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11. 发明授权

US5356421A Safety trocar with locking handles 失效
标题翻译：带锁柄的安全套管
公开(公告)号：US5356421A
公开(公告)日：1994-10-18
申请号：US957673
申请日：1992-10-07
申请人： Salvatore Castro
发明人： Salvatore Castro
IPC分类号： A61B17/34 , A61M5/18
CPC分类号： A61B17/3496 , A61B17/34
摘要： An apparatus is disclosed for automatically locking an obturator housing to a cannula housing of a trocar assembly when the obturator is advanced to a predetermined distal position. Two latch devices are mounted for pivotal movement within the obturator housing with each having at least one latch positioned at one end thereof. The pivoting latch devices are automatically pivoted into locked engagement with partial apertures or indentations in the cannula housing such that the obturator housing is secured to the cannula housing. Biasing springs are provided to automatically pivot the pivoting latch devices out of engagement with the cannula housing when the obturator is withdrawn to its proximal position.
摘要翻译：公开了一种用于当闭塞器前进到预定远端位置时将闭塞器壳体自动锁定到套管针组件的插管壳体的装置。安装两个闩锁装置用于在闭塞器壳体内枢转运动，每个闩锁装置具有位于其一端的至少一个闩锁。枢转闩锁装置自动地枢转到与插管壳体中的部分孔或凹陷部锁定接合，使得闭孔器壳体固定到套管壳体。提供偏置弹簧以在闭塞器被拉出到其近端位置时自动枢转枢转闩锁装置脱离与套管壳体的接合。

12. 发明申请

US20110196418A1 FLEXIBLE MEDICAL INSTRUMENTS 审中-公开
标题翻译：灵活的医疗仪器
公开(公告)号：US20110196418A1
公开(公告)日：2011-08-11
申请号：US12511050
申请日：2009-07-28
申请人： Salvatore Castro
发明人： Salvatore Castro
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B2017/2901 , A61B2017/2905 , A61B2017/2929 , A61B2017/2939 , A61B2017/2945
摘要： A flexible medical instrument includes an elongate shaft, a jaw tip on the distal end of the elongate shaft and a handle on the proximal end. The elongate shaft includes a coil tube having a distal end fixedly attached to a portion of the jaw tip and a proximal end fixedly attached to a rigid structure at the proximal end of the instrument. The coil tube is disposed within an outer sheath that includes a tubular braid. The elongate shaft and jaw tip are axially rotatable relative to the handle for rotational positioning of the jaws. An actuation element is longitudinally moveable within the shaft to open and close the jaws. The sheath prevents or restricts expansion of the coil tube during pushing of the actuation element.
摘要翻译：柔性医疗器械包括细长轴，细长轴的远端上的钳口尖端和近端的手柄。细长轴包括线圈管，其具有固定地连接到钳口尖端的一部分的远端，以及在器械的近端处固定地附接到刚性结构的近端。线圈管设置在包括管状编织物的外护套内。细长轴和钳口尖端可相对于手柄轴向旋转，用于夹爪的旋转定位。驱动元件可以在轴内纵向移动以打开和关闭钳口。鞘在推动致动元件期间防止或限制线圈管的膨胀。

13. 发明申请

US20100298839A1 Peelable Sheath and Method of Use 审中-公开
标题翻译：可剥皮套和使用方法
公开(公告)号：US20100298839A1
公开(公告)日：2010-11-25
申请号：US12688819
申请日：2010-01-15
申请人： Salvatore Castro
发明人： Salvatore Castro
IPC分类号： A61B17/34 , A61B17/50
CPC分类号： A61B17/3421 , A61B17/3423 , A61B2017/00336 , A61B2017/3447 , A61M25/0668
摘要： A peelable sheath is used to provide an atraumatic cover for an elongate medical device positionable through an incision. The peelable sheath includes a flexible tube, a pair of tabs on a proximal portion of the flexible tube, and a collar on a proximal portion of the flexible tube. The tabs extend laterally through at least one sidewall opening in the collar. The flexible tube is slidably disposed in a lumen of the collar. In use, the sheath is positioned covering at least a distal portion of the elongate medical device, and the elongate medical device is inserted into an incision or other opening in a patient. The sheath is withdrawn from the elongated medical device by pulling the tabs outwardly relative to the longitudinal axis of the flexible tube, causing at least a proximal portion of the flexible tube to split longitudinally into at least two longitudinal sections. The longitudinal sections move proximally through the at least one sidewall opening as the tabs are pulled.
摘要翻译：使用可剥离护套来提供可通过切口定位的细长医疗装置的无创伤盖。可剥离护套包括柔性管，柔性管的近端部分上的一对突出部和柔性管的近侧部分上的套环。翼片横向延伸穿过轴环中的至少一个侧壁开口。柔性管可滑动地设置在套环的内腔中。在使用中，护套定位成覆盖细长医疗装置的至少远端部分，并且细长医疗装置插入患者体内的切口或其他开口中。通过相对于柔性管的纵向轴线向外拉动突出部将护套从细长的医疗装置中取出，使得柔性管的至少近端部分纵向分裂成至少两个纵向部分。当拉片拉出时，纵向部分向近侧移动通过至少一个侧壁开口。

