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1.发明授权Apparatus and method for electrode-surgical tissue removal having a selectively insulated electrode 失效具有选择性绝缘电极的电手术组织去除的装置和方法公开(公告)号：US06494881B1
公开(公告)日：2002-12-17
申请号：US08940665
申请日：1997-09-30
IPC分类号： A61B1818
CPC分类号： A61B18/149 , A61B18/042 , A61B2017/0088 , A61B2018/00083 , A61B2018/00107 , A61B2018/00136 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/1213 , A61B2018/126 , A61B2018/1417 , A61B2218/002 , A61B2218/007
摘要： An electro-surgical device for performing tissue resection and cauterization includes an elongated body, a pair of arms extending from a distal end of the elongated body, and an electrode in communication with the pair of arms. The elongated body is adapted to be coupled to a source of energy at a proximal end. The electrode has a first region coated with an insulative coating and a second region for focusing energy emission. The coating can be a diamond-like carbon coating or other coating exhibiting resistance to cracking at high temperatures and high voltages. The coating can be deposited on a base section of a loop electrode while the end sections remain free of the coating. Alternatively, the coating can be unevenly deposited on the electrode. In other embodiments, the electrode can comprise a rollerball and the insulative coating can be deposited on selected or random portions of the rollerball. The insulative coating prevents energy loss to fluid and tissue during the operation, thus allowing resection and cauterization to be efficiently performed.
摘要翻译： 用于进行组织切除和烧灼的电外科装置包括细长主体，从细长主体的远端延伸的一对臂以及与该对臂连通的电极。 细长体适于在近端耦合到能量源。 电极具有涂覆有绝缘涂层的第一区域和用于聚焦能量发射的第二区域。 涂层可以是类金刚石碳涂层或其它在高温和高电压下具有抗开裂性能的涂层。 涂层可以沉积在环形电极的基部上，而端部保持不受涂层的影响。 或者，涂层可能不均匀地沉积在电极上。 在其他实施例中，电极可以包括一个滚球，并且绝缘涂层可以沉积在滚球的选定的或随机的部分上。 绝缘涂层在操作期间防止对流体和组织的能量损失，从而允许有效地进行切除和烧灼。
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公开(公告)号：US07727248B2
公开(公告)日：2010-06-01
申请号：US10867412
申请日：2004-06-14
申请人： Kevin W. Smith , Jose Luis Francese , Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales , Carlos Rivera , Matthew A. Palmer
发明人： Kevin W. Smith , Jose Luis Francese , Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales , Carlos Rivera , Matthew A. Palmer
IPC分类号： A61B17/08
CPC分类号： A61B17/1285 , A61B17/122 , A61B2017/2905 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip has a base portion and two generally parallel, spaced arms extending from the base portion and defining an opening therebetween. The arms terminate distally in fingers which are of reduced width and thickness relative to the arms and which are adapted to be bent towards and past each other. A transition section from each arm to the finger provides curved structures which extending away from each other and providing a wider mouth for the opening between the arms. The arms also have a proximal section with an undercut which helps in flexure of the arms. The base is an extended structure having a rounded proximal end with outwardly extending shoulders which are arranged to be engaged by the curved structures of the mouth of another clip.
摘要翻译： 手术夹具具有从基部延伸并在其间限定开口的基部和两个大致平行的间隔开的臂。 臂在远离手指的位置处终止，手指相对于手臂减小了宽度和厚度，并且它们适于朝彼此弯曲并且彼此相交。 从每个臂到手指的过渡部分提供了彼此延伸的弯曲结构，并为臂之间的开口提供更宽的口。 臂还具有带有底切的近端部分，其有助于臂的挠曲。 底座是具有圆形近端的延伸结构，其具有向外延伸的肩部，其被布置成与另一个夹子的口部的弯曲结构接合。
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公开(公告)号：US06716226B2
公开(公告)日：2004-04-06
申请号：US09891775
申请日：2001-06-25
IPC分类号： A61B1708
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip includes a U-shaped configuration with first and second arms, and a bridge portion therebetween. The first arm is provided with a tip preferably having a catch, and the second arm extends into a deformable retainer having a tissue-piercing end and preferably also a hook. During application, tissue is clamped, and the clip is forced over the clamped tissue and the retainer of the second arm is bent and may be pierced through the tissue. The retainer is toward and around or adjacent the tip of the first arm preferably until the hook is engaged about the catch to secure the clip to the tissue and prevent the clip and tissue from separating. The clip is provided with structure that facilitates the stacking of a plurality of clips in a clip chamber of a clip applier.
