公开(公告)号：US20040267303A1

公开(公告)日：2004-12-30

申请号：US10902314

申请日：2004-07-29

发明人： Gary W. Guenst

IPC分类号： A61B017/32 ,  A61B001/32 ,  A61B019/00

CPC分类号： A61B17/0218 ,  A61B2017/00247 ,  A61B2017/306 ,  A61B2018/00392

摘要： A tubular access sleeve and suction tool for accessing an anatomic surface or anatomic space and particularly the pericardium to access pericardial space and the epicardial surface of the heart in a minimally invasive manner are disclosed. A suction tool trunk extending through a suction tool lumen of the sleeve is coupled to suction pads at the ends elongated support arms. The suction pads can be retracted into a sleeve working lumen during advancement of the access sleeve through a passage and deployed from the tubular access sleeve lumen and disposed against the an outer tissue layer. Suction can be applied through suction tool lumens to suction ports of the suction pads that fix to the outer tissue layer so as to tension the outer tissue layer and/or pull the outer tissue layer away from an inner tissue layer so that the anatomic space can be accessed by instruments introduced through the working lumen to penetrate the outer tissue layer.

摘要翻译： 公开了用于访问解剖学表面或解剖空间的管状进入套管和抽吸工具，特别是以心脏微创方式进入心包空间和心外膜表面的心包。 延伸穿过套筒的吸入工具内腔的吸引工具躯干在端部细长的支撑臂处联接到吸盘。 在进入套筒通过通道并且从管状进入套管内腔展开并且抵靠外部组织层设置时，吸盘可以缩回到套筒工作腔中。 吸力可以通过吸入工具流体施加到固定到外部组织层的吸盘的吸入口，以便张紧外部组织层和/或将外部组织层拉离内部组织层，使得解剖空间可以 可通过工作腔引入的仪器进入，以穿透外部组织层。

公开(公告)号：US20040267157A1

公开(公告)日：2004-12-30

申请号：US10848278

申请日：2004-05-18

发明人： Michael E. Miller ,  Joseph L. Mark ,  Charles Butcher ,  John P. Hancock

IPC分类号： A61B017/32 ,  A61B010/00

CPC分类号： A61B10/025 ,  A61B10/0283 ,  A61B17/3498 ,  A61B2010/0208 ,  A61B2017/00973 ,  A61B2217/005 ,  A61B2217/007

摘要： A disposable tissue removal device comprising a cutting element mounted to a handpiece. The cutting element includes an outer cannula defining a tissue-receiving opening and an inner cannula concentrically disposed within the outer cannula. The outer cannula has a trocar tip at its distal end and a cutting board snugly disposed within the outer cannula. The inner cannula defines an inner lumen that extends the length of the inner cannula and terminates in an inwardly beveled, razor-sharp cutting edge. The inner cannula is driven by both a rotary motor and a reciprocating motor. At the end of its stroke, the inner cannula makes contact with the cutting board to completely sever the tissue. An aspiration vacuum is applied to the inner lumen to aspirate excised tissue through the inner cannula and into a collection trap that is removably mounted to the handpiece. The rotary and reciprocating motors are hydraulically powered through a hydraulic circuit. The hydraulic circuit includes a foot pedal that initiates aspiration vacuum, rotary motion and reciprocation of the inner cannula. The hydraulic circuit is configured so that the inner cannula closes the tissue-receiving opening before the foot pedal is depressed and automatically after the foot pedal is released.

公开(公告)号：US20040254597A1

公开(公告)日：2004-12-16

申请号：US10835697

申请日：2004-04-30

申请人： Sinus Rhythm Technologies, Inc.

发明人： Robert S. Schwartz ,  Richard Cornelius ,  William Swanson

IPC分类号： A61B017/32

CPC分类号： A61B17/3207 ,  A61B17/205 ,  A61B2017/00247 ,  A61B2017/00256 ,  A61B2017/320004 ,  A61B2018/00392

摘要： The present invention provides a mechanical injury device having cutting elements for injuring tissue and thereby creating electrical block that can prevent atrial fibrillation. These cutting elements may preferably be removable, breakaway, or simply integral to the injury device and may be delivered, for example, by catheter or hand tool.

