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公开(公告)号：US06461310B1
公开(公告)日：2002-10-08
申请号：US09612923
申请日：2000-07-10
IPC分类号： A61B500
CPC分类号： A61B10/06 , A61B2017/2932 , A61B2017/2933
摘要： An endoscopic bioptome includes a flexible coil having a lumen with an axially displaceable wire extending therethrough. The proximal ends of coil and wire couple to a manual actuator for axially displacing one of the coil and wire relative to the other. The distal end of the coil couples to either a jaw assembly or a cylinder. The jaw assembly includes a pair of jaws each having a distal jaw cup having a proximal neck and a relatively narrow bent resilient arm. The distal end of the wire couples to the other of the cylinder or the jaw assembly. The cylinder is slidable over the jaw assembly. Axial movement of either the wire relative to the coil or vice versa moves the cylinder over the arms of the jaws and over the necks of the jaw cups, thereby forcing the jaw cups together in a biting action.
摘要翻译： 内镜式活检人员包括具有内腔的柔性线圈，其具有延伸穿过其中的可轴向移位的线。 线圈和线的近端耦合到手动致动器，用于相对于另一个轴向移位线圈和线中的一个。 线圈的远端耦合到钳口组件或气缸。 钳口组件包括一对钳口，每个钳口具有具有近端颈部和相对窄的弯曲弹性臂的远端钳口杯。 线的远端耦合到气缸或钳口组件中的另一个。 气缸可滑过钳口组件。 电线相对于线圈或反之亦然的轴向运动将汽缸移动到钳口的臂上并在钳口杯的颈部上方，从而迫使钳口杯咬合在一起。
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公开(公告)号：US06193671B1
公开(公告)日：2001-02-27
申请号：US09071039
申请日：1998-05-04
IPC分类号： A61B1000
CPC分类号： A61B10/0266 , A61B10/02 , A61B10/06 , A61B17/30 , A61B2010/0225 , A61B2017/00398 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61M2025/0098
摘要： An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to lie in planes which intersect the axis of the base member and to locate the jaws apart from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. The biting action is enhanced according to the invention by arranging the cutting edge of each jaw to lie in a plane which intersects the plane in which the distal portion of the jaw arm lies. The biting action is further enhanced by providing a closing cam on the outer surface of the jaws which is engaged by the cylinder when the jaws are closed. The arrangement of the cutting edges also presents a smooth surface to the interior of an endoscope and the closing cams prevent the sleeve from sliding completely over and off of the jaws.
摘要翻译： 内窥镜多样本生物切割器包括中空的外部构件和从其延伸穿过的可轴向移动的内部构件。 外部构件和内部构件的近端联接到致动器，用于相对于另一个轴向移动。 外部构件的远端联接到具有尖锐远端边缘和钳口组件的圆柱体中的一个，而内部构件的远端联接到另一个。 钳口组件包括一对相对的，优选有齿的钳口杯，每个钳口由弹性臂联接到基座构件。 臂被弯曲以位于与基部构件的轴线相交的平面中并且将夹爪彼此分开定位。 基座部件安装在气缸内，夹爪组件和气缸相对于彼此的轴向运动将臂插入气缸中，并使咬合杯以咬合动作一起接合。 根据本发明，通过将每个钳口的切割边缘布置在与钳口臂的远端部分所在的平面相交的平面中，根据本发明增强了咬合动作。 通过在钳口的外表面上设置关闭凸轮来进一步增强咬合动作，当闭合钳口时，该闭合凸轮由气缸接合。 切割边缘的布置还呈现出内窥镜内部的光滑表面，并且闭合凸轮防止套筒完全滑过和夹紧夹爪。
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公开(公告)号：US06561988B1
公开(公告)日：2003-05-13
申请号：US09715268
申请日：2000-11-20
IPC分类号： A61B1000
CPC分类号： A61B10/0266 , A61B10/02 , A61B10/06 , A61B17/30 , A61B2010/0225 , A61B2017/00398 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61M2025/0098
摘要： An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to lie in planes which intersect the axis of the base member and to locate the jaws apart from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. The biting action is enhanced according to the invention by arranging the cutting edge of each jaw to lie in a plane which intersects the plane in which the distal portion of the jaw arm lies. The biting action is further enhanced by providing a closing cam on the outer surface of the jaws which is engaged by the cylinder when the jaws are closed. The arrangement of the cutting edges also presents a smooth surface to the interior of an endoscope and the closing cams prevent the sleeve from sliding completely over and off of the jaws.
