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公开(公告)号：US07494501B2
公开(公告)日：2009-02-24
申请号：US10986993
申请日：2004-11-12
申请人： Russell E. Ahlberg , Scott V. Taylor , David Okihisa , Gregory I. Boychuck , Emil Karapetian , John Stout
发明人： Russell E. Ahlberg , Scott V. Taylor , David Okihisa , Gregory I. Boychuck , Emil Karapetian , John Stout
IPC分类号： A61B17/28
CPC分类号： A61B17/282 , A61B17/29 , A61B2017/2825 , A61B2017/2902 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2943
摘要： The invention is directed to a surgical instrument comprising an elongate tube extending along an axis including a camming rod and an actuation mechanism operably connected to the camming rod, the camming rod having a camming pin and a camming projection; a first jaw spine having a first cam slot, a first interior camming surface, and a first exterior camming surface; and a second jaw spine having a second cam slot, a second interior camming surface, and a second exterior camming surface, the second jaw spine pivotally connected to the first jaw spine at a common pivot pin operably connected to the elongate tube to open and close the jaw spines in response to movement of the actuation mechanism. The camming pin rides along the first and second interior camming surfaces and operates to close the jaw spines when the camming rod is moved proximally. When the camming rod moves distally, the camming projection rides on the first and second exterior camming surfaces formed on the proximal sides of the respective first and second jaw spines and operates to open the jaw spines. A feature of the invention is one camming surface on each jaw spine can facilitate closing the jaw spines while the other camming surface on each jaw spine can facilitate opening the jaw spines. These two camming surfaces on each jaw spine can be widely separated. The jaw spines can be formed of a metallic material and are overmolded with an atraumatic plastic material. By overmolding the plastic onto the metal spine, an atraumatic outer surface can be formed of the plastic material along with a high degree of detail.
摘要翻译： 本发明涉及一种外科器械，其包括沿轴线延伸的细长管，所述细长管包括可操作地连接到所述凸轮杆的凸轮杆和致动机构，所述凸轮杆具有凸轮销和凸轮凸轮; 具有第一凸轮槽，第一内部凸轮表面和第一外部凸轮表面的第一颚骨脊; 以及具有第二凸轮槽，第二内部凸轮表面和第二外部凸轮表面的第二夹爪，所述第二夹爪枢转地连接到与所述细长管可操作地连接以打开和关闭的公共枢轴的所述第一夹爪 颚爪响应于致动机构的移动而刺入。 凸轮销沿着第一和第二内部凸轮表面骑行，并且当凸轮杆向近侧移动时操作以闭合颚骨棘爪。 当凸轮杆向远侧移动时，凸轮突起可骑在形成在相应的第一和第二爪脊的近侧上的第一和第二外部凸轮表面上，并且操作以打开颚骨。 本发明的特征是每个颚骨上的一个凸轮表面可以有助于闭合颚骨棘爪，而每个颌骨上的另一个凸轮表面可以有助于打开颚骨。 每个颚骨上的这两个凸轮表面可以被广泛地分开。 颚棘可以由金属材料形成，并用无创伤的塑料材料包覆成型。 通过将塑料包覆成型到金属脊上，无损伤的外表面可以由塑料材料以高度的细节形成。
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公开(公告)号：US20090131975A1
公开(公告)日：2009-05-21
申请号：US12359836
申请日：2009-01-26
申请人： Russell E. Ahlberg , Scott V. Taylor , David Okihisa , Gregory I. Bak-Boychuk , Emil Karapetian , John Stout
发明人： Russell E. Ahlberg , Scott V. Taylor , David Okihisa , Gregory I. Bak-Boychuk , Emil Karapetian , John Stout
IPC分类号： A61B17/00
CPC分类号： A61B17/282 , A61B17/29 , A61B2017/2825 , A61B2017/2902 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2943
摘要： The invention is directed to a surgical instrument comprising an elongate tube extending along an axis including a camming rod and an actuation mechanism operably connected to the camming rod, the camming rod having a camming pin and a camming projection; a first jaw spine having a first cam slot, a first interior camming surface, and a first exterior camming surface; and a second jaw spine having a second cam slot, a second interior camming surface, and a second exterior camming surface, the second jaw spine pivotally connected to the first jaw spine at a common pivot pin operably connected to the elongate tube to open and close the jaw spines in response to movement of the actuation mechanism. The camming pin rides along the first and second interior camming surfaces and operates to close the jaw spines when the camming rod is moved proximally. When the camming rod moves distally, the camming projection rides on the first and second exterior camming surfaces formed on the proximal sides of the respective first and second jaw spines and operates to open the jaw spines. A feature of the invention is one camming surface on each jaw spine can facilitate closing the jaw spines while the other camming surface on each jaw spine can facilitate opening the jaw spines. These two camming surfaces on each jaw spine can be widely separated. The jaw spines can be formed of a metallic material and are overmolded with an atraumatic plastic material. By overmolding the plastic onto the metal spine, an atraumatic outer surface can be formed of the plastic material along with a high degree of detail.