摘要翻译： 本发明提供一种机械损伤装置，其具有用于伤害组织的切割元件，从而产生可防止心房颤动的电阻。 这些切割元件可以优选地是可移除的，分离的或简单地与伤害装置成一体，并且可以例如通过导管或手工工具递送。

公开(公告)号：US20040243163A1

公开(公告)日：2004-12-02

申请号：US10797179

申请日：2004-03-11

申请人： GYRUS ENT L.L.C

发明人： Roy R. Casiano ,  Phillip Andrew Ryan

IPC分类号： A61B017/32

CPC分类号： A61B17/32002

摘要： A rotary tissue-cutting instrument forming a laryngeal blade (3) includes an outer tubular member (14) having a hub (4), a proximal portion (150) having a longitudinal axis and extending distally from said hub to a proximal bend (151) curving in a first direction. An intermediate portion (152) extends distally at an angle to the longitudinal axis of said proximal portion (150) in a first plane. The intermediate section extends from the proximal bend (151) to a distal bend (153) curving in a second direction, and a distal portion (154) extends distally from the distal bend (153) in a second plane. The distal portion (154) extends to a distal end having an opening (16) therein. An inner member (15) is rotatably disposed in the outer tubular member (14) and has a proximal end for mounting to a powered handpiece and a distal cutting tip (17) disposed adjacent the opening (16), the inner member being flexible adjacent said distal and proximal bends.

摘要翻译： 形成喉部刀片（3）的旋转组织切割仪器包括具有轮毂（4）的外部管状构件（14），具有纵向轴线并且从所述轮毂向远侧延伸到近侧弯曲部（151）的近侧部分（150） ）沿第一个方向弯曲。 中间部分（152）在第一平面中以与所述近端部分（150）的纵向轴线成一定角度向远侧延伸。 中间部分从近侧弯曲部分（151）延伸到在第二方向上弯曲的远端弯曲部（153），并且远端部分（154）在第二平面中从远端弯曲部（153）向远侧延伸。 远侧部分（154）延伸到其中具有开口（16）的远端。 内部构件（15）可旋转地设置在外部管状构件（14）中并且具有用于安装到动力手持件的近端和邻近开口（16）设置的远端切割尖端（17），内部构件是柔性相邻的 表示远端和近端弯曲。

公开(公告)号：US20040236361A1

公开(公告)日：2004-11-25

申请号：US10873471

申请日：2004-06-22

申请人： Olympus Optical Co., Inc.

发明人： Tomohisa Sakurai

IPC分类号： A61B017/32

CPC分类号： A61B17/320068 ,  A61B2017/00017 ,  A61B2017/00199 ,  A61B2017/00482 ,  A61B2017/00973 ,  A61B2017/320069 ,  A61B2017/32007 ,  A61B2017/320071 ,  A61B2017/320082 ,  A61B2217/005 ,  A61B2217/007 ,  A61M1/0031 ,  A61M1/0058

摘要： An ultrasonic surgical system enables connection of a hand switch as well as a foot switch, which is used to operate a driving signal generator, without the necessity of retrofitting a main unit including the driving signal generator used to drive an ultrasonic transducer incorporated in a connected handpiece. An extension unit is included for connecting the foot switch and hand switch to the main unit. The foot switch and hand switch are connected to the main unit via the extension unit.

摘要翻译： 超声波手术系统能够连接用于操作驱动信号发生器的手动开关以及脚踏开关，而不需要改装包括驱动信号发生器在内的主单元，该驱动信号发生器用于驱动并入连接的超声波换能器 手机。 包括一个扩展单元，用于将脚踏开关和手动开关连接到主机。 脚踏开关和手动开关通过扩展单元连接到主机。

公开(公告)号：US20040236360A1

公开(公告)日：2004-11-25

申请号：US10714060

申请日：2003-11-14

申请人： Trans Vascular, Inc.

