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1.发明授权Ceramic insulator for a bipolar push rod assembly for a bipolar endoscopic surgical instrument 失效用于双极内窥镜手术器械的双极推杆组件的陶瓷绝缘体
公开(公告)号：US5846240A
公开(公告)日：1998-12-08
申请号：US530740
申请日：1995-09-19
CPC分类号： A61B18/14 , A61B18/1445 , A61B18/1815 , A61B2018/00083 , A61B2018/00107 , A61B2018/00178 , A61B2018/126 , A61B2018/1412 , A61B2018/146 , A61B2018/1861
摘要： A bipolar push rod assembly is disclosed in conjunction with an endoscopic bipolar cautery scissors instrument. The push rod assembly has two conductive push rods which are substantially covered and insulated from each other by a double lumen flexible sheath. The proximal ends of the push rods are stabilized by an overmolded plastic collar and the distal ends of the push rods are stabilized by a ceramic insulator. The plastic collar is provided with a snap retainer for coupling it to a plastic plug retainer having a pair of spaced apart passages. A pair of female plug adapters are press fit onto the proximal ends of the push rods and are maintained in place by the plug retainer with each adaptor residing in a respective one of the passages. The distal ends of the push rods are swaged approximately 90.degree. in opposite directions. A ceramic insulator is disclosed as a one-piece unit into which the distal ends of the push rods are inserted. Another ceramic insulator is disclosed as a two-piece member which fits around the distal ends of the push rods. A double lumen sealing gasket which interrupts the double lumen sheath is also disclosed.
摘要翻译： 结合内窥镜双极烧刀剪刀公开了双极推杆组件。 推杆组件具有两个导电推杆，其通过双腔柔性护套基本上被彼此覆盖和绝缘。 推杆的近端通过包覆成型的塑料套环稳定，并且推杆的远端由陶瓷绝缘体稳定。 塑料套环设置有卡扣保持器，用于将其连接到具有一对间隔开的通道的塑料塞保持器。 一对母插头适配器压配合到推杆的近端上，并且通过插头保持器保持在适当位置，每个适配器位于相应的一个通道中。 推杆的远端在相反的方向上大约90度锻造。 公开了陶瓷绝缘体作为一体式单元，推杆的远端插入其中。 公开了另一种陶瓷绝缘体作为两件式构件，其围绕推杆的远端配合。 还公开了一种中断双腔护套的双腔密封垫片。
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公开(公告)号：US5683385A
公开(公告)日：1997-11-04
申请号：US530742
申请日：1995-09-19
CPC分类号： A61B18/1445 , A61B18/1815 , A61B2018/00083 , A61B2018/00178 , A61B2018/126 , A61B2018/1861 , Y10S439/909
摘要： A bipolar push rod assembly for use in conjunction with an endoscopic bipolar cautery scissors instrument. The push rod assembly has two conductive push rods which are substantially covered and insulated from each other by a double lumen flexible sheath. The proximal ends of the push rods are stabilized by an overmolded plastic collar and the distal ends of the push rods are stabilized by a ceramic insulator. The plastic collar is provided with a snap retainer for coupling it to a plastic plug retainer having a pair of spaced apart passages. A pair of female plug adapters are press fit onto the proximal ends of the push rods and are maintained in place by the plug retainer with each adaptor residing in a respective one of the passages. The distal ends of the push rods are swaged approximately 90.degree. in opposite directions. A ceramic insulator is disclosed as a one-piece unit into which the distal ends of the push rods are inserted. Another ceramic insulator is disclosed as a two-piece member which fits around the distal ends of the push rods. A double lumen sealing gasket which interrupts the double lumen sheath is also disclosed.
