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    • 121. 发明申请
    • MULTIPLE-ANGLE SCISSOR BLADE
    • 多角度锯片
    • US20100005929A1
    • 2010-01-14
    • US12552262
    • 2009-09-01
    • Russell E. AhlbergGary M. JohnsonDavid T. Okihisa
    • Russell E. AhlbergGary M. JohnsonDavid T. Okihisa
    • B21K11/06
    • A61B17/3201A61B17/320016B24B3/52B26B13/06B26B13/08
    • The invention is directed to a pair of laparoscopic scissors, comprising a pair of blades connected at a pivot, each of the blades having a length, a tip portion, a body portion, an outer surface, an inner surface and a cutting edge, the cutting edge forming an angle with the outer surface along the length of the blade such that tension during a cutting operation at the tip portion is about the same as tension at the body portion during the cutting operation. The angle formed may be greater at the tip portion which continuously decreases over the length of the blade. The tip portion may have a first body thickness and the body portion may have a second body thickness different from the first body thickness. During the cutting operation, the blades progressively move over each other to provide a point contact along the cutting edges. The blades may be thickened in a number of locations and combinations including: (1) one blade could be thicker than the other to force the opposing blade to flex; (2) both blades could be thicker at the body portions to give more strength when cutting staples; (3) each blade could be thickened on one side or the other to stiffen certain locations; and (4) the tips of each blade could be thicker than the body portions to provide increased tension at the tips. In another aspect of the invention, a process of manufacturing the pair of scissors of the invention is disclosed, comprising the steps of form grinding the blades into a desired shape from a pre-hardened block of material, and sharpening the cutting edges of the blades. The blades may also be formed through other processes including wire EDM, laser cutting, waterjet cutting, machining, cast or metal injection molding, and other independent profile manufacturing processes. The manufacturing process of the invention is beneficial in that each profile can be accurately controlled, and the parts will be exact every time.
    • 本发明涉及一对腹腔镜剪刀,包括一对在枢轴处连接的刀片,每个刀片具有长度,尖端部分,主体部分,外表面,内表面和切割边缘, 切割刃沿着刀片的长度与外表面形成一角度,使得在切割操作期间在尖端部分的切割操作期间的张力与主体部分处的张力大致相同。 形成的角度可能在尖端部分处大于叶片长度上连续减小的角度。 尖端部分可以具有第一本体厚度,并且主体部分可以具有不同于第一主体厚度的第二主体厚度。 在切割操作期间,叶片逐渐地彼此移动以沿着切割边缘提供点接触。 叶片可以在多个位置和组合中增厚,包括:(1)一个叶片可以比另一个叶片更厚以迫使相对的叶片弯曲; (2)当切割订书钉时,两个叶片在主体部分可以较厚,以提供更大的强度; (3)每个叶片可以在一侧或另一侧增厚以加固某些位置; 和(4)每个叶片的尖端可以比主体部分更厚,以在尖端处提供增加的张力。 在本发明的另一方面,公开了一种制造本发明的一对剪刀的方法,包括以下步骤:从预硬化的材料块将刀片成型为期望的形状,并且磨削刀片的切割刃 。 刀片也可以通过包括线切割,激光切割,水刀切割,机械加工,铸造或金属注射成型以及其它独立轮廓制造工艺的其它工艺形成。 本发明的制造方法的优点在于,可以精确地控制每个轮廓,并且每个部件将每次都精确。
    • 123. 发明授权
    • Surgical instrument access device
    • 手术器械进入装置
    • US07163510B2
    • 2007-01-16
    • US10666579
    • 2003-09-17
    • Henry KahlePayam AdlparvarGary M. Johnson
    • Henry KahlePayam AdlparvarGary M. Johnson
    • A61B1/32
    • A61B17/3423A61B5/024A61B5/0507A61B5/08A61B5/6889A61B5/6898A61B17/0293A61B17/3431A61B17/3498A61B2017/00526
    • A surgical access device includes a single valve that forms a seal with a body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal for an instrument having a diameter up to about 37 mm. The valve can include a gel material and the access channel can include a protective sleeve to provide for wound protection during insertion and withdrawal of a sharp surgical instrument. The valve further comprises a cap ring which may be inserted or molded with the gel material. The protective sleeve may be bonded or molded around an inner diameter of the cap ring. The protective sleeve may be a single tubular member, or may comprise a plurality of axially extending sleeve members having a plurality of axial slits. The protective sleeve and the cap ring may comprise of the same or different materials. The surgical access device further comprises at least one support ring disposed circumferentially of the valve forming a hollow space, and a wound retractor operatively placed in the hollow space. The wound retractor includes an inner ring, an outer ring, and a flexible sleeve connecting the inner ring and the outer ring.