摘要翻译： 本发明涉及一种外科器械，其包括沿轴线延伸的细长管，所述细长管包括可操作地连接到所述凸轮杆的凸轮杆和致动机构，所述凸轮杆具有凸轮销和凸轮凸轮; 具有第一凸轮槽，第一内部凸轮表面和第一外部凸轮表面的第一颚骨脊; 以及具有第二凸轮槽，第二内部凸轮表面和第二外部凸轮表面的第二夹爪，所述第二夹爪枢转地连接到与所述细长管可操作地连接以打开和关闭的公共枢轴的所述第一夹爪 颚爪响应于致动机构的移动而刺入。 凸轮销沿着第一和第二内部凸轮表面骑行，并且当凸轮杆向近侧移动时操作以闭合颚骨棘爪。 当凸轮杆向远侧移动时，凸轮突起可骑在形成在相应的第一和第二爪脊的近侧上的第一和第二外部凸轮表面上，并且操作以打开颚骨。 本发明的特征是每个颚骨上的一个凸轮表面可以有助于闭合颚骨棘爪，而每个颌骨上的另一个凸轮表面可以有助于打开颚骨。 每个颚骨上的这两个凸轮表面可以被广泛地分开。 颚棘可以由金属材料形成，并用无创伤的塑料材料包覆成型。 通过将塑料包覆成型到金属脊上，无损伤的外表面可以由塑料材料以高度的细节形成。
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公开(公告)号：US20050101991A1
公开(公告)日：2005-05-12
申请号：US10986993
申请日：2004-11-12
申请人： Russell Ahlberg , Scott Taylor , David Okihisa , Gregory Bak-Boychuk , Emil Karapetian , John Stout
发明人： Russell Ahlberg , Scott Taylor , David Okihisa , Gregory Bak-Boychuk , Emil Karapetian , John Stout
CPC分类号： A61B17/282 , A61B17/29 , A61B2017/2825 , A61B2017/2902 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2943
摘要： The invention is directed to a surgical instrument comprising an elongate tube extending along an axis including a camming rod and an actuation mechanism operably connected to the camming rod, the camming rod having a camming pin and a camming projection; a first jaw spine having a first cam slot, a first interior camming surface, and a first exterior camming surface; and a second jaw spine having a second cam slot, a second interior camming surface, and a second exterior camming surface, the second jaw spine pivotally connected to the first jaw spine at a common pivot pin operably connected to the elongate tube to open and close the jaw spines in response to movement of the actuation mechanism. The camming pin rides along the first and second interior camming surfaces and operates to close the jaw spines when the camming rod is moved proximally. When the camming rod moves distally, the camming projection rides on the first and second exterior camming surfaces formed on the proximal sides of the respective first and second jaw spines and operates to open the jaw spines. A feature of the invention is one camming surface on each jaw spine can facilitate closing the jaw spines while the other camming surface on each jaw spine can facilitate opening the jaw spines. These two camming surfaces on each jaw spine can be widely separated. The jaw spines can be formed of a metallic material and are overmolded with an atraumatic plastic material. By overmolding the plastic onto the metal spine, an atraumatic outer surface can be formed of the plastic material along with a high degree of detail.
