公开(公告)号：US3911923A

公开(公告)日：1975-10-14

申请号：US45941474

申请日：1974-04-09

申请人： YOON IN BAE

发明人： YOON IN BAE

IPC分类号： A61B19/00 ,  A61B17/12 ,  A61B17/30 ,  A61B17/42 ,  A61F6/20 ,  A61N3/00

CPC分类号： A61B17/12013 ,  A61B17/30 ,  A61B17/42 ,  A61B2017/12018 ,  A61F6/202 ,  A61F6/208

摘要： A ring applicator device for use in applying an elastic occluding ring to an anatomical tubular structure which comprises an inner cylinder slidably disposed within an outer cylinder, forceps means slidably disposed within said inner cylinder, means for moving said forceps means into and out of the inner cylinder and means for ejecting an elastic ring from the end of said inner cylinder by axially displacing said outer and inner cylinders relative to each other.

摘要翻译： 一种用于将弹性闭塞环施加到解剖管状结构上的环施加器装置，其包括可滑动地设置在外筒内的内筒，可滑动地设置在所述内筒内的钳子装置，用于将所述钳子装置移入和移出内 气缸和装置，用于通过相对于彼此轴向移动所述外筒和内筒从所述内筒的端部弹出弹性环。

公开(公告)号：US20120067352A1

公开(公告)日：2012-03-22

申请号：US13216046

申请日：2011-08-23

申请人： William Harwick Gruber ,  Ronald David Adams ,  J. Christopher Flaherty

发明人： William Harwick Gruber ,  Ronald David Adams ,  J. Christopher Flaherty

IPC分类号： A61F6/22

CPC分类号： A61F6/225 ,  A61B17/12022 ,  A61B17/12099 ,  A61B17/12131 ,  A61B17/12159 ,  A61B17/12172 ,  A61B2017/00986 ,  A61B2017/12054 ,  A61F6/208

摘要： Methods, systems and devices for performing gynecological procedures. According to one embodiment, there is provided a device for occluding a fallopian tube, the device including an outer member and an inner member. The outer member may be a hollow, frusto-conical structure shaped to include an open proximal end, an open distal end, and a side wall. The outer member may be self-expandable such that the distal end is biased radially outwardly. In addition, the side wall may have a porous structure to permit the ingrowth of tissue therethrough. Tines may be provided on the outer surface of the side wall to promote the anchoring of the outer member in a fallopian tube. The inner member, which may be structured to induce scarring, may comprise an elongated fibrous body fixed at its proximal end to the proximal end of the outer member. A bore may extend distally from the proximal end of the inner member to receive a delivery rod. The inner member, which may have pores or interstices to permit the ingrowth of tissue thereinto, is coated or impregnated with a sclerosing agent.

摘要翻译： 用于执行妇科手术的方法，系统和装置。 根据一个实施例，提供了一种用于闭塞输卵管的装置，该装置包括外部构件和内部构件。 外部构件可以是中空的截头圆锥形结构，其形状包括开放的近端，开口的远端和侧壁。 外部构件可以是自膨胀的，使得远端径向向外偏置。 此外，侧壁可以具有多孔结构以允许组织向内生长通过其中。 可以在侧壁的外表面上提供齿以促进外部构件在输卵管中的锚定。 可以构造成引起瘢痕形成的内部构件可以包括在其近端固定到外部构件的近端的细长纤维体。 孔可以从内部构件的近端向远侧延伸以接收输送杆。 内部构件可以具有允许组织向内生长的孔或间隙，用硬化剂涂覆或浸渍。

