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公开(公告)号：US4969591A
公开(公告)日：1990-11-13
申请号：US373622
申请日：1989-06-27
IPC分类号： A61B17/064 , A61B17/068
CPC分类号： A61B17/0682 , A61B17/0644
摘要： A microsurgical stapling system for suturing delicate tissue. The system comprises a staple magazine and a stapler. The magazine has a framework to which a plurality of pre-formed staples are integrally attached in parallel, spaced-apart formation. The stapler comprises a housing, a staple support and ram assembly, a driver body and a driver assembly. The magazine is disposed within the housing and is advanced toward the staple support and ram assembly. The staple support and ram assembly comprises a front wall that engages the front edge of the leading staple in the magazine and a rear wall that engages the trailing edge of the leading staple, whereby the leading staple can be captivated between the front and rear walls. The front wall may not be movable; the rear wall is movable so that it can move down to engage the rear side of a staple which has just passed beneath the rear wall. The staple support and ram assembly also comprises a ram plate slidably mounted between the front and rear walls for driving the leading staple downwardly between the front and rear walls. An ejection slot is formed in the housing through which the leading staple is ejected into the tissue to be sutured. The rear wall and ram plate are coupled to and driven by the driver assembly. The driver assembly retracts the rear wall and ram plate from the inserted staple at the same time the assembly advances the staple magazine toward the front wall.
摘要翻译： 用于缝合微细组织的显微手术吻合系统。 该系统包括钉仓和订书机。 杂志具有框架，多个预成形的订书钉以平行的间隔开的形式整体地附接到该框架上。 订书机包括壳体，订书钉支架和柱塞组件，驱动器主体和驱动器组件。 盒子被设置在壳体内并且朝向钉支撑件和柱塞组件前进。 订书钉支撑和柱塞组件包括前壁，其与钉仓中的引导钉的前边缘接合，后壁与主钉的后缘相接合，由此可将前导钉卡在前壁和后壁之间。 前壁可能不可移动; 后壁是可移动的，使得其可以向下移动以接合刚刚通过后壁的订书钉的后侧。 缝钉支撑和柱塞组件还包括可滑动地安装在前壁和后壁之间的柱塞板，用于在前壁和后壁之间向下驱动引导钉。 在壳体中形成有弹出槽，引导钉通过该排出口被喷射到待缝合的组织中。 后壁和柱塞板联接到驱动器组件并由驱动器组件驱动。 驱动器组件在插入的订书钉上缩回后壁和柱塞板，同时组装件将订书钉匣前进到前壁。
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公开(公告)号：US4895289A
公开(公告)日：1990-01-23
申请号：US296894
申请日：1989-01-12
IPC分类号： A61B17/068 , A61F9/00
CPC分类号： A61B17/0684 , A61F9/00
摘要： A stapler system for surgical suturing comprising a novel stapler and novel precurved staples designed for use with the stapler. Staples stored on a magazine are implanted by a ram mounted for reciprocal movement on the body of the stapler. The ram is moved to firing position by a handle pivotally mounted to the stapler body. As the handle is pivoted, a flat spring coupled to the ram is biased. When the ram reaches its firing position, the handle slips from engagement with the ram, thus permitting the biased spring to drive the ram downward so as to implant a staple into the incised tissue. The legs of the staple enter the tissue along a curved path. During implantation the staple is bent around an anvil causing the legs of the staple to penetrate the tissue along a curved path. Insertion of the staple legs along this curved path draws adjacent portions of incised tissue together. Just before the ram reaches the end of its drive stroke, the anvil is automatically withdrawn from between the sutured tissue and the fully implanted staple so as to minimize tissue trauma.