发明人： William E. Cohn ,  Ducksoo Kim

IPC分类号： A61B017/32

CPC分类号： A61B17/3207 ,  A61B17/11 ,  A61B17/320016 ,  A61B17/320783 ,  A61B18/1492 ,  A61B18/1815 ,  A61B2017/00876 ,  A61B2017/1139

摘要： The present invention provides catheter apparatus and catheterization methodology for generating an arteriovenous fistula or a veno-venous fistula on-demand between closely associated blood vessels and at a chosen anatomic site in-vivo. The catheter apparatus is preferably employed in pairs, each catheter of the pair being suitable for percutaneous introduction into and extension through a blood vessel. The catheterization methodology employs the catheter apparatus preferably in conjunction with conventional radiological techniques in order to place, verify, and confirm a proper alignment, orientation, and positioning for the catheters in-vivo prior to activating the perforation means for generating a fistula. The invention permits the generation of arteriovenous fistulae and veno-venous fistulae anatomically anywhere in the vascular system of a patient; nevertheless, the invention is most desirably employed in the peripheral vascular system as exists in the extremities of the body to aid in the treatment of the patient under a variety of different medical ailments and pathologies.

摘要翻译： 本发明提供了导管装置和导管插入方法，用于在紧密相连的血管之间和体内选择的解剖部位产生动静脉瘘或静脉 - 静脉瘘。 导管装置优选成对使用，每对导管适合于经皮引入和延伸穿过血管。 导管方法采用导管装置优选结合常规放射技术，以在激活用于产生瘘的穿孔装置之前放置，验证和确认导管在体内的适当对准，取向和定位。 本发明允许在患者的血管系统中的任何地方解剖地产生动静脉瘘和静脉 - 静脉瘘; 然而，本发明最理想地应用于外周血管系统中，如存在于身体的末端，以帮助患者在多种不同的医疗疾病和病态下的治疗。

公开(公告)号：US20040225310A1

公开(公告)日：2004-11-11

申请号：US10776014

申请日：2004-02-10

申请人： Stryker Corporation

发明人： Jerry A. Culp ,  Kevin J. Schemansky ,  David E. Monk

IPC分类号： A61B017/32

CPC分类号： A61B17/32002 ,  A61B17/1622 ,  A61B17/1626 ,  A61B17/320068 ,  A61B18/14 ,  A61B90/90 ,  A61B90/98 ,  A61B2017/00017 ,  A61B2017/00137 ,  A61B2017/00199 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00464 ,  A61B2017/00477 ,  A61B2017/00482 ,  A61B2017/00973 ,  A61B2017/320084 ,  A61B2034/258 ,  A61M2205/6018

摘要： A surgical tool system (30) with a powered surgical handpiece (32). A removable handswitch (39) is attached to the handpiece. The handswitch includes a slip ring (192) that removably holds the handswitch to the handpiece. A lever arm (212) is pivotally attached to the slip ring. A magnet (190) is fitted in the lever arm. The angle of the lever arm is set by the surgeon to indicate the on/off state and operating speed of the handpiece. Internal to the handpiece is a sensor (94) that generates a signal based on the relative proximity of the magnet. The sensor signal is thus employed as the control signal for regulating the operation of the handpiece. Thus a surgeon can selectively use the handpiece with or without the mounted control switch.

摘要翻译： 一种具有动力手术手柄（32）的手术工具系统（30）。 可拆卸的手动开关（39）附接到手持件。 手动开关包括将手动开关可拆卸地保持在手持件上的滑环（192）。 杠杆臂（212）枢转地附接到滑环。 磁铁（190）安装在杠杆臂上。 手术臂的角度由外科医生设定，以指示手持件的开/关状态和操作速度。 手柄内部是基于磁体的相对接近度产生信号的传感器（94）。 因此，传感器信号被用作用于调节手持件的操作的控制信号。 因此，外科医生可以选择性地使用具有或不具有安装的控制开关的手持件。

公开(公告)号：US20040193200A1

公开(公告)日：2004-09-30

申请号：US10763941

申请日：2004-01-22

申请人： AESCULAP AG & Co. KG

发明人： Manfred Dworschak ,  Theodor Lutze ,  Pedro Morales ,  Dieter Weisshaupt

IPC分类号： A61B017/32

CPC分类号： A61B17/3201 ,  A61B2017/2825

摘要： In scissors, in particular, for surgical purposes, comprising two branches pivotable relative to one another, each of which has a cutting section with a cutting edge at the front end thereof and a handle section at the rear end thereof, in order to simplify manufacture thereof, it is proposed that at least one of the branches be joined in its cutting section on its inner surface facing the other branch to a metal foil lying flat thereon and extending at least at the cutting edge end of the inner surface as far as this cutting edge end or projecting slightly over this, with the edge of the metal foil arranged at this end of the inner surface forming the cutting edge of this inner surface.