公开(公告)号：US20100087798A1

公开(公告)日：2010-04-08

申请号：US12565620

申请日：2009-09-23

申请人： RONALD DAVID ADAMS ,  WILLIAM HARWICK GRUBER

发明人： RONALD DAVID ADAMS ,  WILLIAM HARWICK GRUBER

IPC分类号： A61M31/00

CPC分类号： A61K9/0034 ,  A61B1/303 ,  A61B17/22004 ,  A61B17/22012 ,  A61B17/2202 ,  A61B17/320758 ,  A61B17/320783 ,  A61B17/42 ,  A61B17/4241 ,  A61B18/02 ,  A61B18/14 ,  A61B18/20 ,  A61B34/73 ,  A61B90/361 ,  A61B90/39 ,  A61B2017/00075 ,  A61B2017/00685 ,  A61B2017/00876 ,  A61B2017/22067 ,  A61B2017/22069 ,  A61B2017/320775 ,  A61B2017/4216 ,  A61B2017/4225 ,  A61B2017/4233 ,  A61B2034/2051 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/304 ,  A61B2090/309 ,  A61B2090/373 ,  A61B2090/378 ,  A61B2090/3954 ,  A61F6/204 ,  A61F6/208 ,  A61F6/225 ,  A61M29/02 ,  A61M31/00 ,  A61M2025/105

摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures using a flowable distension media are disclosed. The system and devices provide simplified use and reduced risk of adverse events. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.

摘要翻译： 公开了使用可流动膨胀介质进行改进的妇科和泌尿手术的系统，方法，装置和装置。 系统和设备提供简单的使用和降低不良事件的风险。 通过改善结果，减轻疼痛，特别是围手术期疼痛，减少恢复时间，实现患者收益。 各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。

公开(公告)号：US6112747A

公开(公告)日：2000-09-05

申请号：US187213

申请日：1998-11-06

申请人： Jesse M. Jones ,  Edward L. Sinofsky

发明人： Jesse M. Jones ,  Edward L. Sinofsky

IPC分类号： A61B17/42 ,  A61B18/22 ,  A61B18/24 ,  A61F6/20 ,  A61F6/06

CPC分类号： A61F6/208 ,  A61B18/24 ,  A61B2017/4233 ,  A61B2018/2261

摘要： A method of sterilizing women is provided wherein a flexible hysteroscope (10), having an operating channel (11), a fluid channel (12), and an optical channel terminating at a lens (13), is passed through the cervix C and uterus to a position adjacent the utero-tubal ostium. An elongated laser catheter (15) having a radially diffusing tip (16) and coupled to a laser generator is extended from the operating channel and through the utero-tubal ostium to a position within the fallopian tube. The laser generator is then energized so as to generate energy sufficient to cause the production of oxygen free radicals which cause necrosis and ultimate fibroses of the fallopian tube.

摘要翻译： 提供了一种消毒妇女的方法，其中具有操作通道（11），流体通道（12）和终止于透镜（13）的光学通道的柔性宫腔镜（10）通过子宫颈C和子宫 到与子宫 - 输卵管口相邻的位置。 具有径向扩散尖端（16）并且耦合到激光发生器的细长激光导管（15）从操作通道延伸并通过子宫输卵管口到输卵管内的位置。 然后，激光发生器通电，以产生足以引起产生氧自由基的能量，其引起输卵管的坏死和最终纤维。

公开(公告)号：US4493319A

公开(公告)日：1985-01-15

申请号：US521020

申请日：1983-08-08

申请人： Todd J. Polk ,  Jerry Polizzi

发明人： Todd J. Polk ,  Jerry Polizzi

IPC分类号： A61F6/20 ,  A61B17/00

CPC分类号： A61F6/208

摘要： The tubal ligation instrument of the present invention includes a structure for ligating anatomical tubes within the human or another animal body, structure for anesthetizing the anatomical tubes being ligated and structure for internally viewing the ligation procedure. An example of an anatomical tube is a Fallopian tube. The instrument further includes a structure for grasping the anatomical element. Usually the grasping structure is a rod having forceps at one end. This rod may be hollow with a valve attached in fluid communication with the rod's rearward end so that anesthesia may be caused to flow through the hollow channel in the rod. The application of anesthesia to an anatomical element is accomplished by introducing the anesthesia through the valve and into the hollow channel of the rod. Thus, a surgeon directing the forward end of the instrument to an anatomical element can apply an anesthetic agent to the anatomical element intraabdominally. In another embodiment of the present invention the hollow rod may contain lenses in its forward end and an eyepiece at its rearward end with light-carrying optical fibers running through the hollow portion of the rod to illuminate the anatomical element being ligated. Thus, a surgeon directing the forward end of the instrument to an anatomical element can view the anatomical element intraabdominally.