摘要翻译： 内窥镜多样本生物切割器包括中空的外部构件和从其延伸穿过的可轴向移动的内部构件。 外部构件和内部构件的近端联接到致动器，用于相对于另一个轴向移动。 外部构件的远端联接到具有尖锐远端边缘和钳口组件的圆柱体中的一个，而内部构件的远端联接到另一个。 钳口组件包括一对相对的，优选有齿的钳口杯，每个钳口由弹性臂联接到基座构件。 臂被弯曲以位于与基部构件的轴线相交的平面中并且将夹爪彼此分开定位。 基座部件安装在气缸内，夹爪组件和气缸相对于彼此的轴向运动将臂插入气缸中，并使咬合杯以咬合动作一起接合。 根据本发明，通过将每个钳口的切割边缘布置在与钳口臂的远端部分所在的平面相交的平面中，根据本发明增强了咬合动作。 通过在钳口的外表面上设置关闭凸轮来进一步增强咬合动作，当闭合钳口时，该闭合凸轮由气缸接合。 切割边缘的布置还呈现出内窥镜内部的光滑表面，并且闭合凸轮防止套筒完全滑过和夹紧夹爪。
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公开(公告)号：US5636639A
公开(公告)日：1997-06-10
申请号：US412058
申请日：1995-03-28
CPC分类号： A61B10/0266 , A61B10/06 , A61B10/02 , A61B17/30 , A61B2010/0225 , A61B2017/00398 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61M2025/0098
摘要： An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to lie in planes which intersect the axis of the base member and to locate the jaws apart from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. The biting action is enhanced according to the invention by arranging the cutting edge of each jaw to lie in a plane which intersects the plane in which the distal portion of the jaw arm lies. The biting action is further enhanced by providing a closing cam on the outer surface of the jaws which is engaged by the cylinder when the jaws are closed. The arrangement of the cutting edges also presents a smooth surface to the interior of an endoscope and the closing cams prevent the sleeve from sliding completely over and off of the jaws.
摘要翻译： 内窥镜多样本生物切割器包括中空的外部构件和从其延伸穿过的可轴向移动的内部构件。 外部构件和内部构件的近端联接到致动器，用于相对于另一个轴向移动。 外部构件的远端联接到具有尖锐远端边缘和钳口组件的圆柱体中的一个，而内部构件的远端联接到另一个。 钳口组件包括一对相对的，优选有齿的钳口杯，每个钳口由弹性臂联接到基座构件。 臂被弯曲以位于与基部构件的轴线相交的平面中并且将夹爪彼此分开定位。 基座部件安装在气缸内，夹爪组件和气缸相对于彼此的轴向运动将臂插入气缸中，并使钳口杯以咬合动作一起接合。 根据本发明，通过将每个钳口的切割边缘布置在与钳口臂的远端部分所在的平面相交的平面中，根据本发明增强了咬合动作。 通过在钳口的外表面上设置关闭凸轮来进一步增强咬合动作，当闭合钳口时，该闭合凸轮由气缸接合。 切割边缘的布置还呈现出内窥镜内部的光滑表面，并且闭合凸轮防止套筒完全滑过和夹紧夹爪。
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公开(公告)号：US6123678A
公开(公告)日：2000-09-26
申请号：US960214
申请日：1997-10-29
CPC分类号： A61B10/06 , A61B2017/2933 , A61B2017/2937
摘要： An endoscopic bioptome includes a flexible coil having a lumen with an axially displaceable wire extending therethrough. The proximal ends of the coil and wire are coupled to a manual actuator for axially displacing one of the coil and wire relative to the other. The distal end of the coil is coupled to either a jaw assembly or a cylinder. The jaw assembly includes a pair of jaws each having a distal jaw cup having a proximal neck and a relatively narrow bent resilient arm. The distal end of the wire is coupled to the other of the cylinder or the jaw assembly. The cylinder is slidable over the jaw assembly. Axial movement of either the wire relative to the coil or vice versa moves the cylinder over the arms of the jaws and over the necks of the jaw cups, thereby forcing the jaw cups together in a biting action. In one embodiment, the axially displaceable wire is provided with a coaxial stopping band or sleeve which stops its movement as soon as the jaws close. In another embodiment, the cylinder is provided with an annular stopping crimp which limits relative displacement of the cylinder and the jaw assembly. In a third embodiment, the cylinder is provided with a radially inward flange and the coil is provided with a reduced diameter portion. In a fourth embodiment, the jaw cups are provided with outer surface steps. In all of the embodiments, the limitation of displacement has the effect of limiting the cutting force applied to the jaws.