摘要翻译： 手术夹具包括具有第一和第二臂的U形构造以及它们之间的桥接部分。 第一臂设置有优选地具有卡扣的末端，并且第二臂延伸到具有组织穿刺端部并且优选地还有钩子的可变形保持器中。 在施用期间，组织被夹紧，并且夹子被压在夹持的组织上，并且第二臂的保持器被弯曲并且可以穿透组织。 保持器朝向并围绕或邻近第一臂的尖端，优选地直到钩与锁扣接合以将夹子固定到组织上并防止夹子和组织分离。 该夹具设置有便于在施夹器的夹子室中堆叠多个夹子的结构。
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公开(公告)号：US5554011A
公开(公告)日：1996-09-10
申请号：US330370
申请日：1994-10-27
IPC分类号： F01L23/00 , F02B75/02 , F04B9/12 , F04B43/073 , F04B17/00
CPC分类号： F04B9/1215 , F01L23/00 , F04B43/073 , F02B2075/025
摘要： A vacuum powered pump includes a spring biased piston or diaphragm in a vacuum chamber coupled to a source of vacuum. When vacuum is applied to the vacuum chamber, the piston or diaphragm is moved in a first direction against the spring. A delayed action valve is coupled to the vacuum chamber to allow ambient air to enter the chamber only after the piston or diaphragm has been moved a substantial distance in the first direction. When the delayed action valve opens, air enters the vacuum chamber and the force of the entering air together with the bias of the spring propels the piston or diaphragm in a second direction opposite the first direction. The delayed action valve automatically closes and the process repeats so long as a vacuum source is coupled to the vacuum chamber. The reciprocal movement of the piston or diaphragm effects a pulsatile pumping of fluid through a fluid chamber having at least one check valve.
摘要翻译： 真空动力泵包括与真空源联接的真空室中的弹簧偏压活塞或隔膜。 当真空被施加到真空室时，活塞或隔膜相对于弹簧在第一方向上移动。 延迟动作阀联接到真空室以允许环境空气仅在活塞或隔膜已经在第一方向上移动相当大的距离之后才进入腔室。 当延迟动作阀打开时，空气进入真空室，并且进入空气的力与弹簧的偏压一起沿与第一方向相反的第二方向推动活塞或隔膜。 延迟动作阀自动关闭，并且只要真空源耦合到真空室，该过程就重复。 活塞或隔膜的往复运动使液体通过具有至少一个止回阀的流体室脉动泵送。
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5.发明授权
公开(公告)号：US5893846A
公开(公告)日：1999-04-13
申请号：US647827
申请日：1996-05-15
CPC分类号： A61B18/1445 , A61B2018/00107
摘要： A process for providing an endoscopic scissors blade with the necessary roughness to receive a ceramic coating, without first requiring that the blade surfaces be roughened by gritblasting, includes obtaining an investment mold with an interior textured surface. The investment mold is textured by first texturing an injection mold cavity by etching, gritblasting, or electric-discharge machining the inside surface of the injection mold cavity to produce a desired roughness. A blade pattern (wax) is then formed in the injection mold with a resulting textured surface, and using the textured blade pattern, the investment mold with the textured interior cavity is generated. When metal is injected into the investment mold using a lost wax process, the resulting cast blades will have the necessary roughness for permitting a ceramic to be bonded thereto without the need for any additional roughening. Thus, the so-formed blades are coated with a ceramic material. Such scissors blades are used in an endoscopic surgical scissors instrument and are especially useful as the scissor blades of a bipolar cautery endoscopic scissors instrument.
