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公开(公告)号：US20080065129A1
公开(公告)日：2008-03-13
申请号：US11523754
申请日：2006-09-20
IPC分类号： A61B17/32
CPC分类号： A61B18/1485 , A61B18/1442 , A61B2017/320775 , A61B2090/034 , A61B2090/036
摘要： A tissue morcellating device (1) is provided for morcellating tissue within a body cavity of a patient. The morcellating device (1) comprisies a hollow tube (3) having a distal end portion, and tissue cutting means (5) located at the distal end of the tube, such that, when relative movement is initiated between the tube and the tissue, a core of severed tissue is formed within the tube for removal from the body cavity of the patient through the hollow tube. The hollow tube (3) is provided with a stop mechanism (7) which is longitudinally adjustable with respect to the hollow tube (3), the stop mechanism being provided with a shoulder (8) for limiting the longitudinal insertion of the tube into the patient's body.
摘要翻译： 提供了一种用于使患者体腔内的组织变细的组织旋转装置（1）。 脱毛装置（1）包括具有远端部分的中空管（3）和位于管的远端的组织切割装置（5），使得当在管和组织之间开始相对运动时， 在管中形成切断的组织的芯，以通过中空管从患者的体腔移除。 中空管（3）设置有可相对于中空管（3）纵向调节的止动机构（7），该止动机构设置有肩部（8），用于限制管的纵向插入 病人的身体。
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公开(公告)号：US20080065021A1
公开(公告)日：2008-03-13
申请号：US11523807
申请日：2006-09-20
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/320024
摘要： A surgical system comprises a tubular member (8), a surgical instrument (1) and a sealing assembly (23). The surgical instrument (1) is locatable within the tubular member (8), the tubular member having a distal end locatable at a surgical operation site which is supplied with pressurised gas, and a proximal end remote from the surgical operation site. The surgical instrument (1) has a distal end locatable at the surgical operation site. The sealing assembly (23) is provided at the proximal end of the tubular member (8) to seal the tubular member with respect to the proximal end portion of the surgical instrument (1) to prevent gas escaping from the surgical operation site through the proximal end of the tubular member. The sealing assembly (23) is constituted by a diaphragm (26) whose peripheral edge portions (26a) are fixed to the tubular member (8). The central portion (26b) of the diaphragm (26) is formed with a slit (27) through which the surgical instrument (1) passes. The sealing assembly (23) is such that movement of the surgical instrument (1) relative to the tubular member (8) causes the diaphragm (26) to move between first and second operating positions in which the slit (27) faces respectively towards and away from the distal end of the tubular member, and such that the edges of the slit sealingly engage with the surgical instrument in the first and second operating positions, and in all positions therebetween.
摘要翻译： 手术系统包括管状构件（8），手术器械（1）和密封组件（23）。 外科器械（1）可定位在管状构件（8）内，该管状构件具有可在外科手术部位定位的远端，所述外科手术部位被供给加压气体，远端位于外科手术部位。 手术器械（1）具有位于外科手术部位的远端。 密封组件（23）设置在管状构件（8）的近端处，以相对于手术器械（1）的近端部分密封管状构件，以防止气体从外科手术部位通过近端 管状构件的端部。 密封组件（23）由其周缘部分（26a）固定在管状部件（8）上的隔膜（26）构成。 隔膜（26）的中心部分（26b）形成有切口（27），手术器械（1）穿过该缝隙。 密封组件（23）使得外科器械（1）相对于管状构件（8）的运动使得隔膜（26）在第一和第二操作位置之间移动，狭缝（27）分别朝向和 远离管状构件的远端，并且使得狭缝的边缘在第一和第二操作位置以及它们之间的所有位置中与外科器械密封地接合。
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公开(公告)号：US20150196735A1
公开(公告)日：2015-07-16
申请号：US14155506
申请日：2014-01-15
申请人： Chris P. Olig , Kester J. Batchelor , Tailin Fan
发明人： Chris P. Olig , Kester J. Batchelor , Tailin Fan
CPC分类号： A61M25/0074 , A61B1/00135 , A61B1/0014 , A61B1/012 , A61B1/233 , A61M25/0026 , A61M25/01 , A61M2025/0006 , A61M2025/0025 , A61M2025/0183
摘要： An apparatus and method are presented for a therapy delivery device including a catheter, an endoscope and an endoscope shaft, one or more attachment features for attaching the catheter to the endoscope, wherein the catheter has an expandable lumen at a distal end and Wherein the expandable lumen expands upon injection of a therapy at the proximal end of the catheter. Attachment features may be a series of clips along the length of the catheter for attaching to an endoscope or a second lumen on the catheter wherein an endoscope may through one of said. lumens. Targeted therapy delivery may be a hydrogel or a chitosan hydrogel to provide a treatment within a sinus of a patient.