摘要翻译： 本发明的输卵管结扎器械包括用于连接人或另一动物体内的解剖管的结构，用于麻醉所连接的解剖管的结构和用于内部观察结扎过程的结构。 解剖管的一个例子是输卵管。 该仪器还包括用于抓住解剖元件的结构。 通常抓握结构是在一端具有镊子的杆。 该杆可以是中空的，阀与杆的后端流体连通，使得麻醉可以流过杆中的中空通道。 将麻醉应用于解剖元件是通过将麻醉剂通过阀引入到杆的中空通道中来实现的。 因此，将仪器的前端引导到解剖元件的外科医生可以将腹腔内的解剖元件施加麻醉剂。 在本发明的另一个实施例中，中空杆可以在其前端容纳透镜，在其后​​端包含透镜，其中携带光纤穿过杆的中空部分以照亮被连接的解剖元件。 因此，将仪器的前端引导到解剖元件的外科医生可以在腹内观察解剖元件。

公开(公告)号：US4471766A

公开(公告)日：1984-09-18

申请号：US41337

申请日：1979-05-22

申请人： Toshiki Terayama

发明人： Toshiki Terayama

IPC分类号： A61B17/28 ,  A61B1/00 ,  A61B17/12 ,  A61B17/30 ,  A61B17/44 ,  A61F6/20

CPC分类号： A61F6/208 ,  A61B17/30 ,  A61B2017/12018

摘要： A ring applicator with an endoscope comprises an operation unit, an outer tube connected to the operation unit, an inner tube reciprocably inserted into the outer tube, an endoscope reciprocably inserted into the inner tube, a normally opening forceps consisting of a pair of hook-like strips secured to the distal end of the endoscope, a rubber ring mounted on the distal end portion of the inner tube, and an operation device provided at the operation unit for drawing back the endoscope only at first and then both the endoscope and the inner tube. Only by operating the operation device the rubber ring can be fed into a body cavity to clamp tissues in the body cavity, while the interior of the body cavity is being observed through the endoscope which is provided in the applicator.

摘要翻译： 具有内窥镜的环形施放器包括操作单元，连接到操作单元的外管，可往复地插入到外管中的内管，可往复插入内管的内窥镜，由一对钩状构件构成的常开镊子， 固定在内窥镜的前端的带状的橡皮圈，安装在内管的前端部的橡胶圈，以及设置在操作单元上的操作装置，用于仅首先抽出内窥镜，然后将内窥镜和内窥镜 管。 只有通过操作操作装置，橡胶环可以被馈送到体腔中以将组织夹在体腔中，同时通过设置在施用器中的内窥镜观察体腔的内部。

公开(公告)号：US20080135053A1

公开(公告)日：2008-06-12

申请号：US11936003

申请日：2007-11-06

申请人： WILLIAM HARWICK GRUBER ,  Ronald David Adams ,  J. Chirstopher Flaherty

发明人： WILLIAM HARWICK GRUBER ,  Ronald David Adams ,  J. Chirstopher Flaherty

IPC分类号： A61F6/22

CPC分类号： A61F6/225 ,  A61B17/12022 ,  A61B17/12099 ,  A61B17/12131 ,  A61B17/12159 ,  A61B17/12172 ,  A61B2017/00986 ,  A61B2017/12054 ,  A61F6/208