摘要翻译： 双极推杆组件，用于与内窥镜双极烧刀剪刀仪器配合使用。 推杆组件具有两个导电推杆，其通过双腔柔性护套基本上被彼此覆盖和绝缘。 推杆的近端通过包覆成型的塑料套环稳定，并且推杆的远端由陶瓷绝缘体稳定。 塑料套环设置有卡扣保持器，用于将其连接到具有一对间隔开的通道的塑料塞保持器。 一对母插头适配器压配合到推杆的近端上，并且通过插头保持器保持在适当位置，每个适配器位于相应的一个通道中。 推杆的远端在相反的方向上大约90度锻造。 公开了陶瓷绝缘体作为一体式单元，推杆的远端插入其中。 公开了另一种陶瓷绝缘体作为两件式构件，其围绕推杆的远端配合。 还公开了一种中断双腔护套的双腔密封垫片。
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3.发明授权Bipolar endoscopic surgical scissor blades and instrument incorporating the same 失效双极内窥镜手术剪刀刀片和并入其中的仪器
公开(公告)号：US5779701A
公开(公告)日：1998-07-14
申请号：US429596
申请日：1995-04-27
CPC分类号： A61B18/1445 , A61B18/1815 , A61B2017/0088 , A61B2017/2945 , A61B2018/00107 , A61B2018/126 , A61B2018/1412 , A61B2018/1415 , A61B2018/1432 , A61B2018/146 , A61B2018/1861
摘要： Endoscopic bipolar scissor blades are formed in a laminate assembly of an outer electrically conductive layer, an intermediate electrically insulating layer, and an inner face layer which is a coating of titanium dioxide, chromium dioxide, or zirconium dioxide. In one embodiment, the conductive layer is a metal blade, while the insulating material is a ceramic which is fixed to the metal blade. In a second preferred embodiment, the insulating layer and the inner face layer are applied simultaneously by coating the metal blade with a mixture of ceramic and titanium dioxide, chromium dioxide, or zirconium dioxide. In a third embodiment, the insulating layer is a molded ceramic blade, and the electrically conductive layer is metalized or otherwise fixed to the ceramic blade. In all embodiments, the cutting edges and shearing surfaces are insulated from the electrodes, and no short circuit can form between the electrodes even though the cutting edges and shearing surfaces are metal. Each of the embodiments may be applied to straight or curved scissor blades. A bipolar endoscopic instrument utilizing blades according to the invention is also disclosed.
摘要翻译： 内窥镜双极剪刀刀片形成在外部导电层，中间电绝缘层和作为二氧化钛，二氧化铬或二氧化锆的涂层的内表面层的层压组件中。 在一个实施例中，导电层是金属刀片，而绝缘材料是固定在金属刀片上的陶瓷。 在第二优选实施例中，通过用陶瓷和二氧化钛，二氧化铬或二氧化锆的混合物涂覆金属刀片来同时施加绝缘层和内表面层。 在第三实施例中，绝缘层是模制陶瓷刀片，并且导电层被金属化或以其它方式固定到陶瓷刀片。 在所有实施例中，切割边缘和剪切表面与电极绝缘，并且即使切割边缘和剪切表面是金属，也不会在电极之间形成短路。 每个实施例可以应用于直的或弯曲的剪刀片。 还公开了利用根据本发明的刀片的双极内窥镜仪器。
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4.发明授权Endoscopic instrument having non-bonded, non-welded rotating actuator handle and method for assembling the same 失效内窥镜仪器具有非接合，非焊接旋转致动器手柄及其组装方法
公开(公告)号：US5741285A
公开(公告)日：1998-04-21
申请号：US667375
申请日：1996-06-21
IPC分类号： A61B17/32 , A61B17/28 , A61B18/00 , A61B18/04 , A61B18/14 , A61B19/00 , A61M1/00 , A61B17/00
CPC分类号： A61B17/29 , A61B18/1445 , A61B18/1402 , A61B18/1815 , A61B2017/0088 , A61B2017/2901 , A61B2017/2926 , A61B2017/2931 , A61B2017/2934 , A61B2017/2939 , A61B2017/2945 , A61B2018/00083 , A61B2018/00107 , A61B2018/126 , A61B2018/1412 , A61B2018/1432 , A61B2018/146 , A61B2018/1861 , A61B2090/0813 , A61B2217/005
摘要： An actuator for an endoscopic instrument includes a handle having a through bore with a distal keyway and a lever which is pivotally coupled to the handle. A proximal tube sleeve is insert molded or press fit to the proximal end of the instrument tube. The tube sleeve has a pair of ramped thread-like projections and a pair of distally facing wedge-like projections all of which pass through the keyway in the handle. A proximal stop ring on the tube sleeve prevents the tube sleeve from passing completely through the handle. A ferrule having a pair of interior threadlike projections threadably engages the tube sleeve and is frictionally engaged by the wedge-like projections. A ferrule locking cap having a proximal inner groove and a distal flange fits in the annular space between the tube sleeve and the ferrule. The proximal groove engages a locking ring on the tube sleeve and splines on the tube sleeve and the ferrule frictionally engage the cap. The tube sleeve and the ferrule engage the cap with some friction so that the tube may be rotated relative to the handle but will not rotate relative to the ferrule.