摘要翻译： 内镜式活检人员包括具有内腔的柔性线圈，其具有延伸穿过其中的可轴向移位的线。 线圈和线的近端联接到手动致动器，用于相对于另一个轴向移位线圈和线中的一个。 线圈的远端联接到钳口组件或气缸。 钳口组件包括一对钳口，每个钳口具有具有近端颈部和相对窄的弯曲弹性臂的远端钳口杯。 电线的远端联接到气缸或钳口组件中的另一个。 气缸可滑过钳口组件。 电线相对于线圈或反之亦然的轴向运动将汽缸移动到钳口的臂上并在钳口杯的颈部上方，从而迫使钳口杯咬合在一起。 在一个实施例中，可轴向移动的导线设置有同轴止动带或套筒，一旦夹爪关闭就停止其运动。 在另一个实施例中，气缸设置有环形止动压接件，其限制气缸和钳口组件的相对位移。 在第三实施例中，气缸设置有径向向内的凸缘，并且线圈设置有直径减小的部分。 在第四实施例中，钳口杯具有外表面台阶。 在所有实施例中，位移的限制具有限制施加到夹爪的切割力的作用。
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公开(公告)号：US5746216A
公开(公告)日：1998-05-05
申请号：US771576
申请日：1996-12-20
CPC分类号： A61B10/0266 , A61B10/06 , A61B10/02 , A61B17/30 , A61B2010/0225 , A61B2017/00398 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61M2025/0098
摘要： An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to lie in planes which intersect the axis of the base member and to locate the jaws apart from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. The biting action is enhanced according to the invention by arranging the cutting edge of each jaw to lie in a plane which intersects the plane in which the distal portion of the jaw arm lies. The biting action is further enhanced by providing a closing cam on the outer surface of the jaws which is engaged by the cylinder when the jaws are closed. The arrangement of the cutting edges also presents a smooth surface to the interior of an endoscope and the closing cams prevent the sleeve from sliding completely over and off of the jaws.
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公开(公告)号：US5797957A
公开(公告)日：1998-08-25
申请号：US641805
申请日：1996-05-02
CPC分类号： A61B10/06 , A61B2017/2933 , A61B2017/2937
摘要： An endoscopic bioptome includes a flexible coil having a lumen with an axially displaceable wire extending therethrough. The proximal ends of the coil and wire are coupled to a manual actuator for axially displacing one of the coil and wire relative to the other. The distal end of the coil is coupled to either a jaw assembly or a cylinder. The jaw assembly includes a pair of jaws each having a distal jaw cup having a proximal neck and a relatively narrow bent resilient arm. The distal end of the wire is coupled to the other of the cylinder or the jaw assembly. The cylinder is slidable over the jaw assembly. Axial movement of either the wire relative to the coil or vice versa moves the cylinder over the arms of the jaws and over the necks of the jaw cups, thereby forcing the jaw cups together in a biting action. In one embodiment, the axially displaceable wire is provided with a coaxial stopping band or sleeve which stops its movement as soon as the jaws close. In another embodiment, the cylinder is provided with an annular stopping crimp which limits relative displacement of the cylinder and the jaw assembly. In a third embodiment, the cylinder is provided with a radially inward flange and the coil is provided with a reduced diameter portion. In a fourth embodiment, the jaw cups are provided with outer surface steps. In all of the embodiments, the limitation of displacement has the effect of limiting the cutting force applied to the jaws.