摘要翻译： 本发明涉及一种外科器械，其包括沿轴线延伸的细长管，所述细长管包括可操作地连接到所述凸轮杆的凸轮杆和致动机构，所述凸轮杆具有凸轮销和凸轮凸轮; 具有第一凸轮槽，第一内部凸轮表面和第一外部凸轮表面的第一颚骨脊; 以及具有第二凸轮槽，第二内部凸轮表面和第二外部凸轮表面的第二夹爪，所述第二夹爪枢转地连接到与所述细长管可操作地连接以打开和关闭的公共枢轴的所述第一夹爪 颚爪响应于致动机构的移动而刺入。 凸轮销沿着第一和第二内部凸轮表面骑行，并且当凸轮杆向近侧移动时操作以闭合颚骨棘爪。 当凸轮杆向远侧移动时，凸轮突起可骑在形成在相应的第一和第二爪脊的近侧上的第一和第二外部凸轮表面上，并且操作以打开颚骨。 本发明的特征是每个颚骨上的一个凸轮表面可以有助于闭合颚骨棘爪，而每个颌骨上的另一个凸轮表面可以有助于打开颚骨。 每个颚骨上的这两个凸轮表面可以被广泛地分开。 颚棘可以由金属材料形成，并用无创伤的塑料材料包覆成型。 通过将塑料包覆成型到金属脊上，无损伤的外表面可以由塑料材料以高度的细节形成。
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公开(公告)号：US20090318954A1
公开(公告)日：2009-12-24
申请号：US12547219
申请日：2009-08-25
CPC分类号： A61B17/3201 , A61B17/1608 , A61B17/29 , A61B17/32 , A61B17/320016 , A61B2017/2932 , A61B2017/2934 , A61B2017/2936
摘要： The invention is directed to a pin and slot design where the driving slots are moved from the tips to the actuation rod in one aspect of the invention. As a result, the back end of each blade or tip can be dramatically reduced in area so that during full deflection, very little or no part of the blade or tip extends beyond the outside diameter of the shaft. This ensures that nothing catches on the blades or tips during grasper use and the shrink tubing found on the scissors would not be deformed. This can be done because the area for the slots is not needed. Moreover, the usable area for the drive slots on the blade or tip of the actuation rod is maximized to the overall diameter of the outer tube or shaft which provides additional leverage to the blades or tips. In addition, the depth of each slot can be varied such that during actuation, increased tension can be put on the blades or tips throughout the cut. More specifically, the surgical instrument of the invention comprises an elongate tube extending along an axis including an actuation rod coaxially slidable within the elongate tube, a first tip including a first pin formed on a proximal end surface of the first tip, and a second tip including a second pin formed on a proximal end surface of the second tip, the second tip pivotally connected to the first tip at a common pivot pin operably connected to the elongate tube to open and close the tips in response to movement of the actuation rod. The actuation rod has a slot to accept the pins of the first and second tips, the slot has camming surfaces for the pins to slide within the slot, and the proximal ends of the tips extend minimally outside the diameter of the elongate tube during actuation of the tips.
摘要翻译： 本发明涉及一种销和槽设计，其中驱动槽在本发明的一个方面中从尖端移动到致动杆。 结果，每个叶片或尖端的后端可以大大减小面积，使得在完全偏转期间，叶片或尖端的很少或没有一部分延伸超过轴的外径。 这样可以确保在抓紧器使用过程中没有抓住刀片或尖端，并且剪刀上发现的收缩管不会变形。 这可以做到，因为不需要插槽的区域。 此外，用于驱动槽上的驱动槽或致动杆顶端的可用面积最大化到外管或轴的总直径，这为叶片或尖端提供额外的杠杆作用。 此外，每个槽的深度可以变化，使得在致动期间，可以在整个切割中的刀片或尖端上增加张力。 更具体地说，本发明的手术器械包括沿着轴延伸的细长管，该细长管包括在细长管中同轴滑动的致动杆，包括形成在第一末端的近端表面上的第一销的第一末端和第二末端 包括形成在所述第二末端的近端表面上的第二销，所述第二末端以可操作地连接到所述细长管的共同枢轴销枢转地连接到所述第一末端，以响应于所述致动杆的移动来打开和关闭所述末端。 所述致动杆具有用于接纳所述第一和第二尖端的销的槽，所述槽具有用于所述销在所述槽内滑动的凸轮表面，并且所述尖端的近端在致动期间最小地延伸到所述细长管的直径的外侧 提示。
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公开(公告)号：US07578832B2
公开(公告)日：2009-08-25
申请号：US11059806
申请日：2005-02-17
IPC分类号： A61B17/29 , A61B17/3201