摘要翻译： 一种用于外科缝合的吻合器系统，其包括设计用于与缝合器一起使用的新颖的订书机和新颖的预型钉。 储存在盒子上的订书钉由安装成可往复运动的压头植入到订书机的主体上。 通过可枢转地安装到订书机主体的把手将冲头移动到击发位置。 当手柄枢转时，耦合到柱塞的平板弹簧被偏置。 当冲头到达其击发位置时，手柄与压头接合滑动，从而允许偏压的弹簧向下驱动压头，以将钉子植入切割的组织中。 订书钉的腿部沿弯曲的路径进入组织。 在植入期间，钉在砧座周围弯曲，导致钉的腿部沿弯曲的路径穿透组织。 沿着该弯曲路径插入钉腿将切割的组织的相邻部分附接在一起。 在冲压器到达驱动行程结束之前，砧座被自动地从缝合的组织和完全植入的钉之间撤出，以便最小化组织创伤。
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公开(公告)号：US4994082A
公开(公告)日：1991-02-19
申请号：US242962
申请日：1988-09-09
IPC分类号： A61F2/16
CPC分类号： A61F2/1629 , A61F2/1632 , A61F2/1648
摘要： An intraocular lens assembly including an adjustable-power lens assembly and an adjustment mechanism coupled between the lens assembly and the ciliary muscle of the eye in which the lens assembly is implanted for adjusting the power of the lens assembly in response to contraction or relaxation of the ciliary muscle.
摘要翻译： 一种眼内透镜组件，包括可调功率透镜组件和联接在眼镜组件与眼睫毛之间的调节机构，其中植入透镜组件以响应于收缩或松弛的透镜组件的功率来调节透镜组件的功率 睫状肌。
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公开(公告)号：US4762260A
公开(公告)日：1988-08-09
申请号：US906151
申请日：1986-09-11
IPC分类号： A61B17/10 , A61B17/068 , A61B17/00
CPC分类号： A61B17/0682
摘要： A surgical microstapler is disclosed which does not require the use of a staple bending anvil that must be retracted after the staple is implanted. The surgical microstapler utilizes a stapler head comprising a staple magazine that consists of a series of staples attached to and supported by a plurality of frame members. The stables have a predetermined shape characterized by a spine portion and two opposite legs. The staples and frame members are formed as part of a sheet metal continuum and are joined by a plurality of tabs which coact with the frame members to hold the staples in proper spaced relationship within the magazine. The stapler head also comprises means for advancing the magazine so as to position its leading staple in a predetermined dispensing position in line with an ejection slot through which the staple is ejected and inserted into tissue, and staple driving means for implanting the leading staple. The leading staple is held to the magazine at its spine as it is engaged by the staple driving means. The staple driving means is shaped so as to contact the opposite legs of the staple and to deflect them downward following a curved trajectory with closely resembles the motion of a surgeon's suturing needle. The stapler head is adapted to be connected to a driver which provides the driving force required to cause the staple driving means to separate the leading staple from the magazine and implant it into the tissue.
摘要翻译： 公开了一种手术微型安装器，其不需要在钉植入后必须缩回的钉子砧座。 手术微型装订器利用包括订书钉盒的订书机头，该订书钉盒由连接到多个框架构件并由多个框架构件支撑的一系列订书钉组成。 马厩具有由脊部和两个相对的腿组成的预定形状。 订书钉和框架构件形成为金属板连续体的一部分，并且通过与框架构件共同的多个突出部接合，以将卡钉以适当间隔的关系保持在盒体内。 订书机头还包括用于推进盒子的装置，以便将其主要订书钉定位在预定的分配位置，与弹出槽对齐，订书钉通过该弹出槽被弹出并插入到组织中，以及装订驱动装置，用于植入主要订书钉。 主钉被钉在钉子上，因为它是用钉子驱动的手段。 缝钉驱动装置被成形为接触订书钉的相对的腿，并且沿着与外科医生的缝合针的运动非常相似的弯曲轨迹向下偏转。 订书机头适于连接到驱动器，该驱动器提供使引线驱动装置将引导钉与钉仓分离并将其植入到组织中所需的驱动力。
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5.发明申请公开(公告)号：US20080171988A1
公开(公告)日：2008-07-17
申请号：US11931846
申请日：2007-10-31
申请人： Ernesto E. Blanco
发明人： Ernesto E. Blanco
IPC分类号： A61B17/00
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00526 , A61B2017/3464
摘要： A seal assembly includes a first seal, a second seal, and a positioning element. The first seal includes at least one longitudinal slot therein. The second seal includes at least one longitudinal slot therein and is positioned coaxially with the first seal. The positioning element is positioned coaxially with the first seal. The at least one longitudinal slot of the first seal is offset from the at least one longitudinal slot of the second seal in a radial direction from a longitudinal axis of the seal assembly. The seal assembly can be integrated with a closing valve. The seal assembly can also be integrated with a capsule.
