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    Ultrasonic dissection and coagulation system
    1.
    发明授权
    Ultrasonic dissection and coagulation system 失效
    超声解剖和凝血系统

    公开(公告)号：US6036667A

    公开(公告)日：2000-03-14

    申请号：US911207

    申请日：1997-08-14

    申请人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranvi

    发明人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranvi

    IPC分类号： A61B17/3201 ,  A61B17/28 ,  A61B17/32 ,  A61B18/00 ,  A61B17/20

    CPC分类号： A61B17/320092 ,  A61B2017/2929 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2944 ,  A61B2017/2948 ,  A61B2017/320072

    摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is spaced form the cutting surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.

    摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可从其中组织接触表面从切割表面间隔开的打开位置移动到夹紧位置，在该夹紧位置中，组织接触表面与 切割表面以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。

    Ultrasonic dissection and coagulation system
    2.
    发明授权
    Ultrasonic dissection and coagulation system 有权
    超声解剖和凝血系统

    公开(公告)号：US6063050A

    公开(公告)日：2000-05-16

    申请号：US174276

    申请日：1998-10-16

    申请人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranvi

    发明人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranvi

    IPC分类号： A61B17/3201 ,  A61B17/28 ,  A61B17/32 ,  A61B18/00 ,  A61B17/20

    CPC分类号： A61B17/320092 ,  A61B2017/2929 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2944 ,  A61B2017/2948 ,  A61B2017/320072

    摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.

    摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可以从打开位置移动，在打开位置，组织接触表面与切割表面紧密地并置对准以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。

    Ultrasonic dissection and coagulation system
    3.
    发明授权
    Ultrasonic dissection and coagulation system 有权
    超声解剖和凝血系统

    公开(公告)号：US06280407B1

    公开(公告)日：2001-08-28

    申请号：US09521440

    申请日：2000-03-07

    申请人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranyi

    发明人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranyi

    IPC分类号： A61B1720

    CPC分类号： A61B17/320092 ,  A61B2017/2929 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2944 ,  A61B2017/2948 ,  A61B2017/320072

    摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is spaced form the cutting surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.

    摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可从其中组织接触表面从切割表面间隔开的打开位置移动到夹紧位置，在该夹紧位置中，组织接触表面与 切割表面以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。

    Surgical suturing apparatus with locking mechanisms
    5.
    发明授权
    Surgical suturing apparatus with locking mechanisms 失效
    具有锁定机构的手术缝合装置

    公开(公告)号：US5674230A

    公开(公告)日：1997-10-07

    申请号：US527125

    申请日：1995-09-12

    申请人： H. Jonathan Tovey ,  Corbett W. Stone ,  Stephen W. Zlock ,  David A. Nicholas ,  Paul A. Scirica ,  Philip Richardson ,  Margaret Pamela Richardson

    发明人： H. Jonathan Tovey ,  Corbett W. Stone ,  Stephen W. Zlock ,  David A. Nicholas ,  Paul A. Scirica ,  Philip Richardson ,  Margaret Pamela Richardson

    IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/28 ,  A61B17/10

    CPC分类号： A61B17/2909 ,  A61B17/0469 ,  A61B17/0625 ,  A61B17/0491 ,  A61B17/06114 ,  A61B2017/0479 ,  A61B2017/0609 ,  A61B2017/292 ,  A61B2017/2936

    摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.

    摘要翻译： 公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端 所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收 手术针的一部分。 第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。 该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进 另一个。 还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动 以及与另一个钳口间隔开的第二位置。

    Surgical suturing apparatus with locking mechanisms
    6.
    发明授权
    Surgical suturing apparatus with locking mechanisms 失效
    具有锁定机构的手术缝合装置

    公开(公告)号：US5871488A

    公开(公告)日：1999-02-16

    申请号：US862055

    申请日：1997-05-22

    申请人： H. Jonathan Tovey ,  Corbett W. Stone ,  Stephen W. Zlock ,  David A. Nicholas ,  Paul A. Scirica ,  Philip Richardson ,  Margaret Pamela Richardson

    发明人： H. Jonathan Tovey ,  Corbett W. Stone ,  Stephen W. Zlock ,  David A. Nicholas ,  Paul A. Scirica ,  Philip Richardson ,  Margaret Pamela Richardson

    IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/28 ,  A61B17/10

    CPC分类号： A61B17/2909 ,  A61B17/0469 ,  A61B17/0625 ,  A61B17/0491 ,  A61B17/06114 ,  A61B2017/0479 ,  A61B2017/0609 ,  A61B2017/292 ,  A61B2017/2936

    摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.