摘要翻译： 提供具有必要粗糙度以接收陶瓷涂层的内窥镜剪刀刀片的方法，而不首先要求刀片表面通过喷砂进行粗糙化，包括获得具有内部纹理表面的投射模具。 通过首先通过蚀刻，喷砂或注射模腔的内表面的放电加工来形成注塑模腔，从而产生所需的粗糙度，从而对投资模具进行纹理化。 然后在注射模具中形成刀片图案（蜡），其中形成有纹理的表面，并且使用纹理的刀片图案，产生具有织构化内腔的投资模具。 当使用失蜡工艺将金属注入投资模具时，所得到的铸造刀片将具有必要的粗糙度，以允许将陶瓷粘合到其上而不需要任何额外的粗糙化。 因此，如此形成的叶片被涂覆有陶瓷材料。 这种剪刀刀片用于内窥镜手术剪刀仪器中，并且特别适用于双极烧灼内窥镜剪刀仪器的剪刀片。
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公开(公告)号：US07357806B2
公开(公告)日：2008-04-15
申请号：US10867413
申请日：2004-06-14
申请人： Carlos Rivera , Kevin W. Smith , Thomas O. Bales , Robert Sixto, Jr. , Juergen A. Kortenbach , Scott Arp
发明人： Carlos Rivera , Kevin W. Smith , Thomas O. Bales , Robert Sixto, Jr. , Juergen A. Kortenbach , Scott Arp
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A flexible endoscopic clip applier includes a flexible coil, a manual actuator coupled to one end and a jaw assembly coupled to the other. A store of clips is arranged adjacent to the jaw assembly and a clip pusher adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a portion. The threaded portion engages a threaded member near the pusher such that rotation of the second control member by the crank causes the pusher to be moved distally.
摘要翻译： 灵活的内窥镜施夹器包括柔性线圈，联接到一端的手动致动器和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件通过线圈延伸到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着一部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件，使得第二控制构件通过曲柄的旋转使得推动器向远侧移动。
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公开(公告)号：US08021378B2
公开(公告)日：2011-09-20
申请号：US10730236
申请日：2003-12-08
IPC分类号： A61B17/08
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip includes a U-shaped configuration with first and second arms, and a bridge portion therebetween. The first arm is provided with a tip preferably having a catch, and the second arm extends into a deformable retainer having a tissue-piercing end and preferably also a hook. During application, tissue is clamped, and the clip is forced over the clamped tissue and the retainer of the second arm is bent and may be pierced through the tissue. The retainer is toward and around or adjacent the tip of the first arm preferably until the hook is engaged about the catch to secure the clip to the tissue and prevent the clip and tissue from separating. The clip is provided with structure that facilitates the stacking of a plurality of clips in a clip chamber of a clip applier.
摘要翻译： 手术夹具包括具有第一和第二臂的U形构造以及它们之间的桥接部分。 第一臂设置有优选地具有卡扣的末端，并且第二臂延伸到具有组织穿刺端部并且优选地还有钩子的可变形保持器中。 在施用期间，组织被夹紧，并且夹子被压在夹持的组织上，并且第二臂的保持器被弯曲并且可以穿透组织。 保持器朝向并围绕或邻近第一臂的尖端，优选地直到钩与锁扣接合以将夹子固定到组织上并防止夹子和组织分离。 该夹具设置有便于在施夹器的夹子室中堆叠多个夹子的结构。
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公开(公告)号：US20100004668A1
公开(公告)日：2010-01-07
申请号：US12547975
申请日：2009-08-26
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/0023 , A61B2017/0046 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a removable battery, and an ultrasonic-signal-generator assembly, includes a handle body with a portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, a transducer attachment dock exposed to the environment and shaped to place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock, and an ultrasonic-signal-generator assembly dock exposed to the environment. The ultrasonic-signal-generator assembly dock is shaped to substantially simultaneously selectively removably secure the ultrasonic-signal-generator assembly to the handle body, place an end of the ultrasonic transducer within the transducer attachment dock, and electrically couple the ultrasonic-signal-generator assembly to the at least two battery contacts.