摘要翻译： 密封组件包括第一密封件，第二密封件和定位元件。 第一密封件包括至少一个纵向槽。 第二密封件在其中包括至少一个纵向槽，并与第一密封件同轴地定位。 定位元件与第一密封件同轴地定位。 第一密封件的至少一个纵向狭槽从第二密封件的至少一个纵向狭槽偏离密封组件的纵向轴线的径向方向。 密封组件可与闭合阀一体化。 密封组件也可以与胶囊一体化。
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公开(公告)号：US06607242B2
公开(公告)日：2003-08-19
申请号：US10015370
申请日：2001-12-12
申请人： Gabriel Estrada , Mercedes Castelo , Luis Otero , Thomas J. Fowler , Ernesto E. Blanco , H. Winston Maue
发明人： Gabriel Estrada , Mercedes Castelo , Luis Otero , Thomas J. Fowler , Ernesto E. Blanco , H. Winston Maue
IPC分类号： B60N242
摘要： A head restraint assembly includes a curved support member for upwardly and forwardly deploying a headrest. The support member is selectively locked and unlocked to alternately maintain the headrest in a retracted position or deploy the headrest. A vehicle impact sensor signals the release of the support member when a vehicle impact is sensed. The headrest is deployed quickly and effectively until it reaches its potential full deployment, or until an occupant's head contacts the headrest.
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公开(公告)号：US5236423A
公开(公告)日：1993-08-17
申请号：US895193
申请日：1992-06-05
申请人： Thomas W. Mix , Ernesto E. Blanco , Norman Rosskothen , Maria L. Hernandez , Gordon C. Vineyard , Liem T. Vu
发明人： Thomas W. Mix , Ernesto E. Blanco , Norman Rosskothen , Maria L. Hernandez , Gordon C. Vineyard , Liem T. Vu
CPC分类号： A61B1/00151 , A61B1/31 , A61M25/0111 , A61M25/0009 , Y10S600/92
摘要： One aspect is a method for inserting an instrument into the gastrointestinal tract of a mammal, by emplacing at least a portion of a flexible liner to form within the intestine an inner tube within an outer tube, the inner tube defining a lumen lying within the intestine and having a distal end accessible via the anal opening from outside the body of the mammal, and thereafter passing the instrument into the lumen via its distal end. Another aspect is the combination of an elongate evertible liner, a liner support chamber having a proximal port and a distal port, the liner having its two ends attached respectively at the ports, and a pressurizer for increasing the pressure within the chamber to cause the liner to be everted, the liner comprising a material characterized by having a wall thickness to diameter ratio and a zero strain elasticity modulus whose product is less than 4.0 lb/inch.sup.2, preferably less than 1.0 lb/inch.sup.2, and a wall thickness to diameter ratio and a 100% strain modulus of elasticity whose product is greater than 0.5 lb/inch.sup.2, preferably greater than 2.0 lb/inch.sup.2. In another aspect, a layer of lubricous material, such as polyvinylpyrrolidone (PVP), is directly bonded to a surface of a layer of elastomeric material (such as polyurethane) without the use of adhesive materials between the layers. The resultant PVP-coated sheet is formed into the flexible liner. Yet another aspect is several devices for emplacing the liner in the intestine.
