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1.发明授权Snap fit collar for coupling the end of a flexible coil to the actuator or clevis of an endoscopic surgical instrument and an endoscopic surgical instrument incorporating the same 失效用于将柔性线圈的端部耦合到内窥镜手术器械的致动器或U形夹的扣合配合套环和包括其的内窥镜手术器械
公开(公告)号：US5632764A
公开(公告)日：1997-05-27
申请号：US389758
申请日：1995-02-15
CPC分类号： A61B17/29 , A61B17/2909 , A61B10/06 , A61B2017/00477 , A61B2017/2923 , A61B2017/2929 , A61B2017/2931 , A61B2017/2934 , A61B2017/294
摘要： A snap-fit collar for coupling the end of a flexible coil to a part of an endoscopic instrument is a substantially cylindrical member having a first end portion with a stop flange, a resilient tapered locking flange spaced apart from the stop flange defining a waist or groove between the stop flange and the locking flange, and second end portion having a pair of cantilevered substantially semi-cylindrical legs. The first end portion is preferably frustroconical and flares diametrically outward to form the stop flange which has a first diameter. The waist or groove has a second diameter which is smaller than the first diameter. The tapered locking flange is also preferably frustroconical and tapers diametrically inward from a third diameter which is larger than the second diameter. Each of the legs is inclined diametrically outward and includes a plurality of coil engaging ribs on its inner surface. The outer surface of each leg is preferably provided with a longitudinal key and the free end of each leg is preferably tapered radially inward. The collar has a throughbore which extends through the first end portion to the space between the legs. An endoscopic instrument actuator and a clevis for use with the snap-fit collar each include a throughbore having a step and a pair of diametrically opposed keyways which extend into at least a portion of the throughbore wall.
摘要翻译： 用于将柔性线圈的端部耦合到内窥镜器械的一部分的卡扣套圈是具有第一端部和止动凸缘的基本上圆柱形的构件，与止动凸缘间隔开的弹性锥形锁定凸缘，所述止动凸缘限定腰部或 凹槽在止动凸缘和锁定凸缘之间，第二端部具有一对悬臂的大致半圆柱形的腿。 第一端部优选为截头圆锥形并且向外扩张以形成具有第一直径的止动凸缘。 腰部或凹槽具有小于第一直径的第二直径。 锥形锁定凸缘也优选是截头锥形的并且从比第二直径大的第三直径向内径向渐缩。 每个腿部沿径向向外倾斜，并且在其内表面上包括多个线圈接合肋。 每个腿的外表面优选地设置有纵向键，并且每个腿的自由端优选地径向向内渐缩。 套环具有穿过第一端部延伸到腿部之间的通孔。 内窥镜器械致动器和与卡扣套环一起使用的U形夹每个都包括具有台阶的通孔和延伸到通孔壁的至少一部分的一对径向相对的键槽。
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公开(公告)号：US5980519A
公开(公告)日：1999-11-09
申请号：US688381
申请日：1996-07-30
申请人： Kevin F. Hahnen , Gary R. Dill
发明人： Kevin F. Hahnen , Gary R. Dill
CPC分类号： A61B18/14 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/1407 , A61B2018/1435
摘要： An electrocautery probe with a variable morphology electrode includes a coil electrode extending through the distal end of a probe, an adjustment mechanism operable from a proximal end of the probe for changing the morphology of the coil electrode, and a connection for receiving a current for application through the electrode. The morphology of the electrode can be changed by adjusting the length of electrode which extends from the probe. In a preferred embodiment, the morphology of the electrode can also be changed through the use of slider having a shaped head which extends from the distal end of the probe and presses against the electrode. The shaped head of the slider can have a variety of shapes and when the shaped head of the slider urges against the electrode, the electrode is formed to the same shape as that of the distal end of the slider head. Also provided are mechanisms for adjusting and maintaining the position of the slider and shaped head with respect to the electrode.