    摘要翻译： 公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端 所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收 手术针的一部分。 第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。 该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进 另一个。 还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动 以及与另一个钳口间隔开的第二位置。

    Method of employing surgical suturing apparatus to tie knots
    7.
    发明授权
    Method of employing surgical suturing apparatus to tie knots 失效
    手术缝合装置结扎方法

    公开(公告)号：US5480406A

    公开(公告)日：1996-01-02

    申请号：US319837

    申请日：1994-10-07

    申请人： Paul Nolan ,  H. Jonathan Tovey ,  Corbett W. Stone ,  Gregory S. Gardner

    发明人： Paul Nolan ,  H. Jonathan Tovey ,  Corbett W. Stone ,  Gregory S. Gardner

    IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/64

    CPC分类号： A61B17/0469 ,  A61B2017/0609

    摘要： The disclosure contemplates a method for using an endoscopic suturing apparatus to conveniently place various knots in suture such as a square knot, a modified fisherman's knot, a securing knot, an alternative square knot and a surgeon's knot. The knots are formed variously by placing the suture between the jaws or around one jaw and passing the needle from one jaw to the other to be able to draw the suture through loops formed in the suture.

    摘要翻译： 本公开涉及使用内窥镜缝合装置方便地将各种结缝放置在缝合线中的方法，例如方形结，修改的渔夫结，固定结，替代方形结和外科医生的结。 通过将缝合线放置在钳口之间或围绕一个钳口并将针从一个钳口传递到另一个钳口以能够通过形成在缝合线中的环将牵引线牵引而形成各种结。

    Articulating endoscopic surgical apparatus
    10.
    发明授权
    Articulating endoscopic surgical apparatus 失效
    指肠内窥镜手术器械

    公开(公告)号：US5607450A

    公开(公告)日：1997-03-04

    申请号：US359625

    申请日：1994-12-20

    申请人： Boris Zvenyatsky ,  Ernest Aranyi ,  H. Jonathan Tovey

    发明人： Boris Zvenyatsky ,  Ernest Aranyi ,  H. Jonathan Tovey

    IPC分类号： A61B17/02 ,  A61B17/28 ,  A61B18/14 ,  A61B10/00

    CPC分类号： A61B17/29 ,  A61B17/0218 ,  A61B18/1442 ,  A61B2017/292 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2936

    摘要： A surgical instrument is provided for use in endoscopic or laparoscopic surgery. The instrument includes a handle portion and an endoscopic portion. The endoscopic portion has an elongated tubular section having opposed proximal and distal ends, the proximal end of which extends from the handle portion, and an articulating section which is pivotally connected to the tubular section adjacent the distal end thereof. Tool means depend from the articulating section and a linkage mechanism is associated with the endoscopic portion for pivoting the articulating section relative to the longitudinal axis of the tubular section, within a 90.degree. sector of rotation. In addition, the instrument includes means for rotating the endoscopic portion about its longitudinal axis.

    摘要翻译： 提供用于内窥镜或腹腔镜手术的手术器械。 仪器包括手柄部分和内窥镜部分。 内窥镜部分具有细长的管状部分，其具有相对的近端和远端，其近端从手柄部分延伸，以及铰接部分，其枢转地连接到邻近其远端的管状部分。 工具装置取决于铰接部分，并且联动机构与内窥镜部分相关联，用于在90°旋转区域内相对于管状部分的纵向轴线枢转关节部分。 此外，该仪器包括用于使内窥镜部分围绕其纵向轴线旋转的装置。