CPC分类号： A61B17/3201 , A61B17/1608 , A61B17/29 , A61B17/32 , A61B17/320016 , A61B2017/2932 , A61B2017/2934 , A61B2017/2936
摘要： The invention is directed to a pin and slot design where the driving slots are moved from the tips to the actuation rod in one aspect of the invention. As a result, the back end of each blade or tip can be dramatically reduced in area so that during full deflection, very little or no part of the blade or tip extends beyond the outside diameter of the shaft. This ensures that nothing catches on the blades or tips during grasper use and the shrink tubing found on the scissors would not be deformed. This can be done because the area for the slots is not needed. Moreover, the usable area for the drive slots on the blade or tip of the actuation rod is maximized to the overall diameter of the outer tube or shaft which provides additional leverage to the blades or tips. In addition, the depth of each slot can be varied such that during actuation, increased tension can be put on the blades or tips throughout the cut. More specifically, the surgical instrument of the invention comprises an elongate tube extending along an axis including an actuation rod coaxially slidable within the elongate tube, a first tip including a first pin formed on a proximal end surface of the first tip, and a second tip including a second pin formed on a proximal end surface of the second tip, the second tip pivotally connected to the first tip at a common pivot pin operably connected to the elongate tube to open and close the tips in response to movement of the actuation rod. The actuation rod has a slot to accept the pins of the first and second tips, the slot has camming surfaces for the pins to slide within the slot, and the proximal ends of the tips extend minimally outside the diameter of the elongate tube during actuation of the tips.
摘要翻译： 本发明涉及一种销和槽设计，其中驱动槽在本发明的一个方面中从尖端移动到致动杆。 结果，每个叶片或尖端的后端可以大大减小面积，使得在完全偏转期间，叶片或尖端的很少或没有一部分延伸超过轴的外径。 这样可以确保在抓紧器使用过程中没有抓住刀片或尖端，并且剪刀上发现的收缩管不会变形。 这可以做到，因为不需要插槽的区域。 此外，用于驱动槽上的驱动槽或致动杆顶端的可用面积最大化到外管或轴的总直径，这为叶片或尖端提供额外的杠杆作用。 此外，每个槽的深度可以变化，使得在致动期间，可以在整个切割中的刀片或尖端上增加张力。 更具体地说，本发明的手术器械包括沿着轴延伸的细长管，该细长管包括在细长管中同轴滑动的致动杆，包括形成在第一末端的近端表面上的第一销的第一末端和第二末端 包括形成在所述第二末端的近端表面上的第二销，所述第二末端以可操作地连接到所述细长管的共同枢轴销枢转地连接到所述第一末端，以响应于所述致动杆的移动来打开和关闭所述末端。 致动杆具有用于接纳第一和第二尖端的销的槽，槽具有用于销在槽内滑动的凸轮表面，并且尖端的近端在致动 提示。
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公开(公告)号：US08114120B2
公开(公告)日：2012-02-14
申请号：US12547219
申请日：2009-08-25
IPC分类号： A61B17/28
CPC分类号： A61B17/3201 , A61B17/1608 , A61B17/29 , A61B17/32 , A61B17/320016 , A61B2017/2932 , A61B2017/2934 , A61B2017/2936
摘要： A surgical instrument can include tips and an actuation rod having a pin and slot design where the driving slots are moved from the tips to the actuation rod in one aspect of the invention. As a result, the back end of each blade or tip can be dramatically reduced in area so that during full deflection, very little or no part of the blade or tip extends beyond the outside diameter of the shaft. In addition, the depth of each slot can be varied such that during actuation, increased tension can be put on the blades or tips throughout the cut.