摘要翻译： 一个方面是用于将器械插入哺乳动物的胃肠道中的方法，通过将至少一部分柔性衬垫放置在肠内，在内管内部形成内管，内管限定位于肠内的内腔 并且具有通过肛门开口从哺乳动物的身体外部接近的远端，然后经由其远端将器械通入内腔。 另一方面是细长的可翻转衬垫，具有近端口和远端口的衬垫支撑室的组合，衬垫的两端分别在端口附近，以及用于增加腔室内的压力以使衬垫 该衬垫包括材料，其特征在于具有壁厚与直径的比率和零应变弹性模量，其零度应变弹性模量小于4.0磅/英寸2，优选小于1.0磅/英寸2，壁厚比和 产品的100％应变弹性模量大于0.5磅/英寸2，最好大于2.0磅/英寸2。 另一方面，一层润滑材料，例如聚乙烯吡咯烷酮（PVP），直接粘合到一层弹性体材料（如聚氨酯）的表面，而不用层之间使用粘合剂材料。 所得到的PVP涂层片材形成柔性衬垫。 另一方面是用于在肠中放置衬垫的若干装置。
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公开(公告)号：US5224585A
公开(公告)日：1993-07-06
申请号：US867176
申请日：1992-04-10
申请人： Ernesto E. Blanco , James W. Winkleman , Donald R. Wybenga , Catherine J. Anderson , Kenneth A. Pasch , Robert E. Lopez , Anne M. Schreiter
发明人： Ernesto E. Blanco , James W. Winkleman , Donald R. Wybenga , Catherine J. Anderson , Kenneth A. Pasch , Robert E. Lopez , Anne M. Schreiter
CPC分类号： G01N35/00732 , B01L9/06 , B65G15/58 , G01N35/04 , B65G2201/02 , B65G2201/0261 , G01N2035/00752 , G01N2035/00762 , G01N2035/0406 , G01N2035/047 , G01N2035/0477 , G01N2035/0484
摘要： A carrier for supporting a coded container in a predetermined orientation on a magnetic conveyor system having magnetic means on the carrier with at least one window in the carrier to expose a coded container held therein.
摘要翻译： 一种用于在具有磁性装置的磁性输送系统上的预定取向上支撑编码容器的载体，所述载体具有载体中的至少一个窗口以暴露保持在其中的编码容器。
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公开(公告)号：US20100194060A1
公开(公告)日：2010-08-05
申请号：US12607593
申请日：2009-10-28
申请人： Ernesto E. Blanco
发明人： Ernesto E. Blanco
CPC分类号： A61B17/34 , A61B17/3462 , A61B2017/00845 , A61B2017/22092 , A61B2050/0065 , A61M2039/0633 , A61M2039/0646 , A61M2039/0686 , B60K15/04 , B60K2015/03447 , Y10T29/49826
摘要： A seal assembly includes a first seal and a second seal and positioned in the first end element. The second seal can include at least one longitudinal groove therein and have members connected thereto. A stopper member is coaxially positionable within the second seal and the first seal and a lubricant can be positioned between the stopper member and the second seal. The seal assembly can also be integrated with a capsule for removable insertion within a tubular member.
摘要翻译： 密封组件包括第一密封件和第二密封件并且定位在第一端部元件中。 第二密封件可以包括至少一个纵向凹槽并且具有与其连接的构件。 止动件可在第二密封件内同轴定位，第一密封件和润滑剂可位于止动件与第二密封件之间。 密封组件也可以与胶囊集成，用于可拆卸地插入管状部件内。
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公开(公告)号：USD561338S1
公开(公告)日：2008-02-05
申请号：US29218540
申请日：2004-12-06
申请人： Ernesto E. Blanco
设计人： Ernesto E. Blanco
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