摘要翻译： 本发明提供了一种用于包括导管，内窥镜和内窥镜轴的治疗递送装置的装置和方法，用于将导管附接到内窥镜的一个或多个附接特征，其中导管在远端具有可扩张的腔， 在导管近端注射治疗时，内腔扩张。 附接特征可以是沿着导管长度的一系列夹子，用于附接到导管上的内窥镜或第二腔，其中内窥镜可以通过所述内窥镜之一。 流明 靶向治疗递送可以是水凝胶或壳聚糖水凝胶，以在患者的窦内提供治疗。
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公开(公告)号：US06827725B2
公开(公告)日：2004-12-07
申请号：US10139638
申请日：2002-05-07
IPC分类号： A61B1732
CPC分类号： A61B17/32002 , A61B18/148 , A61B2017/00973 , A61B2018/00208 , A61B2018/126 , A61B2218/007
摘要： A surgical instrument includes an elongate hollow probe having first and second apertures (4 and 5) at its distal end portion. An elongate drive shaft disposed within the probe (1) and mounted for rotation about its longitudinal axis within the probe. A cutting tool (2, 34) is located at the distal end of the drive shaft, and is positioned adjacent to the first aperture (4). A bipolar electrosurgical device (3) is located at the distal end of the probe (1) in the region of the second aperture (5). The electrosurgical device includes an active electrode (13) and a return electrode (11) separate and insulated therefrom. A motor (6) is provided for rotating the drive shaft; and suction means is provided for selectively providing a source of suction at either the first apertures (4) or the second aperture (5).
摘要翻译： 手术器械包括细长的中空探针，其在其远端部分具有第一和第二孔（4和5）。 设置在所述探针（1）内的细长驱动轴，并安装成围绕其在探针内的纵向轴线旋转。 切割工具（2,34）位于驱动轴的远端，并且与第一孔（4）相邻。 双极电外科装置（3）位于第二孔（5）的区域中位于探针（1）的远端。 电外科装置包括与其分离和绝缘的有源电极（13）和返回电极（11）。 设置有用于使驱动轴旋转的马达（6） 并且提供抽吸装置用于选择性地在第一孔（4）或第二孔（5）处提供吸力源。
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公开(公告)号：US08652134B2
公开(公告)日：2014-02-18
申请号：US13023092
申请日：2011-02-08
CPC分类号： A61B18/1233 , A61B18/1402 , A61B2017/00017 , A61B2017/0023 , A61B2017/00867 , A61B2018/00184 , A61B2018/00601 , A61B2018/00642 , A61B2018/00708 , A61B2018/00791 , A61B2018/00898 , A61B2090/0814
摘要： An electronic apparatus includes a circuit portion that is configured to control an operation of the electronic apparatus and a heat-activated mechanical switch including, for example, a shape-memory material. The shape-memory material has a property such that the shape-memory material assumes a predetermined shape when the electronic apparatus is heated to a transition temperature. The shape-memory material disables the apparatus by acting on the circuit portion when the shape-memory material assumes the predetermined shape.