摘要翻译： 手术器械可以包括尖端和具有销和槽设计的致动杆，其中驱动狭槽从本发明的一个方面从顶端移动到致动杆。 结果，每个叶片或尖端的后端可以大大减小面积，使得在完全偏转期间，叶片或尖端的很少或没有一部分延伸超过轴的外径。 此外，每个槽的深度可以变化，使得在致动期间，可以在整个切割中的刀片或尖端上增加张力。
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公开(公告)号：US20060161190A1
公开(公告)日：2006-07-20
申请号：US11334027
申请日：2006-01-18
申请人： Donald Gadberry , Gary Johnson , Jeremy Albrecht , David Okihisa , Said Hilal , Arkadiusz Strokosz
发明人： Donald Gadberry , Gary Johnson , Jeremy Albrecht , David Okihisa , Said Hilal , Arkadiusz Strokosz
CPC分类号： A61B17/29 , A61B10/06 , A61B17/1608 , A61B17/3201 , A61B18/1445 , A61B2017/0023 , A61B2017/2902 , A61B2017/292 , A61B2017/2929 , A61B2017/2934 , A61B2017/2936 , A61B2017/294 , A61B2017/2945 , A61B2018/1432
摘要： The invention is directed to a surgical instrument including a handle assembly and a shaft assembly. The handle assembly further includes a fixed handle and a pivoting handle. The shaft assembly extends from the handle assembly and further includes an outer tube and an inner actuation rod that slides coaxially with the outer tube. The shaft assembly includes a rotatable knob to provide 360° rotation. The actuation rod has a proximal end and a distal end; the proximal end has a ball end that couples with the pivoting handle to form a rotatable ball-and-socket joint. The outer tube is formed of plastic and fits over the actuation rod to function as an electrical insulator.
摘要翻译： 本发明涉及一种包括手柄组件和轴组件的手术器械。 手柄组件还包括固定手柄和枢转手柄。 轴组件从手柄组件延伸，并且还包括与外管同轴滑动的外管和内致动杆。 轴组件包括可旋转旋钮以提供360度旋转。 致动杆具有近端和远端; 近端具有与枢转手柄耦合的球端，以形成可旋转的球窝接头。 外管由塑料制成，并配合在致动杆上，用作电绝缘体。
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公开(公告)号：US20050149087A1
公开(公告)日：2005-07-07
申请号：US10976505
申请日：2004-10-29
申请人： Russell Ahlberg , Gary Johnson , David Okihisa
发明人： Russell Ahlberg , Gary Johnson , David Okihisa
IPC分类号： A61B17/32
CPC分类号： A61B17/3201 , A61B17/320016 , B24B3/52 , B26B13/06 , B26B13/08
摘要： The invention is directed to a pair of laparoscopic scissors, comprising a pair of blades connected at a pivot, each of the blades having a length, a tip portion, a body portion, an outer surface, an inner surface and a cutting edge, the cutting edge forming an angle with the outer surface along the length of the blade such that tension during a cutting operation at the tip portion is about the same as tension at the body portion during the cutting operation. The angle formed may be greater at the tip portion which continuously decreases over the length of the blade. The tip portion may have a first body thickness and the body portion may have a second body thickness different from the first body thickness. During the cutting operation, the blades progressively move over each other to provide a point contact along the cutting edges. The blades may be thickened in a number of locations and combinations including: (1) one blade could be thicker than the other to force the opposing blade to flex; (2) both blades could be thicker at the body portions to give more strength when cutting staples; (3) each blade could be thickened on one side or the other to stiffen certain locations; and (4) the tips of each blade could be thicker than the body portions to provide increased tension at the tips. In another aspect of the invention, a process of manufacturing the pair of scissors of the invention is disclosed, comprising the steps of form grinding the blades into a desired shape from a pre-hardened block of material, and sharpening the cutting edges of the blades. The blades may also be formed through other processes including wire EDM, laser cutting, waterjet cutting, machining, cast or metal injection molding, and other independent profile manufacturing processes. The manufacturing process of the invention is beneficial in that each profile can be accurately controlled, and the parts will be exact every time.
