公开(公告)号：US20050245841A1

公开(公告)日：2005-11-03

申请号：US11150328

申请日：2005-06-13

申请人： Vincent Turturro ,  Jose Francese ,  Saul Gottlieb ,  Juergen Kortenbach

发明人： Vincent Turturro ,  Jose Francese ,  Saul Gottlieb ,  Juergen Kortenbach

IPC分类号： A61B10/02 ,  A61B10/00 ,  A61B10/06 ,  A61B17/28 ,  A61B19/00 ,  A61M1/00

CPC分类号： A61B10/06 ,  A61B10/0266 ,  A61B17/29 ,  A61B2010/0225 ,  A61B2017/2939 ,  A61B2017/294 ,  A61B2090/035 ,  A61B2217/005 ,  A61B2217/007 ,  G01N1/31

摘要： A biopsy instrument and method of using such are provided wherein the biopsy instrument includes a proximal actuation handle, an elongate flexible member, and a distal assembly. The flexible member, connected to and extending from the actuation handle, includes an aspiration conduit for fluid connection with a vacuum source and for permitting the flow of fluid from the distal end to the proximal end of the biopsy instrument. The flexible member may include an irrigation conduit for supplying irrigation fluid to the distal end. The actuation handle includes a stationary member and an actuation device, and may include a sample chamber, a sample collector, valves for regulating the vacuum in the aspiration conduit and the fluid flow in the irrigation conduit, and a pressure increasing device for selectively increasing the pressure of the fluid supplied to the distal end. The distal assembly, coupled to the distal end of the flexible member, may be comprised of a movable jaw and a stationary jaw, or of first and second movable jaws. With the jaws in a closed position, the distal assembly may provide a substantially fluidtight passageway at the distal end of the aspiration conduit. The movable jaws are coupled to the actuation device, such that actuation of the actuation handle moves the movable jaws relative to the flexible member, thereby opening and closing the distal assembly.

摘要翻译： 提供活检器械及其使用方法，其中活检器械包括近端致动手柄，细长柔性构件和远端组件。 连接到致动手柄并从致动手柄延伸的柔性构件包括用于与真空源流体连接并用于允许流体从活组织检查仪器的远端到近端的流动的抽吸导管。 柔性构件可以包括用于向远端供应冲洗流体的冲洗管道。 致动手柄包括固定构件和致动装置，并且可以包括样品室，样品收集器，用于调节抽吸导管中真空的阀和冲洗导管中的流体流;以及增压装置，用于选择性地增加 供给到远端的流体的压力。 耦合到柔性构件的远端的远端组件可以包括可移动钳口和固定钳口，或第一和第二可移动钳口。 当钳口处于关闭位置时，远端组件可以在抽吸导管的远端提供基本上流体密封的通道。 可动夹爪联接到致动装置，使得致动手柄的致动相对于柔性构件移动可动爪，由此打开和关闭远端组件。

公开(公告)号：US20050033333A1

公开(公告)日：2005-02-10

申请号：US10867412

申请日：2004-06-14

申请人： Kevin Smith ,  Jose Francese ,  Robert Sixto ,  Juergen Kortenbach ,  Thomas Bales ,  Carlos Rivera ,  Matthew Palmer

发明人： Kevin Smith ,  Jose Francese ,  Robert Sixto ,  Juergen Kortenbach ,  Thomas Bales ,  Carlos Rivera ,  Matthew Palmer

IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/28 ,  A61B17/32 ,  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。

公开(公告)号：US08409090B2

公开(公告)日：2013-04-02

申请号：US12767328

申请日：2010-04-26

申请人： Kevin W. Smith ,  Matthew A. Palmer ,  Juergen Kortenbach ,  Jose Francese

发明人： Kevin W. Smith ,  Matthew A. Palmer ,  Juergen Kortenbach ,  Jose Francese

IPC分类号： A61B1/32

CPC分类号： A61B17/0643 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/301

摘要： A retractor for manipulating an object includes a body having proximal and distal ends and a retraction device with a head connected to the distal end of the body, a connector movably disposed in the body, and flexible needles of a shape memory material having a memory shape. The needles are connected to the connector and each have a distal tip. The memory shape of the needles include a portion with an arcuate shape biasing the needles in a memory direction out and away from the head and toward the body to position the distal tip of each of the needles closer to the body when the needles are fully extended out of the head than when the needles are only partially extended out of the head. An actuation device is connected to the proximal end of the body and operatively connected to the connector through the body, the actuation device, upon actuation thereof, moves the connector to selectively extend the needles out of the head in different directions and withdraw the needles into the head.

摘要翻译： 用于操纵物体的牵开器包括具有近端和远端的主体和具有连接到主体的远端的头部的缩回装置，可移动地设置在主体中的连接器以及具有记忆形状的形状记忆材料的柔性针 。 针连接到连接器，并且各自具有远端。 针的记忆形状包括具有弓形形状的部分，这些部分将针沿记忆方向偏离和远离头部并朝向身体，以使针的远侧末端在针完全延伸时更靠近身体 比起针头部分地伸出头部的头部。 致动装置连接到主体的近端并通过主体可操作地连接到连接器，致动装置在其启动时使连接器移动以选择性地将针从不同方向延伸出头部并将针退出 头部。

公开(公告)号：US07731655B2

公开(公告)日：2010-06-08

申请号：US10728389

申请日：2003-12-05

申请人： Kevin Smith ,  Matthew Palmer ,  Juergen Kortenbach ,  Jose Francese

发明人： Kevin Smith ,  Matthew Palmer ,  Juergen Kortenbach ,  Jose Francese

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/00234 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/301

摘要： A tissue retractor includes a body having proximal and distal ends. The retractor also includes a retraction device having a head connected to the distal end of the body and defining two opposing openings, a connector movably disposed in the body, and two flexible needles of a shape memory material having a memory shape. The needles are fixedly connected to the connector for traveling through a respective one of the openings. The memory shape of the needles includes a portion with an arcuate shape. A one-handed actuation device is connected to the proximal end of the body and is operatively connected to the connector through the body. Upon actuation of the actuation device, the connector can be moved to selectively extend the needles out of the head and withdraw the needles into the head. Methods for using the tissue retractor, in particular for the treatment of Gastroesophageal Reflux Disease, are also provided.