摘要翻译： 电子设备包括电路部分，其被配置为控制电子设备的操作和包括例如形状记忆材料的热激活机械开关。 形状记忆材料具有这样的性质，使得当电子设备被加热到转变温度时，形状记忆材料呈现预定的形状。 当形状记忆材料呈现预定形状时，形状记忆材料通过作用于电路部分而使装置无效。
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公开(公告)号：US06942662B2
公开(公告)日：2005-09-13
申请号：US10324069
申请日：2002-12-20
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B18/1402 , A61B2018/00005 , A61B2018/00023 , A61B2018/126 , A61B2018/1412
摘要： An electrosurgical cutting blade (1) comprises a first electrode (2), a second electrode (3), and an electrical insulator (4) separating the first and second electrodes. The first and second electrodes have dissimilar characteristics (cross-sectional area, thermal conductivity etc.) such that the first electrode (2) is encouraged to become an active electrode and the second electrode (3) is encouraged to become a return electrode. The spacing between the first and second electrodes (between 0.25 mm and 3.0 mm) and the peak voltage supplied to the electrodes (2 and 3) are both selected such that arcing does not occur directly between the electrodes, but between the first electrode and the tissue at the target site. The arrangement is such that, in use, a thermal differential of at least 50° C. is established between the first and second electrodes (2 and 3), such that the second electrode is maintained below a temperature of 70° C. This is achieved either by thermally insulating the second electrode from the first electrode, and/or by transferring heat away from the second electrode, e.g. by conduction, forced cooling, or by means of a heat pipe (27).
摘要翻译： 电外科切割刀片（1）包括第一电极（2），第二电极（3）和分离第一和第二电极的电绝缘体（4）。 第一和第二电极具有不同的特性（横截面积，热导率等），使得第一电极（2）被鼓励成为有源电极，并且第二电极（3）被鼓励成为返回电极。 第一和第二电极之间的间隔（0.25mm和3.0mm）和提供给电极（2和3）的峰值电压都被选择为使得电弧不直接发生在电极之间，而是在第一电极和 组织在目标部位。 该布置使得在使用中，在第一和第二电极（2和3）之间建立至少50℃的热差，使得第二电极保持在70℃以下的温度。这是 通过将第二电极与第一电极热绝缘，和/或通过将热量从第二电极传递，例如， 通过传导，强制冷却，或通过热管（27）。
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公开(公告)号：US06558379B1
公开(公告)日：2003-05-06
申请号：US09442750
申请日：1999-11-18
IPC分类号： A61B1818
CPC分类号： A61B18/1482 , A61B2018/126 , A61B2018/1472 , A61B2018/162 , A61B2218/002 , A61B2218/007
摘要： An electrosurgical system includes an electrosurgical generator to which the active and return electrodes (18, 20) of an electrosurgical instrument (12) are connected. In use the electrodes are immersed in electrically-conductive fluid to complete a conduction path between them. The electrodes (18, 20) are located on a shaft (16) of the instrument which extends from a handle (14). The shaft is covered in a translucent flexible sheath (50) comprising a tube (60) having a large proximal opening (62) to enable insertion of the instrument within the sheath, and a narrower distal opening (64) through which the distal end of the instrument shaft projects, thereby to expose the active electrode (18) to the electrically-conductive fluid. Suction is applied to the interior of the sheath at an outlet port (66), and a seal (72) at the proximal end of the tube cooperates with a proximal surface (74) on the instrument handle to form a fluid-tight seal so that the suction is transmitted to the distal opening, in order to suck bubbles and debris away from the region around the active electrode (18). The distance between the active electrode (18) and the distal opening (64) of the tube (60) is chosen so that sufficient bubbles are sucked from the region around the active electrode to enable clear viewing of a treatment site without causing the resultant flow of conducting fluid over the active electrode to quench a vapor pocket which is formed around the active electrode when the instrument (12) is used to vaporize tissue.
