对于滑块组件枢转刀片以将刀片固定在其上。 在一种形式中，牵开器主体具有基本上平坦的表面，其构造成邻近骨头放置并滑动连接件，其将滑动器组件定位成使得连接的叶片避免在收回期间与骨骼接触。
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公开(公告)号：US20090254094A1
公开(公告)日：2009-10-08
申请号：US12420645
申请日：2009-04-08
申请人： Troy D. Knapp , Phillip J. Berman
发明人： Troy D. Knapp , Phillip J. Berman
IPC分类号： A61B17/58
CPC分类号： A61B17/1637 , A61B2017/00469 , A61B2017/00473
摘要： A device for rotatably driving a cannulated tool along a guide wire. In one aspect, the device includes a coupling assembly for receiving the tool and guide wire as well as a ratchet mechanism permitting selective rotation between the device and the tool. The device further includes an elongate gripping portion extending transversely to the coupling assembly to provide a levered mechanical advantage while positioning the gripping portion out of the path of the guide wire. In another aspect, the device includes a handle having a through bore shorter than a predetermined length of a connection assembly through bore so that only a short portion of the guide wire is covered by the device. A method of driving a cannulated tool along a guide wire is also provided that includes rotating a gripping portion of a handle assembly about the tool in an arcuate path spaced from the tool.
摘要翻译： 一种用于沿着导丝线可旋转地驱动插管式工具的装置。 在一个方面，该装置包括用于接收工具和导丝的联接组件以及允许装置和工具之间的选择性旋转的棘轮机构。 该装置还包括一个细长的把持部分，横向于连接组件延伸，以便在把持部分定位在导丝的路径之外时提供杠杆机械优点。 在另一方面，该装置包括具有比连接组件通孔的预定长度短的通孔的手柄，使得只有引导线的短部分被该装置覆盖。 还提供了沿着导丝线驱动插管工具的方法，其包括以与工具间隔开的弧形路径围绕工具旋转手柄组件的夹持部分。
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