摘要： Methods, systems and devices for performing gynecological procedures. According to one embodiment, there is provided a device for occluding a fallopian tube, the device including an outer member and an inner member. The outer member may be a hollow, frusto-conical structure shaped to include an open proximal end, an open distal end, and a side wall. The outer member may be self-expandable such that the distal end is biased radially outwardly. In addition, the side wall may have a porous structure to permit the ingrowth of tissue therethrough. Tines may be provided on the outer surface of the side wall to promote the anchoring of the outer member in a fallopian tube. The inner member, which may be structured to induce scarring, may comprise an elongated fibrous body fixed at its proximal end to the proximal end of the outer member. A bore may extend distally from the proximal end of the inner member to receive a delivery rod. The inner member, which may have pores or interstices to permit the ingrowth of tissue thereinto, is coated or impregnated with a sclerosing agent.

摘要翻译： 用于执行妇科手术的方法，系统和装置。 根据一个实施例，提供了一种用于闭塞输卵管的装置，该装置包括外部构件和内部构件。 外部构件可以是中空的截头圆锥形结构，其形状包括开放的近端，开口的远端和侧壁。 外部构件可以是自膨胀的，使得远端径向向外偏置。 此外，侧壁可以具有多孔结构以允许组织向内生长通过其中。 可以在侧壁的外表面上提供齿以促进外部构件在输卵管中的锚定。 可以构造成引起瘢痕形成的内部构件可以包括在其近端固定到外部构件的近端的细长纤维体。 孔可以从内部构件的近端向远侧延伸以接收输送杆。 内部构件可以具有允许组织向内生长的孔或间隙，用硬化剂涂覆或浸渍。

公开(公告)号：US20030158563A1

公开(公告)日：2003-08-21

申请号：US10079015

申请日：2002-02-20

发明人： Scott B. McClellan ,  Patricia M. Moulis ,  Annette M.L. McClellan

IPC分类号： A61B017/10

CPC分类号： A61B17/12022 ,  A61B17/12009 ,  A61B17/12013 ,  A61B17/12136 ,  A61B17/22032 ,  A61B17/221 ,  A61B17/30 ,  A61B18/082 ,  A61B2017/00557 ,  A61B2017/12018 ,  A61B2017/2215 ,  A61B2017/303 ,  A61F6/202 ,  A61F6/208 ,  A61F6/225

摘要： A surgical device for performing internal ligation of a fallopian tube or other tubular anatomical structure, by application of one or more ligating bands to a folded portion of the wall of the tubular structure. A method of using the device is also disclosed. The inventive method and device may be used for sterilization to prevent undesired pregnancies, or for other medical applications. One embodiment of the device includes an elongated tubular element that is inserted into the fallopian tube, a grasper that extends out of the tubular element, grasps the interior of the fallopian tube and retracts into the tubular element in a folded bundle of the fallopian tube tissue; and a pusher balloon for pushing a ligating band from the tip of the tubular element onto the tissue bundle. A fold assist mechanism may be included to help evert a section of a fallopian, or other, tube.

摘要翻译： 一种手术装置，用于通过将一个或多个结扎带施加到管状结构的壁的折叠部分来进行输卵管或其它管状解剖结构的内部结扎。 还公开了使用该装置的方法。 本发明的方法和装置可以用于灭菌以防止不想要的怀孕或用于其它医疗应用。 该装置的一个实施例包括插入输卵管中的细长管状元件，从管状元件延伸出的抓紧器，抓住输卵管的内部，并以输送管组织的折叠束缩回到管状元件中 ; 以及用于将结扎带从管状元件的尖端推到组织束上的推动器气囊。 可以包括折叠辅助机构以帮助翻转输卵管或其他管的一部分。