摘要翻译： 本发明涉及一对腹腔镜剪刀，包括一对在枢轴处连接的刀片，每个刀片具有长度，尖端部分，主体部分，外表面，内表面和切割边缘， 切割刃沿着刀片的长度与外表面形成一角度，使得在切割操作期间在尖端部分的切割操作期间的张力与主体部分处的张力大致相同。 形成的角度可能在尖端部分处大于叶片长度上连续减小的角度。 尖端部分可以具有第一本体厚度，并且主体部分可以具有不同于第一主体厚度的第二主体厚度。 在切割操作期间，叶片逐渐地彼此移动以沿着切割边缘提供点接触。 叶片可以在多个位置和组合中增厚，包括：（1）一个叶片可以比另一个叶片更厚以迫使相对的叶片弯曲; （2）当切割订书钉时，两个叶片在主体部分可以较厚，以提供更大的强度; （3）每个叶片可以在一侧或另一侧增厚以加固某些位置; 和（4）每个叶片的尖端可以比主体部分更厚，以在尖端处提供增加的张力。 在本发明的另一方面，公开了一种制造本发明的一对剪刀的方法，包括以下步骤：从预硬化的材料块将刀片成型为期望的形状，并且磨削刀片的切割刃 。 刀片也可以通过包括线切割，激光切割，水刀切割，机械加工，铸造或金属注射成型以及其它独立轮廓制造工艺的其它工艺形成。 本发明的制造方法的优点在于，可以精确地控制每个轮廓，并且每个部件将每次都精确。
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公开(公告)号：US20050192598A1
公开(公告)日：2005-09-01
申请号：US11059806
申请日：2005-02-17
CPC分类号： A61B17/3201 , A61B17/1608 , A61B17/29 , A61B17/32 , A61B17/320016 , A61B2017/2932 , A61B2017/2934 , A61B2017/2936
摘要： The invention is directed to a pin and slot design where the driving slots are moved from the tips to the actuation rod in one aspect of the invention. As a result, the back end of each blade or tip can be dramatically reduced in area so that during full deflection, very little or no part of the blade or tip extends beyond the outside diameter of the shaft. This ensures that nothing catches on the blades or tips during grasper use and the shrink tubing found on the scissors would not be deformed. This can be done because the area for the slots is not needed. Moreover, the usable area for the drive slots on the blade or tip of the actuation rod is maximized to the overall diameter of the outer tube or shaft which provides additional leverage to the blades or tips. In addition, the depth of each slot can be varied such that during actuation, increased tension can be put on the blades or tips throughout the cut. More specifically, the surgical instrument of the invention comprises an elongate tube extending along an axis including an actuation rod coaxially slidable within the elongate tube, a first tip including a first pin formed on a proximal end surface of the first tip, and a second tip including a second pin formed on a proximal end surface of the second tip, the second tip pivotally connected to the first tip at a common pivot pin operably connected to the elongate tube to open and close the tips in response to movement of the actuation rod. The actuation rod has a slot to accept the pins of the first and second tips, the slot has camming surfaces for the pins to slide within the slot, and the proximal ends of the tips extend minimally outside the diameter of the elongate tube during actuation of the tips.
摘要翻译： 本发明涉及一种销和槽设计，其中驱动槽在本发明的一个方面中从尖端移动到致动杆。 结果，每个叶片或尖端的后端可以大大减小面积，使得在完全偏转期间，叶片或尖端的很少或没有一部分延伸超过轴的外径。 这样可以确保在抓紧器使用过程中没有抓住刀片或尖端，并且剪刀上发现的收缩管不会变形。 这可以做到，因为不需要插槽的区域。 此外，用于驱动槽上的驱动槽或致动杆顶端的可用面积最大化到外管或轴的总直径，这为叶片或尖端提供额外的杠杆作用。 此外，每个槽的深度可以变化，使得在致动期间，可以在整个切割中的刀片或尖端上增加张力。 更具体地说，本发明的手术器械包括沿着轴延伸的细长管，该细长管包括在细长管中同轴滑动的致动杆，包括形成在第一末端的近端表面上的第一销的第一末端和第二末端 包括形成在所述第二末端的近端表面上的第二销，所述第二末端以可操作地连接到所述细长管的共同枢轴销枢转地连接到所述第一末端，以响应于所述致动杆的移动来打开和关闭所述末端。 所述致动杆具有用于接纳所述第一和第二尖端的销的槽，所述槽具有用于所述销在所述槽内滑动的凸轮表面，并且所述尖端的近端在致动期间最小地延伸到所述细长管的直径的外侧 提示。
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