摘要翻译： 组织牵缩器包括具有近端和远端的本体。 牵开器还包括退回装置，其具有连接到主体的远端并限定两个相对的开口的头部，可移动地设置在主体中的连接器和具有记忆形状的形状记忆材料的两个柔性针。 针固定地连接到连接器以便穿过相应的一个开口。 针的记忆形状包括具有弓形形状的部分。 单手致动装置连接到主体的近端并且通过主体可操作地连接到连接器。 在致动装置致动时，连接器可被移动以选择性地将针头延伸出头部并且将针头退回头部。 还提供了使用组织牵缩器，特别是用于治疗胃食管反流疾病的方法。

公开(公告)号：US20050277953A1

公开(公告)日：2005-12-15

申请号：US10867483

申请日：2004-06-14

申请人： Jose Francese ,  Kevin Smith ,  Robert Sixto ,  Juergen Kortenbach ,  Matthew Palmer

发明人： Jose Francese ,  Kevin Smith ,  Robert Sixto ,  Juergen Kortenbach ,  Matthew Palmer

IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  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 with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged 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 the 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 distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded 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具有联接到一端的手动致动器的柔性线圈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设置。 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，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端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并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20110071360A1

公开(公告)日：2011-03-24

申请号：US12767328

申请日：2010-04-26

申请人： Kevin W. Smith ,  Matthew A. Palmer ,  Juergen Kortenbach ,  Jose Francese

发明人： Kevin W. Smith ,  Matthew A. Palmer ,  Juergen Kortenbach ,  Jose Francese

IPC分类号： A61B1/32

CPC分类号： A61B17/0643 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/301

摘要： A retractor for manipulating an object includes a body having proximal and distal ends and a retraction device with a head connected to the distal end of the body, a connector movably disposed in the body, and flexible needles of a shape memory material having a memory shape. The needles are connected to the connector and each have a distal tip. The memory shape of the needles include a portion with an arcuate shape biasing the needles in a memory direction out and away from the head and toward the body to position the distal tip of each of the needles closer to the body when the needles are fully extended out of the head than when the needles are only partially extended out of the head. An actuation device is connected to the proximal end of the body and operatively connected to the connector through the body, the actuation device, upon actuation thereof, moves the connector to selectively extend the needles out of the head in different directions and withdraw the needles into the head.

摘要翻译： 用于操纵物体的牵开器包括具有近端和远端的主体和具有连接到主体的远端的头部的缩回装置，可移动地设置在主体中的连接器以及具有记忆形状的形状记忆材料的柔性针 。 针连接到连接器，并且各自具有远端。 针的记忆形状包括具有弓形形状的部分，这些部分将针沿记忆方向偏离和远离头部并朝向身体，以使针的远侧末端在针完全延伸时更靠近身体 比起针头部分地伸出头部的头部。 致动装置连接到主体的近端并通过主体可操作地连接到连接器，致动装置在其启动时使连接器移动以选择性地将针从不同方向延伸出头部并将针退出 头部。

公开(公告)号：US20050277954A1

公开(公告)日：2005-12-15

申请号：US10867497

申请日：2004-06-14

申请人： Kevin Smith ,  Jeffrey Messerly ,  Barry Jamison ,  Peter Kratsch ,  Carlos Rivera ,  Jose Francese ,  Kristin Dawson ,  Chester Baxter ,  Juergen Kortenbach

发明人： Kevin Smith ,  Jeffrey Messerly ,  Barry Jamison ,  Peter Kratsch ,  Carlos Rivera ,  Jose Francese ,  Kristin Dawson ,  Chester Baxter ,  Juergen Kortenbach

IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  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 with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged 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 the 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 distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded 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具有联接到一端的手动致动器的柔性线圈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设置。 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，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端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并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20080045786A1

公开(公告)日：2008-02-21

申请号：US11924778

申请日：2007-10-26

申请人： Kevin Smith ,  Jose Francese ,  Juergen Kortenbach ,  Robert Sixto

发明人： Kevin Smith ,  Jose Francese ,  Juergen Kortenbach ,  Robert Sixto

IPC分类号： A61B1/00

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 with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged 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 the 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 distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded 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具有联接到一端的手动致动器的柔性线圈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设置。 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，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端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并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20050277956A1

公开(公告)日：2005-12-15

申请号：US10867502

申请日：2004-06-14

申请人： Jose Francese ,  Juergen Kortenbach ,  Carlos Rivera

发明人： Jose Francese ,  Juergen Kortenbach ,  Carlos Rivera

IPC分类号： A61B17/12 ,  A61B1/00 ,  A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  A61B17/10

摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged 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 the 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 distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded 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具有联接到一端的手动致动器的柔性线圈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设置。 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，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端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并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20050277951A1

公开(公告)日：2005-12-15

申请号：US10867395

申请日：2004-06-14

申请人： Kevin Smith ,  Jose Francese ,  Juergen Kortenbach ,  Robert Sixto

发明人： Kevin Smith ,  Jose Francese ,  Juergen Kortenbach ,  Robert Sixto

IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  A61B17/10

CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

摘要： A flexible endoscopic dip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged 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 the 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 distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 柔性内窥镜浸渍器包括具有联接到一端的手动致动器的柔性线圈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设置。 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，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端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并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。