公开(公告)号：US5425736A

公开(公告)日：1995-06-20

申请号：US149623

申请日：1993-11-09

申请人： LeGrand D. Wadsworth

发明人： LeGrand D. Wadsworth

IPC分类号： A61D1/06 ,  A61F6/20 ,  A61B17/00

CPC分类号： A61F6/208 ,  A61D1/06

摘要： A ligature tool, of the type having a handle carrying an elongate body defining a fastening clip chamber in its forward part with ligature tubing holding and tensioning means carried on the body, provides improved crimping and tubing holding means. The crimping element provides a single pivotally mounted crimping dog that contacts a slit portion of an annular ligation tube clip carried in the fastening clip chamber and is movable into that chamber to crimp the sides defining the slit toward the adjacent inner surfaces of the annular clip body to fasten ligation material therebetween. The tubing holding means provide a body supporting similar laterally opposed tubing holders each having a headed vertical post about which the end portion of tubing is wound under tension before placement in an adjacent wedge-shaped slot for releasable fastening. The tubing holding body also provides tubing cutting structure.

摘要翻译： 一种具有手柄的连接工具，其具有带有细长主体的手柄，该手柄在其前部确定了紧固夹子腔室，其中连接管道保持和承载在身体上的张紧装置提供了改进的压接和管道保持装置。 压接元件提供单个枢转安装的压接爪，其接合承载在紧固夹具室中的环形连接管夹的狭缝部分，并且可移动到该室中以将限定狭缝的侧面压向环形夹体的相邻内表面 以在其间紧固结扎材料。 管道保持装置提供支撑类似的横向相对的管保持件的主体，每个管保持器具有头部垂直的立柱，在放置在相邻的楔形槽中之前，管的端部在其周围被卷绕在管道上，用于可释放的紧固。 油管夹持体还提供油管切割结构。

公开(公告)号：US5336231A

公开(公告)日：1994-08-09

申请号：US979931

申请日：1992-11-23

申请人： Edwin L. Adair

发明人： Edwin L. Adair

IPC分类号： A61B18/20 ,  A61B17/00 ,  A61B17/04 ,  A61B17/12 ,  A61B17/32 ,  A61B18/00 ,  A61B18/04 ,  A61B18/14 ,  A61B18/22 ,  A61F2/00 ,  A61F6/20

CPC分类号： A61B17/0469 ,  A61B17/12013 ,  A61B17/320016 ,  A61B18/00 ,  A61B18/14 ,  A61B18/22 ,  A61F6/208 ,  A61B17/0467 ,  A61B2017/0477 ,  A61B2018/00083 ,  A61B2018/1407 ,  A61F2002/30093 ,  A61F2210/0019

摘要： A laparoscopic fixation, repair and ligation suture; and device has a central passageway with first and second parallel channels on opposite sides thereof. A suture extends through the central channel passageway and has a loop with a slip knot on the distal end and a pull on the proximal end. By pulling on the pull the loop can be drawn tightly about a tissue to be ligated. A nesting tube is provided in one channel to receive a suture needle attached to a loopless suture to easily suture to a body cavity wall. In another form, a tapered handle frictionally receives a suture needle attached to a looped and slip knotted suture to repair a tear or rupture in a body part by suturing through one or more laparoscopies without tying ligature knots inside the body cavity. In a third form, a curved carrying device in one channel and a ligation assist device in the other channel permits ligation of large vessels attached to a body part by fibrous tissue.

摘要翻译： 腹腔镜固定，修补和结扎缝合; 并且装置具有在其相对侧上具有第一和第二平行通道的中心通道。 缝合线延伸穿过中心通道通道并且具有在远端具有滑结的环，并且在近端具有拉力。 通过拉动拉环，可以围绕要连接的组织紧紧拉伸环。 在一个通道中设置嵌套管，以接收连接到无孔缝合线的缝合针以容易地缝合到体腔壁。 在另一种形式中，锥形手柄摩擦地接收连接到环形和打结打结的缝合线上的缝合针，以通过一个或多个腹腔镜缝合来修复身体部位的撕裂或破裂，而不会在体腔内部结扎扎结。 在第三种形式中，一个通道中的弯曲携带装置和另一个通道中的结扎辅助装置允许通过纤维组织连接到身体部分的大血管。