摘要翻译： 电外科系统包括电外科发生器，电外科器械（12）的活动和返回电极（18,20）连接到该电外科发生器。 在使用中，电极被浸入导电流体中以完成它们之间的传导路径。 电极（18,20）位于从手柄（14）延伸的仪器的轴（16）上。 轴被覆在半透明的柔性护套（50）中，该护套包括具有大的近侧开口（62）的管（60），以能够将器械插入护套内，以及较窄的远端开口（64），远端 仪器轴突出，从而将有源电极（18）暴露于导电流体。 在出口端口（66）处将吸力施加到护套的内部，并且在管的近端处的密封件（72）与仪器手柄上的近侧表面（74）配合以形成流体密封，因此 抽吸被传递到远端开口，以便吸取气泡和碎屑远离有效电极（18）周围的区域。 选择有源电极（18）和管（60）的远端开口（64）之间的距离，使得从活性电极周围的区域吸出足够的气泡，以使得能够清楚地观察治疗部位而不会导致所得到的流动 在活性电极上导电流体以淬灭当器械（12）用于蒸发组织时在活性电极周围形成的蒸气袋。
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公开(公告)号：US20190133710A1
公开(公告)日：2019-05-09
申请号：US16090954
申请日：2016-04-04
申请人： Theodore C. BLUS , Jyue Boon LIM , Kester J. BATCHELOR , Gyrus ACMi, Inc., d.b.a. Olympus Surgical Technolo
摘要： An electrosurgical instrument includes a light source, a first conductor, a second conductor, an insulation material positioned between the first conductor and the second conductor, and a light pipe that carries light from the light source to the insulation material.
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公开(公告)号：US09827395B2
公开(公告)日：2017-11-28
申请号：US14155506
申请日：2014-01-15
申请人： Chris P. Olig , Kester J. Batchelor , Tailin Fan
发明人： Chris P. Olig , Kester J. Batchelor , Tailin Fan
CPC分类号： A61M25/0074 , A61B1/00135 , A61B1/0014 , A61B1/012 , A61B1/233 , A61M25/0026 , A61M25/01 , A61M2025/0006 , A61M2025/0025 , A61M2025/0183
摘要： An apparatus and method are presented for a therapy delivery device including a catheter, an endoscope and an endoscope shaft, one or more attachment features for attaching the catheter to the endoscope, wherein the catheter has an expandable lumen at a distal end and wherein the expandable lumen expands upon injection of a therapy at the proximal end of the catheter. Attachment features may be a series of clips along the length of the catheter for attaching to an endoscope or a second lumen on the catheter wherein an endoscope may through one of said lumens. Targeted therapy delivery may be a hydrogel or a chitosan hydrogel to provide a treatment within a sinus of a patient.
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公开(公告)号：US07211084B2
公开(公告)日：2007-05-01
申请号：US11210671
申请日：2005-08-25
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B18/1402 , A61B2018/00005 , A61B2018/00023 , A61B2018/126 , A61B2018/1412
摘要： An electrosurgical cutting blade (1) comprises a first electrode (2), a second electrode (3), and an electrical insulator (4) separating the first and second electrodes. The first and second electrodes have dissimilar characteristics (cross-sectional area, thermal conductivity etc.) such that the first electrode (2) is encouraged to become an active electrode and the second electrode (3) is encouraged to become a return electrode. The spacing between the first and second electrodes (between 0.25 mm and 3.0 mm) and the peak voltage supplied to the electrodes (2 and 3) are both selected such that arcing does not occur directly between the electrodes, but between the first electrode and the tissue at the target site. The arrangement is such that, in use, a thermal differential of at least 50° C. is established between the first and second electrodes (2 and 3), such that the second electrode is maintained below a temperature of 70° C. This is achieved either by thermally insulating the second electrode from the first electrode, and/or by transferring heat away from the second electrode, e.g. by conduction, forced cooling, or by means of a heat pipe (27).
摘要翻译： 电外科切割刀片（1）包括第一电极（2），第二电极（3）和分离第一和第二电极的电绝缘体（4）。 第一和第二电极具有不同的特性（横截面积，热导率等），使得第一电极（2）被鼓励成为有源电极，并且第二电极（3）被鼓励成为返回电极。 第一和第二电极之间的间隔（0.25mm和3.0mm）和提供给电极（2和3）的峰值电压都被选择为使得电弧不直接发生在电极之间，而是在第一电极和 组织在目标部位。 该布置使得在使用中，在第一和第二电极（2和3）之间建立至少50℃的热差，使得第二电极保持在70℃以下的温度。这是 通过将第二电极与第一电极热绝缘，和/或通过将热量从第二电极传递，例如， 通过传导，强制冷却，或通过热管（27）。
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