摘要翻译： 用于内窥镜器具的致动器包括具有带有远侧键槽的通孔的手柄和可枢转地联接到手柄的杠杆。 近端管套筒被插入模制或压配合到仪器管的近端。 管套具有一对倾斜的螺纹状突起和一对向远侧面对的楔形突起，所有这些突起都穿过手柄中的键槽。 管套上的近端止动环防止管套完全通过手柄。 具有一对内螺纹状突出部的套圈可与管套螺纹接合并且被楔形突起摩擦接合。 具有近侧内槽和远侧凸缘的套圈锁定帽适合于管套和套圈之间的环形空间。 近侧槽与管套上的锁定环接合并且在管套上形成花键，并且套圈摩擦地接合盖。 管套管和套管以一定的摩擦接合盖，使得管可以相对于手柄旋转，但不会相对于套圈旋转。
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公开(公告)号：US5897507A
公开(公告)日：1999-04-27
申请号：US756260
申请日：1996-11-25
CPC分类号： A61B10/0266 , A61B10/06 , A61B2010/0225 , A61B2017/2939 , A61B2017/294 , A61B2090/035 , A61B2217/005 , A61B2217/007
摘要： A biopsy forceps instrument is provided having a proximal actuation handle, a flexible multi-lumen tubular member, at least one control member extending through a lumen, an irrigation means, an aspiration means, and a distal assembly. The proximal actuation handle includes a shaft and a spool slidably mounted on the shaft. The actuation handle is coupled to the proximal ends of both the flexible tubular member and the control member. Lumens of the tubular member form irrigation and aspiration conduits. The distal assembly includes a hollow jaw cup coupled to the aspiration conduit and a hollow movable jaw coupled adjacent the irrigation conduit. The movable jaw is coupled to the control member, such that actuation of the actuation handle moves the movable jaw relative to the jaw cup. Moving the hollow jaws into a closed position provides a substantially fluidtight coupling between the irrigation and aspiration conduits. The actuation handle is also provided with an assembly to control irrigation to and aspiration from the distal assembly. A proximal sample chamber having a removable screen is provided for filtering tissue samples aspirated from the distal assembly. The jaws are activated to cut a tissue sample and the irrigation and aspiration means are activated to move the sample into the sample chamber for retrieving the sample without removing the instrument from a patient.
摘要翻译： 提供活检钳具有近侧致动手柄，柔性多腔管状构件，延伸穿过内腔的至少一个控制构件，冲洗装置，抽吸装置和远端组件。 近侧致动手柄包括轴和可滑动地安装在轴上的线轴。 致动手柄联接到柔性管状构件和控制构件的近端。 管状部件的流明形成灌溉和抽吸管道。 远端组件包括联接到抽吸导管的中空钳口杯和邻近冲洗管道连接的中空活动钳口。 可移动钳口联接到控制构件，使得致动手柄的致动使可移动钳口相对于钳口杯移动。 将空心钳口移动到关闭位置提供灌溉和抽吸管道之间基本上流体密封的联接。 致动手柄还设置有用于控制来自远端组件的抽吸和抽吸的组件。 提供具有可拆卸屏幕的近端样品室用于过滤从远端组件吸出的组织样本。 激活钳口以切割组织样品，并且激活冲洗和抽吸装置以将样品移动到样品室中以取出样品，而不从患者移除仪器。
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公开(公告)号：US06193718B1
公开(公告)日：2001-02-27
申请号：US09095307
申请日：1998-06-10
IPC分类号： A61B1818
CPC分类号： A61B18/1445 , A61B2018/126 , A61B2018/1412
摘要： This invention relates to endoscopic electrocautery instruments for performing surgery on the tissue of a patient and passing current through the tissue to cause cauterization thereof. The instrument has a proximal end and a distal end and includes an elongated tube, a push rod located within the elongated tube, and a first and second end effector located adjacent a distal end of the elongated tube and controlled for relative movement by the push rod. Various arrangements are disclosed for creating a first and second cautery current path from the instrument proximal end to the first and second end effectors. In accordance with the invention, the end effectors are formed as scissor blade members having various conductive and non-conductive layer arrangements. The layer arrangements of the scissor blade members allow for different cauterization affects. Coupling arrangements between the blade members and the elongated tube are also disclosed.