    • 手术进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。 该阀具有用于在不存在仪器的情况下产生零密封的特性,以及用于具有高达约37mm直径的仪器的仪器密封件。 阀可以包括凝胶材料,并且进入通道可以包括保护套筒,以在插入和抽出锋利的外科器械期间提供伤口保护。 阀还包括可以用凝胶材料插入或模制的盖环。 保护套可以围绕盖环的内径粘合或模制。 保护套可以是单个管状构件,或者可以包括具有多个轴向狭缝的多个轴向延伸的套筒构件。 保护套和盖环可以由相同或不同的材料组成。 外科进入装置还包括形成中空空间的阀周向设置的至少一个支撑环和可操作地放置在中空空间中的卷绕牵开器。 卷绕卷收器包括内环,外圈和连接内圈和外圈的柔性套管。
    • 125. 发明授权
    • Method for the detection for protein
    • 蛋白质检测方法
    • US5750405A
    • 1998-05-12
    • US609674
    • 1996-03-01
    • James P. AlbarellaSally E. CahillGary M. JohnsonMichael J. Pugia
    • James P. AlbarellaSally E. CahillGary M. JohnsonMichael J. Pugia
    • G01N33/493G01N33/52G01N33/68G01N33/96
    • G01N33/52G01N33/68
    • The determination of human serum albumin (HSA) in urine is carried out by contacting the urine with a reagent system containing a buffer and a protein error indicator. Other proteins normally found in urine can compete with the HSA for interaction with the protein error indicator thereby affecting the sensitivity of the test for HSA. The present invention involves the addition of certain polymeric competitive inhibitors to the reagent system which inhibit the interaction of the urinary proteins other than HSA with the protein error indicator to a greater extent than the interaction with HSA is inhibited thereby increasing the reagent's sensitivity for HSA. Suitable polymeric inhibitors include poly(vinyl alkyl esters), poly(alkyl acrylates), poly(vinyl alkyl carbonates) and poly(vinyl alkyl ketones).
    • 通过使尿与含有缓冲液和蛋白质错误指示剂的试剂系统接触来进行尿中人血清白蛋白(HSA)的测定。 通常在尿液中发现的其他蛋白质可与HSA竞争,与蛋白质错误指示剂相互作用,从而影响HSA检测的敏感性。 本发明涉及向抑制HSA以外的尿蛋白与蛋白质错误指示剂的相互作用的试剂体系添加某些聚合竞争性抑制剂的程度大于与HSA的相互作用被抑制从而增加试剂对HSA的敏感性。 合适的聚合物抑制剂包括聚(乙烯基烷基酯),聚(丙烯酸烷基酯),聚(碳酸烷基酯)和聚(乙烯基烷基酮)。
    • 126. 发明授权
    • Atraumatic surgical clamping instrument
    • 无创外科夹钳仪
    • US5591182A
    • 1997-01-07
    • US324418
    • 1994-10-17
    • Gary M. Johnson
    • Gary M. Johnson
    • A61B17/122A61B17/28A61B17/00
    • A61B17/29A61B17/1227A61B2017/2825
    • A surgical clamping device includes a first jaw and a second jaw movable relative to the first jaw between the proximal position and a spaced position. The first jaw has a supporting surface facing toward the second jaw and an opposing surface facing away from the second jaw. An insert is removably mountable in an operative position on the first jaw and includes an insert base having a central wall and a pair of side walls which form a channel configured to receive the first jaw. An elastomeric material forms a pad on the central wall facing the second jaw while the side walls extend away from the second jaw. Holes in the central wall increase the thickness of the pad without increasing the profile of the insert. A detent mechanism extends laterally of the first jaw between the supporting surface and the opposing surface of the first jaw without interfering with the structural integrity of the clamping device.