摘要翻译： 具有可变形态电极的电灼探针包括延伸穿过探针的远端的线圈电极，可从探针的近端操作的调节机构，用于改变线圈电极的形态，以及用于接收电流的连接 通过电极。 可以通过调节从探针延伸的电极的长度来改变电极的形态。 在优选实施例中，电极的形态也可以通过使用具有成形头部的滑块来改变，所述成型头部从探针的远端延伸并压靠电极。 滑块的成型头可以具有各种形状，并且当滑块的成形头部抵靠电极时，电极形成为与滑块头的远端的形状相同的形状。 还提供了用于调节和保持滑块和成形头相对于电极的位置的机构。
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公开(公告)号：US5569299A
公开(公告)日：1996-10-29
申请号：US397423
申请日：1995-03-01
申请人： Gary R. Dill , Kevin F. Hahnen
发明人： Gary R. Dill , Kevin F. Hahnen
CPC分类号： A61B10/06 , A61B2017/2934 , A61B2017/2936 , A61B2017/2939 , A61B2017/2944
摘要： An endoscopic urological biopsy forceps includes a hollow tube member with a control member extending therethrough, an actuator coupled to the proximal ends of the tube member and the control member and a jaw assembly coupled to the distal ends of the tube and control member. The jaw assembly includes a stationary jaw with an axle pin, and a movable jaw with an arcuate slot through which the axle pin extends such that the movable jaw is coupled to the stationary jaw and is movable both translationally and rotationally relative to the stationary jaw. The stationary jaw has a basket-like opening and part of the movable jaw fits inside the opening. The movable jaw has a pair of sidewalls each of which define a row of cutting teeth and a distal buck tooth which is arranged substantially perpendicular to the side walls and is angled toward the proximal end of the movable jaw. When the jaws are closed, the cutting teeth of the movable jaw are received in the opening if the stationary jaw and the buck tooth resides outside and adjacent the distal end of the stationary jaw. The movable jaw is preferably provided with a gouged interior defining a roof palate making additional room for the capture and storage of biopsy samples. The basket-like opening in the stationary jaw is preferably provided with bottom openings for fluid drainage and to accommodate larger and plural biopsy samples.
摘要翻译： 内窥镜泌尿活检钳包括具有延伸穿过其中的控制构件的中空管构件，联接到管构件和控制构件的近端的致动器以及联接到管和控制构件的远端的钳口组件。 夹爪组件包括具有轴销的固定夹爪和具有弧形槽的活动夹爪，所述轴销通过所述弓形槽延伸，使得所述可动夹爪联接到所述固定夹爪并且可相对于所述固定夹爪平移和旋转地移动。 固定颚具有篮状开口，并且可动颚的一部分配合在开口内。 活动夹爪具有一对侧壁，每个侧壁限定一排切割齿和远侧的降压齿，其远侧基本上垂直于侧壁布置，并且朝向可动夹爪的近端成角度。 当夹爪闭合时，如果固定夹爪和降压齿位于固定夹爪的远端的外侧并且邻近固定夹爪的远端，则活动夹爪的切割齿被容纳在开口中。 可移动钳口优选地设置有限定屋顶腭的沟槽内部，从而为活检样本的捕获和储存提供额外的空间。 固定颚中的篮状开口优选地设置有用于流体排出的底部开口并且容纳更大和多个活检样本。
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公开(公告)号：US20120010652A1
公开(公告)日：2012-01-12
申请号：US13238361
申请日：2011-09-21
IPC分类号： A61B17/28
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The shaft may be capable of an angled configuration where at least a portion of the shaft is manually movable to a direction in which it extends at an angle to another portion of the shaft. The end effector is not limited to a linear configuration and at least a portion of an elongated end effector extends at an angle relative to another portion of the end effector as is needed or desirable for the particular procedure to be performed.
摘要翻译： 液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。 轴可以是倾斜的构型，其中轴的至少一部分可手动地移动到其与轴的另一部分成一定角度延伸的方向。 末端执行器不限于线性构造，并且细长末端执行器的至少一部分相对于端部执行器的另一部分以一定角度延伸，如对于要执行的特定过程所需要或期望的。
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公开(公告)号：US08043328B2
公开(公告)日：2011-10-25
申请号：US10871617
申请日：2004-06-18
IPC分类号： A61B17/00
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The shaft may be capable of an angled configuration where at least a portion of the shaft is manually movable to a direction in which it extends at an angle to another portion of the shaft. The end effector is not limited to a linear configuration and at least a portion of an elongated end effector extends at an angle relative to another portion of the end effector as is needed or desirable for the particular procedure to be performed.