摘要翻译： 可连接到超声波换能器，超声波导，可拆卸电池和超声波信号发生器组件的一次性超声手术手柄包括具有限定电池保持室的部分的手柄主体，电池保持室至少具有 两个电池触点，暴露于环境并成形为接受其中的波导的波导附件基座，暴露于环境的换能器附接基座并成形为当波导设置在波导附件内时将超声换能器与波导同轴对准 码头和一个暴露于环境的超声波信号发生器装配码头。 超声波信号发生器组件坞被成形为基本上同时选择性地可移除地将超声信号发生器组件固定到手柄本体，将超声换能器的一端放置在换能器附件底座内，并将超声信号发生器 组装到至少两个电池触点。
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公开(公告)号：US20090143805A1
公开(公告)日：2009-06-04
申请号：US12270146
申请日：2008-11-13
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/0023 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic waveguide, a battery, and an ultrasonic-movement-generator assembly includes a first handle body portion defining therein an aseptically sealable battery-holding compartment shaped to receive the battery therein, a second handle body portion connected to the first handle body portion, and an electrical couple. The second handle body portion has a waveguide attachment dock exposed to the environment and an ultrasonic-movement-generator assembly dock exposed to the environment and shaped to connect the ultrasonic waveguide in the waveguide attachment dock to the ultrasonic-movement-generator assembly through the second handle body portion. The electrical couple is operable to connect a battery within the battery-holding compartment to the ultrasonic-movement-generator-assembly when the ultrasonic-movement-generator assembly is docked at the ultrasonic-movement-generator assembly dock.
摘要翻译： 可连接到超声波波导，电池和超声波运动发生器组件的一次性超声手术手柄包括：第一手柄主体部分，其中限定有形成为在其中容纳电池的无菌密封的电池容纳室，连接到第二手柄主体部分 到第一手柄主体部分，以及电耦合。 第二手柄主体部分具有暴露于环境的波导附件基座和暴露于环境的超声波运动发生器组件基座，并且成形为将波导附件底座中的超声波波导通过第二手柄发生器组件连接到超声波运动发生器组件 手柄主体部分。 当超声波运动发生器组件对准在超声波运动发生器组装座时，电耦合可操作以将电池保持室内的电池连接到超声波运动发生器组件。
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公开(公告)号：US20090143801A1
公开(公告)日：2009-06-04
申请号：US12266320
申请日：2008-11-06
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： A disposable ultrasonic surgical handle includes a disposable handle body that has a first handle body portion defining a handgrip and a second handle body portion connected to the first handle body portion, where the second handle body portion has a waveguide attachment dock exposed to the environment and having a first couple operable to connect an ultrasonic waveguide thereto and an aseptically sealable powered-ultrasonic-motion-generator assembly dock shaped to connect the ultrasonic waveguide in the attachment dock to an assembly within the assembly dock through the second handle body portion. The disposable ultrasonic surgical handle also includes a disposable compartment door movably connected to the second handle body portion to selectively expose the assembly dock to the environment, where the handle has an open position exposing the assembly dock to the environment and permitting entry and removal of the powered-ultrasonic-motion-generator assembly respectively into and from the assembly dock and a closed position aseptically sealing the assembly dock from the environment.
摘要翻译： 一次性超声波手术手柄包括一次性手柄本体，其具有限定手柄的第一手柄主体部分和连接到第一手柄主体部分的第二手柄主体部分，其中第二手柄本体部分具有暴露于环境的波导附件支架， 具有可操作以将超声波波导连接到其上的第一对和无菌可密封的动力超声波运动发生器组件座，其形状适于将附接基座中的超声波导连接到组装座内的通过第二手柄主体部分的组件。 一次性超声手术手柄还包括可移动地连接到第二手柄主体部分的一次性隔间门，以选择性地将组装基座暴露于环境中，其中手柄具有将组件基座暴露于环境的开放位置，并允许进入和移除 动力 - 超声波运动发生器组件分别进入和离开装配坞，并且闭合位置无菌地将组装基座与环境密封。
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