摘要翻译： 本发明涉及用于在患者组织上进行手术并使电流通过组织以引起其烧灼的内窥镜电烙术。 仪器具有近端和远端，并且包括细长的管，位于细长管内的推杆，以及位于细长管的远端附近的第一和第二末端执行器，并且被控制以通过推杆相对运动 。 公开了用于创建从仪器近端到第一和第二端部执行器的第一和第二烧结电流路径的各种布置。 根据本发明，端部执行器形成为具有各种导电和非导电层布置的剪刀刀片构件。 剪刀片构件的层布置允许不同的烧灼影响。 还公开了叶片构件和细长管之间的联接布置。
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公开(公告)号：US06174292B1
公开(公告)日：2001-01-16
申请号：US09256317
申请日：1999-02-24
IPC分类号： A61B1000
CPC分类号： A61B10/0266 , A61B10/06 , A61B2010/0225 , A61B2017/2939 , A61B2017/294 , A61B2090/035 , A61B2217/005 , A61B2217/007
摘要： A biopsy forceps instrument is provided having a proximal actuation handle, a flexible multi-lumen tubular member, at least one control member extending through a lumen, an irrigation means, an aspiration means, and a distal assembly. The proximal actuation handle includes a shaft and a spool slidably mounted on the shaft. The actuation handle is coupled to the proximal ends of both the flexible tubular member and the control member. Lumens of the tubular member form irrigation and aspiration conduits. The distal assembly includes a hollow jaw cup coupled to the aspiration conduit and a hollow movable jaw coupled adjacent the irrigation conduit. The movable jaw is coupled to the control member, such that actuation of the actuation handle moves the movable jaw relative to the jaw cup. Moving the hollow jaws into a closed position provides a substantially fluidtight coupling between the irrigation and aspiration conduits. The actuation handle is also provided with an assembly to control irrigation to and aspiration from the distal assembly. A proximal sample chamber having a removable screen is provided for filtering tissue samples aspirated from the distal assembly. The jaws are activated to cut a tissue sample and the irrigation and aspiration means are activated to move the sample into the sample chamber for retrieving the sample without removing the instrument from a patient.
摘要翻译： 提供活检钳具有近侧致动手柄，柔性多腔管状构件，延伸穿过内腔的至少一个控制构件，冲洗装置，抽吸装置和远端组件。 近侧致动手柄包括轴和可滑动地安装在轴上的线轴。 致动手柄联接到柔性管状构件和控制构件的近端。 管状部件的流明形成灌溉和抽吸管道。 远端组件包括联接到抽吸导管的中空钳口杯和邻近冲洗管道连接的中空活动钳口。 可移动钳口联接到控制构件，使得致动手柄的致动使可移动钳口相对于钳口杯移动。 将空心钳口移动到关闭位置提供灌溉和抽吸管道之间基本上流体密封的联接。 致动手柄还设置有用于控制来自远端组件的抽吸和抽吸的组件。 提供具有可拆卸屏幕的近端样品室用于过滤从远端组件吸出的组织样本。 激活钳口以切割组织样品，并且激活冲洗和抽吸装置以将样品移动到样品室中以取出样品，而不从患者移除仪器。
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8.发明授权Bipolar push rod assembly for a bipolar endoscopic surgical instrument and instruments incorporating the same 失效用于双极内镜手术器械的双极推杆组件及其结合的仪器
公开(公告)号：US5976130A
公开(公告)日：1999-11-02
申请号：US530741
申请日：1995-09-19
CPC分类号： A61B18/14 , A61B18/1445 , A61B18/1815 , A61B2018/00083 , A61B2018/00107 , A61B2018/00178 , A61B2018/126 , A61B2018/1412 , A61B2018/146 , A61B2018/1861
摘要： A bipolar push rod assembly is disclosed in conjunction with an endoscopic bipolar cautery scissors instrument. The push rod assembly has two conductive push rods which are substantially covered and insulated from each other by a double lumen flexible sheath. The proximal ends of the push rods are stabilized by an overmolded plastic collar and the distal ends of the push rods are stabilized by a ceramic insulator. The plastic collar is provided with a snap retainer for coupling it to a plastic plug retainer having a pair of spaced apart passages. A pair of female plug adapters are press fit onto the proximal ends of the push rods and are maintained in place by the plug retainer with each adaptor residing in a respective one of the passages. The distal ends of the push rods are swaged approximately 90.degree. in opposite directions. A ceramic insulator is disclosed as a one-piece unit into which the distal ends of the push rods are inserted. Another ceramic insulator is disclosed as a two-piece member which fits around the distal ends of the push rods. A double lumen sealing gasket which interrupts the double lumen sheath is also disclosed.