摘要翻译： 液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。 轴可以是倾斜的构型，其中轴的至少一部分可手动地移动到其与轴的另一部分成一定角度延伸的方向。 末端执行器不限于线性构造，并且细长末端执行器的至少一部分相对于末端执行器的另一部分以一定角度延伸，如对于要执行的特定过程所需要或期望的。
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公开(公告)号：US07610104B2
公开(公告)日：2009-10-27
申请号：US10144205
申请日：2002-05-10
申请人： Aaron V. Kaplan , Kevin F. Hahnen
发明人： Aaron V. Kaplan , Kevin F. Hahnen
CPC分类号： A61N1/0587 , A61N2001/0578
摘要： The methods and apparatus for lead placement on a surface of the heart are employed using an elongated body having proximal and distal end portions. The body defines a lead receiving passageway extending between a proximal inlet and a distal outlet for receiving a lead therethrough for contact with the heart surface. The elongated body is adapted for insertion between a pericardium and an epicardial surface. At least a portion of the body may have a non-circular cross-sectional shape adapted to retain the body orientation between the pericardium and the epicardial surface.
摘要翻译： 使用具有近端部分和远端部分的细长体使用在心脏表面上的铅放置的方法和装置。 主体限定了在近端入口和远端出口之间延伸的引线接收通道，用于接收穿过其中的与心脏表面接触的引线。 细长体适于插入在心包和心外膜表面之间。 身体的至少一部分可以具有适于在心包和心外膜表面之间保持身体取向的非圆形横截面形状。
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公开(公告)号：US5478350A
公开(公告)日：1995-12-26
申请号：US275291
申请日：1994-07-14
申请人： Peter K. Kratsch , Kevin F. Hahnen
发明人： Peter K. Kratsch , Kevin F. Hahnen
CPC分类号： A61B17/29 , A61B17/2909 , A61B10/06 , A61B2017/00477 , A61B2017/2923 , A61B2017/2929 , A61B2017/2931 , A61B2017/2934 , A61B2017/294
摘要： An actuator mechanism for an endoscopic instrument includes a stationary handle having a stepped throughbore with a relatively smaller diameter at the distal end and a relatively larger diameter at the proximal end. A cylindrical rack member is slidably disposed in the larger diameter portion of the throughbore. The larger diameter portion of the throughbore has a lower slot opening, and a movable lever is pivotally coupled to the stationary handle and is provided with a toothed upper pinion which enters the slot in the larger diameter portion of the throughbore and engages the rack member. The proximal end of the tube member is coupled to the distal smaller diameter portion of the throughbore and the proximal end of the control member is coupled to the distal end of the rack member.
摘要翻译： 用于内窥镜器械的致动器机构包括具有在远端具有相对较小直径并且在近端具有相对较大直径的阶梯式通孔的固定手柄。 圆柱形齿条构件可滑动地设置在通孔的较大直径部分中。 通孔的较大直径部分具有下槽口，并且可动杆枢转地联接到固定手柄，并且设置有齿形上小齿轮，其进入通孔的较大直径部分中的狭槽并与齿条构件接合。 管构件的近端联接到通孔的远端较小直径部分，并且控制构件的近端联接到齿条构件的远端。
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公开(公告)号：US09138142B2
公开(公告)日：2015-09-22
申请号：US11417667
申请日：2006-05-03
CPC分类号： A61F2/15 , A61B3/152 , A61F2/14 , A61F2/147 , A61F9/007 , A61F2002/1699 , A61F2250/0023 , A61F2250/0067 , A61F2250/0098 , G02C7/04 , G02C7/165
摘要： An ophthalmic device that includes a mask configured to be implanted posterior of the cornea. The mask is configured to increase the depth of focus of the patient. The mask includes an aperture configured to transmit along an optical axis substantially all incident light and a substantially opaque portion surrounding at least a portion of the aperture. The ophthalmic device can further include a plurality of light transmission structures configured to allow some light to pass through the substantially opaque portion. The light transmission structures are configured to minimize generation of visible artifacts due to the transmission of light through the light transmission structures.