摘要翻译： 在剪刀中，特别是用于外科用途，包括两个可相对于彼此枢转的分支，每个分支具有在其前端具有切割边缘的切割部分和在其后端处的手柄部分，以简化制造 提出至少有一个分支在其切割部分的与其他分支相对的内表面上接合到平坦的金属箔上，至少在该内表面的切割端端处至少延伸 切割边缘端部或略微突出，其中金属箔的边缘布置在内表面的该端部，形成该内表面的切割边缘。

公开(公告)号：US20040193198A1

公开(公告)日：2004-09-30

申请号：US10491023

申请日：2004-03-25

发明人： Douglas J Cuny

IPC分类号： A61B017/32

CPC分类号： A61B18/00 ,  A61B17/320068 ,  A61B17/320092 ,  A61B2017/22015 ,  A61B2017/22018 ,  A61B2017/320069 ,  A61B2017/320071 ,  A61B2017/320075 ,  A61B2017/320078 ,  A61B2017/320089 ,  A61B2017/320094 ,  A61B2017/320095

摘要： An end effector of an ultrasonic surgical instrument is provided, the ultrasonic surgical instrument having a manipulatable structure, a body portion operatively connected to the manipulatable structure and having a distal end, a transducer, and the end effector being supported on the distal end of the body portion, the end effector including a plurality of resonant member elements, each resonant member operatively connected to a transducer of the plurality of transducers for effecting vibrations along the length of the resonant member, and including an operating surface configured to effect tissue dissection, cutting, coagulation, ligation and/or hemostasis, wherein a displacement curve associated with the vibrations of a first one of the plurality of resonant members is offset relative to the displacement curve associated with the vibrations of a second one of the plurality of resonant members.

摘要翻译： 提供超声外科器械的末端执行器，超声手术器具具有可操纵的结构，主体部分可操作地连接到可操纵结构并具有远端，换能器，并且末端执行器被支撑在 所述末端执行器包括多个共振构件元件，每个共振构件可操作地连接到所述多个换能器的换能器，用于沿着所述共振构件的长度进行振动，并且包括被配置为实现组织解剖，切割 凝结，结扎和/或止血，其中与所述多个谐振构件中的第一谐振构件的振动相关联的位移曲线相对于与所述多个谐振构件中的第二谐振构件的振动相关联的位移曲线偏移。

公开(公告)号：US20040181247A1

公开(公告)日：2004-09-16

申请号：US10684068

申请日：2003-10-09

发明人： Rajiv Kehr ,  Scott Larsen

IPC分类号： A61B017/32

CPC分类号： A61B17/3213 ,  A61B2017/32113

摘要： A protective sheath for a disposable surgical scalpel includes at least three modes of operation, (i) a protective mode, (ii) an open mode, and (iii) a permanently locked mode. In the open mode, a locking strip of the scalpel handle resides in one opening of the sheath to keep the sheath substantially immobile during use of the scalpel blade. In the protective mode, the locking strip resides in a second opening of the sheath to keep the sheath substantially immobile when the scalpel blade is not in use. In the permanently locked mode, a button connected to the sheath is depressed into the second opening and engages the locking strip, thereby preventing the blade from being used and allowing the scalpel to be safely disposed.

摘要翻译： 用于一次性外科手术刀的保护套包括至少三种操作模式，（i）保护模式，（ii）开放模式和（iii）永久锁定模式。 在打开模式中，解剖刀手柄的锁定条位于护套的一个开口中，以在手术刀刀片的使用期间保持护套基本上不移动。 在保护模式中，锁定条位于护套的第二开口中，以在手术刀刀片不使用时保持护套基本不动。 在永久锁定模式中，连接到护套的按钮被压入第二开口并接合锁定条，从而防止刀片被使用并允许解剖刀被安全地设置。