摘要翻译： 结合内窥镜双极烧刀剪刀公开了双极推杆组件。 推杆组件具有两个导电推杆，其通过双腔柔性护套基本上被彼此覆盖和绝缘。 推杆的近端通过包覆成型的塑料套环稳定，并且推杆的远端由陶瓷绝缘体稳定。 塑料套环设置有卡扣保持器，用于将其连接到具有一对间隔开的通道的塑料塞保持器。 一对母插头适配器压配合到推杆的近端上，并且通过插头保持器保持在适当位置，每个适配器位于相应的一个通道中。 推杆的远端在相反的方向上大约90度锻造。 公开了陶瓷绝缘体作为一体式单元，推杆的远端插入其中。 公开了另一种陶瓷绝缘体作为两件式构件，其围绕推杆的远端配合。 还公开了一种中断双腔护套的双腔密封垫片。
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公开(公告)号：US5814054A
公开(公告)日：1998-09-29
申请号：US718019
申请日：1996-09-23
CPC分类号： A61B17/0469 , A61B17/062 , A61B17/0625 , A61B17/0491 , A61B2017/0609
摘要： An automatic suturing instrument generally includes a proximal actuation handle assembly, a flexible tubular member, a control wire, and an end effector assembly. The control wire extends through the tubular member and the end effector-assembly is coupled to the distal end of each of the tubular member and the control wire, while the handle is coupled to the proximal end of each of the tubular member and the control wire. Actuation of the handle moves the control wire relative to the tubular member and thereby moves the end effector assembly from an open to a closed position. The end effector assembly generally includes two end effectors, a needle engaged by one of the end effectors (but which can be engaged by either end effector alternately), and a suture material. The end effector assembly further includes a needle passing mechanism that automatically alternates which end effector engages the needle each time the end effectors are moved into a closed position.
摘要翻译： 自动缝合器具通常包括近端致动手柄组件，柔性管状构件，控制线和端部执行器组件。 所述控制线延伸穿过所述管状构件，并且所述末端执行器组件联接到所述管状构件和所述控制线中的每一个的远端，而所述手柄联接到所述管状构件和所述控制线中的每一个的近端 。 手柄的致动使控制线相对于管状构件移动，从而将端部执行器组件从打开移动到关闭位置。 端部执行器组件通常包括两个末端执行器，一个端部执行器中的一个接合的针（但是可以由任一端部执行器交替地接合），以及缝合材料。 末端执行器组件还包括针通过机构，每当末端执行器移动到关闭位置时，自动交替地将末端执行器接合针头。
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公开(公告)号：US08344690B2
公开(公告)日：2013-01-01
申请号：US12879651
申请日：2010-09-10
IPC分类号： H02J7/00
CPC分类号： H02J7/00 , A61B2017/00734 , A61L2/00 , A61L2202/20 , H01F38/14 , H02J5/005 , H02J7/025 , H02J50/10
摘要： A method for simultaneously surgically sterilizing and charging a battery, which comprises providing an inductively powered battery charger inside a selectively sealable surgical sterilization enclosure of a surgical sterilization device. The surgical sterilization device is operable to surgically sterilize at least one rechargeable battery of a battery-operated surgical instrument placed therewithin. The charger has an inductive power receiver sub-assembly operable to receive power inductively and to supply charging power to the at least one rechargeable battery. The at least one rechargeable battery is electrically charged while being surgically sterilized by supplying power inductively from a power supply positioned outside the surgical sterilization enclosure to the inductive power receiver sub-assembly through the surgical sterilization enclosure.
摘要翻译： 一种用于同时对电池进行手术消毒和充电的方法，其包括在外科消毒装置的可选择性密封的手术消毒外壳内提供感应动力电池充电器。 外科手术消毒装置可操作地对放置在其中的电池操作的手术器械的至少一个可再充电电池进行手术消毒。 充电器具有感应电力接收器子组件，其可操作以感应地接收功率并向至少一个可再充电电池提供充电电力。 所述至少一个可再充电电池在被外科手术消毒的情况下通过从位于外科消毒外壳外部的电源感应地通过外科手术消毒外壳进行感应式电源接收器子组件而被充电。
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