摘要翻译： 一种眼科装置，其包括构造成植入角膜后方的掩模。 掩模被配置为增加患者的焦点深度。 掩模包括孔，所述孔被配置为沿着光轴传输基本上所有的入射光和围绕孔的至少一部分的基本上不透明的部分。 眼科装置还可以包括多个光透射结构，其被配置为允许一些光穿过基本上不透明的部分。 光传输结构被配置为最小化由于透过光透射结构的光的透射而导致的可见伪影的产生。
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公开(公告)号：US08864824B2
公开(公告)日：2014-10-21
申请号：US11417875
申请日：2006-05-03
IPC分类号： A61F2/14
CPC分类号： A61B3/152 , A61B3/0091
摘要： A method is provided for increasing the depth of focus of an eye of a patient. A visual axis of the eye is aligned with an instrument axis of an ophthalmic instrument. The ophthalmic instrument has an aperture through which the patient may look along the instrument axis. A first reference target is imaged on the instrument axis at a first distance with respect to the eye. A second reference target is imaged on the instrument axis with the ophthalmic instrument at a second distance with respect to the eye. The second distance is greater than the first distance. Movement is provided such that the patient's eye is in a position where the images of the first and second reference targets appear to the patient's eye to be aligned. A mask comprising a pin-hole aperture having a mask axis is aligned with the instrument axis such that the mask axis and the instrument axis are substantially collinear. The mask is applied to the eye of the patient while the alignment of the mask axis and the instrument axis is maintained. Maintaining alignment of the mask axis and the instrument axis may be facilitated by capturing an image of the eye.
摘要翻译： 提供了一种用于增加患者眼睛的焦点深度的方法。 眼睛的视轴与眼科仪器的仪器轴线对准。 眼科器具具有孔，患者可沿着该孔观察仪器轴线。 第一参考目标在仪器轴上相对于眼睛以第一距离成像。 第二参考目标在仪器轴上与眼科仪器相对于眼睛相距第二距离成像。 第二距离大于第一距离。 提供运动，使得患者的眼睛处于第一和第二参考对象的图像对患者眼睛看起来对齐的位置。 包括具有掩模轴的针孔的掩模与仪器轴线对准，使得掩模轴线和仪器轴线基本上共线。 当保持掩模轴和仪器轴的对准时，将掩模施加到患者的眼睛。 通过捕捉眼睛的图像可以方便地保持掩模轴和仪器轴的对准。
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公开(公告)号：US5957923A
公开(公告)日：1999-09-28
申请号：US725937
申请日：1996-10-07
CPC分类号： A61B18/1485 , A61B18/149 , A61B2018/00607
摘要： An electrocautery probe includes a distal loop electrode mounted between a pair of arms which are joined at their proximal ends to an electrode lead, and a mounting sleeve for slideably coupling the probe to the guide tube of a resectoscope. The arms are skewed from a longitudinal axis defined by the electrode lead and are covered with an insulative material which extends to the distal end of the arms and terminates in a straight edge parallel to a plane substantially perpendicular to the arms. The loop electrode is angled approximately 25.degree.-35.degree. proximally relative to a plane substantially perpendicular to the electrode lead. The loop electrode further defines sharp upper distal and proximal edges. A cross-section of the electrode further defines an upper surface, a leading distal surface, a lower distal surface, a lower proximal surface.
摘要翻译： 电烙探头包括安装在一对臂之间的远端环电极，所述臂在其近端处连接到电极引线，以及用于将探针可滑动地联接到切除镜的引导管的安装套筒。 臂从由电极引线限定的纵向轴线偏斜并且被绝缘材料覆盖，绝缘材料延伸到臂的远端并且终止于平行于基本上垂直于臂的平面的直边缘。 环形电极相对于基本上垂直于电极引线的平面向近端倾斜约25°-35°。 环形电极还限定了尖锐的上部远端和近端边缘。 电极的横截面进一步限定了上表面，前端远端表面，下远端表面，下近侧表面。
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