    • 手术夹持装置包括第一钳口和第二钳夹,其可相对于第一钳夹在近端位置和间隔位置之间移动。 第一钳口具有面向第二钳口的支撑表面和背离第二钳口的相对表面。 插入件可移除地安装在第一钳口上的操作位置,并且包括具有中心壁和一对侧壁的插入件基座,所述插入件基底形成构造成容纳第一钳口的通道。 弹性体材料在面向第二颚板的中心壁上形成垫,同时侧壁远离第二颚板延伸。 中心壁上的孔增加垫的厚度,而不增加插入物的轮廓。 止动机构在第一钳口的支撑表面和相对表面之间横向延伸,而不会妨碍夹紧装置的结构完整性。
    • 127. 发明授权
    • Bipolar nerve electrode
    • 双极神经电极
    • US5314463A
    • 1994-05-24
    • US47211
    • 1993-04-14
    • Antoine N. J. M. CampsPierre A. GrandjeanGary M. JohnsonPhilip H. J. LeeNicolaas M. H. LokhoffWillem J. Van Driel
    • Antoine N. J. M. CampsPierre A. GrandjeanGary M. JohnsonPhilip H. J. LeeNicolaas M. H. LokhoffWillem J. Van Driel
    • A61N1/05A61N1/04
    • A61N1/0551A61N1/0595A61N1/0558
    • One aspect of this invention relates to a temporary heart wire, and external connector therefore, and the combination of the two, wherein the distal end of the heart wire includes a temporary affixation coil (8) and distal pacing (2) and sensing (1) electrodes connected by means of a coaxial helicoidally wound cable (3) to a proximal electrode (7) and a breakaway needle (6) which also serves as a proximal electrode. The lead is adapted to be inserted into a disposable connector having a snap aperture element (19) for receiving the breakaway needle, and about which the needle is broken, as well as electrical contacts (17, 18) for contacting the proximal electrodes and adapted to be connected to a temporary external pacemaker. According to another aspect of this invention, there is provided a permanent bipolar nerve electrode which includes two electrodes (52), (54) adapted to be positioned along the nerve trunk (58). The bipolar nerve electrode further includes an affixation coil (56) and a thin insulation layer or flap (57), this latter being adapted to be sutured to the surface of the patient's muscle to thereby preclude or limit stimulating electrical energy to be transmitted to adjacent muscles, this allowing for a more focused concentration of electrical energy to the nerve trunk (58) to be stimulated.
    • 本发明的一个方面涉及临时心脏线,以及外部连接器,以及两者的组合,其中心脏线的远端包括临时固定线圈(8)和远端起搏器(2)和感测(1) )电极通过同轴螺旋缠绕电缆(3)连接到近端电极(7)和分离针(6),其也用作近端电极。 引线适于插入具有用于接收分离针并且针被破坏的卡合孔元件(19)的一次性连接器以及用于接触近端电极的电触头(17,18),并且适于 连接到临时外部起搏器。 根据本发明的另一方面,提供了一种永久性双极神经电极,其包括适于沿神经干(58)定位的两个电极(52),(54)。 双极神经电极还包括固定线圈(56)和薄绝缘层或薄片(57),后者适于被缝合到患者肌肉的表面,从而排除或限制刺激性的电能传递到相邻的 肌肉,这允许更加集中的电能集中到神经干(58)被刺激。
    • 130. 发明授权
    • Surgical instrument access device
    • 手术器械进入装置
    • US08187177B2
    • 2012-05-29
    • US11564409
    • 2006-11-29
    • Henry KahlePayam AdlparvarGary M. Johnson
    • Henry KahlePayam AdlparvarGary M. Johnson
    • A61B1/32
    • A61B17/3423A61B5/024A61B5/0507A61B5/08A61B5/6889A61B5/6898A61B17/0293A61B17/3431A61B17/3498A61B2017/00526
    • A surgical access device includes a single valve that forms a seal with a body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal for an instrument having a diameter up to about 37 mm. The valve can include a gel material and the access channel can include a protective sleeve to provide for wound protection during insertion and withdrawal of a sharp surgical instrument. The valve further comprises a cap ring which may be inserted or molded with the gel material. The protective sleeve may be bonded or molded around an inner diameter of the cap ring. The protective sleeve may be a single tubular member, or may comprise a plurality of axially extending sleeve members having a plurality of axial slits. The protective sleeve and the cap ring may comprise of the same or different materials. The surgical access device further comprises at least one support ring disposed circumferentially of the valve forming a hollow space, and a wound retractor operatively placed in the hollow space. The wound retractor includes an inner ring, an outer ring, and a flexible sleeve connecting the inner ring and the outer ring.
    • 手术进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。 该阀具有用于在不存在仪器的情况下产生零密封的特性,以及用于具有高达约37mm直径的仪器的仪器密封件。 阀可以包括凝胶材料,并且进入通道可以包括保护套筒,以在插入和抽出锋利的外科器械期间提供伤口保护。 阀还包括可以用凝胶材料插入或模制的盖环。 保护套可以围绕盖环的内径粘合或模制。 保护套可以是单个管状构件,或者可以包括具有多个轴向狭缝的多个轴向延伸的套筒构件。 保护套和盖环可以由相同或不同的材料组成。 外科进入装置还包括形成中空空间的阀周向设置的至少一个支撑环和可操作地放置在中空空间中的卷绕牵开器。 卷绕卷收器包括内环,外圈和连接内圈和外圈的柔性套管。