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公开(公告)号：US08366607B2
公开(公告)日：2013-02-05
申请号：US12851069
申请日：2010-08-05
申请人： Roy Sullivan , Eric Litscher , Vincent Turturro , Matt Whitney
发明人： Roy Sullivan , Eric Litscher , Vincent Turturro , Matt Whitney
IPC分类号： A61B1/00
CPC分类号： A61B1/0052 , A61B1/0055 , A61B1/0057 , A61M25/0147
摘要： A control handle for use with a steerable endoscopic device. The endoscopic device having a pair of control wires to effect steering. The control handle includes a steering mechanism that includes an actuator, such as a control knob, drivingly connected to a drive member, such as a sprocket or drive gear. To transmit force from the drive member to the control wires, a length of transmission structure, such as bead chain, is connected to the proximal ends of the control wires and is engaged with the drive member. In one embodiment, a single-use endoscope may be provided, which includes a control handle, a steerable endoscopic device, and a umbilical cord or communications conduit for functionally connecting the control handle to a control cabinet of an endoscopic imaging system.
摘要翻译： 与可转向内窥镜装置一起使用的控制手柄。 该内窥镜装置具有一对控制线来实现转向。 控制手柄包括转向机构，其包括驱动地连接到诸如链轮或驱动齿轮的驱动构件的致动器，例如控制旋钮。 为了将驱动构件的力传递到控制线，传动结构（例如胎圈链）的长度连接到控制线的近端并与驱动构件接合。 在一个实施例中，可以提供一次性内窥镜，其包括控制手柄，可操纵的内窥镜装置和用于将控制手柄功能地连接到内窥镜成像系统的控制柜的脐带或通信导管。
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公开(公告)号：US08083671B2
公开(公告)日：2011-12-27
申请号：US11239644
申请日：2005-09-29
申请人： Dennis R Boulais , Michael S Banik , Vincent Turturro , Christopher Rowland , David W Hoffman , John P O'Connor , Eric Litscher
发明人： Dennis R Boulais , Michael S Banik , Vincent Turturro , Christopher Rowland , David W Hoffman , John P O'Connor , Eric Litscher
IPC分类号： A61B1/12
CPC分类号： A61B1/015 , A61B1/00068 , A61B1/00119 , A61B1/00128 , A61B1/12 , A61B1/128 , A61M39/225
摘要： A fluid delivery system for use with an endoscope. Certain embodiments of the invention include a single, large fluid source and pump installed upon an operator console, in combination with a small fluid reservoir and pump installed within a proximal connector of the imaging endoscope, multiple fluid sources that feed a common fluid channel that are pressurized by a common pump, multiple fluid sources that feed dedicated fluid channels that are pressurized by dedicated pumps, and a small fluid reservoir and pump installed within a handheld manual controller of the imaging endoscope. The fluid delivery endoscopic systems of the present invention provide the user with the flexibility of changing fluids either in advance of a procedure or on-the-fly as needed, instead of relying on fixed fluid sources only.
摘要翻译： 一种用于内窥镜的流体输送系统。 本发明的某些实施例包括安装在操作员控制台上的单个大型流体源和泵与安装在成像内窥镜的近侧连接器内的小型流体储存器和泵组合，供给公共流体通道的多个流体源 通过公共泵加压，多个流体源，其供应由专用泵加压的专用流体通道，以及安装在成像内窥镜的手持式手动控制器内的小型流体储存器和泵。 本发明的流体输送内窥镜系统为使用者提供了根据需要在程序之前或即时更换流体的灵活性，而不是仅依赖于固定的流体源。
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公开(公告)号：US07094245B2
公开(公告)日：2006-08-22
申请号：US09971488
申请日：2001-10-05
申请人： Mark L. Adams , Russell F. Durgin , Vincent Turturro , Justin Grant , Norman May , Roy H. Sullivan, III
发明人： Mark L. Adams , Russell F. Durgin , Vincent Turturro , Justin Grant , Norman May , Roy H. Sullivan, III
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B17/083 , A61B17/122 , A61B17/1227 , A61B90/03 , A61B2017/0034 , A61B2017/00477 , A61B2017/00778 , A61B2017/00818 , A61B2017/12004 , A61B2090/037 , A61B2090/3916
摘要： Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.
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