14. 发明授权

US06743257B2 Dynamic implanted intervertebral spacer 有权
标题翻译：动态植入椎间隔垫
公开(公告)号：US06743257B2
公开(公告)日：2004-06-01
申请号：US09988931
申请日：2001-11-21
申请人： Salvatore Castro
发明人： Salvatore Castro
IPC分类号： A61F244
CPC分类号： A61F2/442 , A61F2/30965 , A61F2/4455 , A61F2002/2835 , A61F2002/286 , A61F2002/30131 , A61F2002/30168 , A61F2002/30571 , A61F2002/30596 , A61F2002/30616 , A61F2002/30848 , A61F2002/30884 , A61F2002/448 , A61F2230/0013 , A61F2230/0043 , A61F2310/00017 , A61F2310/00023
摘要： The invention is a single piece, self seating and locking dynamic intervertebral spacer. The dynamic spacer is load-supporting but also able to undergo flexure in either or both the lateral and sagittal planes.
摘要翻译：本发明是单件式，自动锁定动态椎间隔垫。动态间隔器是负载支撑的，但也能够在横向和矢状面中的任一侧或两侧进行弯曲。

15. 发明授权

US06436141B1 Apparatus for fusing adjacent bone structures 有权
公开(公告)号：US06436141B1
公开(公告)日：2002-08-20
申请号：US09788693
申请日：2001-02-20
申请人： Salvatore Castro , Christopher McDonnell
发明人： Salvatore Castro , Christopher McDonnell
IPC分类号： A61F244
摘要： An apparatus for facilitating fusion of adjacent bony structures includes an implant body dimensioned for positioning between adjacent bone structures to maintain the bone structures in desired spaced relation during interbody fusion. The implant body has an outer wall and an external threaded configuration disposed on the outer wall. At least one concave surface at least partially extends along the implant body. The concave surface advantageously reduces the transverse cross-sectional dimension of the implant member thereby facilitating placement of the implant member in restricted intervertebral areas. In addition, the concave surface enables placement of a pair of implants in nested side-by-side relation. Preferably, the threaded configuration has portions removed along an arc section of the outer wall thereby defining a series of generally longitudinally aligned concave surfaces in individual turns thereof. A system and method for facilitating fusion of adjacent vertebrae is also disclosed.

16. 发明授权

US06267763B1 Method and apparatus for spinal implant insertion 有权
标题翻译：用于脊柱植入物插入的方法和装置
公开(公告)号：US06267763B1
公开(公告)日：2001-07-31
申请号：US09282863
申请日：1999-03-31
申请人： Salvatore Castro
发明人： Salvatore Castro
IPC分类号： A61B1756
CPC分类号： A61F2/4611 , A61B17/025 , A61B2017/0256 , A61F2/30744 , A61F2/442 , A61F2/4455 , A61F2002/2835 , A61F2002/30235 , A61F2002/30785 , A61F2002/30787 , A61F2002/3085 , A61F2002/4475 , A61F2002/448 , A61F2002/4624 , A61F2002/4627 , A61F2230/0069
摘要： An apparatus for facilitating fusion of adjacent vertebrae, In one preferred embodiment, the apparatus for facilitating fusion of adjacent vertebrae includes a retractor and a retractor introducer. The retractor includes a retractor sleeve having proximal and distal ends and defines a longitudinal passageway for reception of surgical instrumentation. The retractor sleeve has first and second retractor arms extending distally therefrom in a general longitudinal direction. Each retractor arm has first and second opposed supporting surfaces for engaging respective adjacent opposed vertebrae. Each retractor arm defines a dimension between the first and second supporting surfaces sufficient to distract the opposed vertebrae upon insertion thereof. The retractor introducer is positionable within the longitudinal passageway of the retractor sleeve. The retractor introducer includes an elongated member defining proximal and distal ends and having a distal introducer head. The introducer head has a retractor arm insert. The retractor arm insert preferably defines a cross-sectional dimension to substantially occupy the inner area defined by the retractor arms of the retractor and possesses sufficient rigidity to advance within the tissue portions thereby facilitating placement of the first and second retractor arms of the retractor between the vertebral portions in distracting engagement therewith. The introducer head of the retractor introducer may also define a proximal portion which has a cross-sectional dimension generally corresponding to the internal dimension of the retractor sleeve to thereby substantially minimize entry of tissue within the retractor sleeve during placement between the opposed vertebrae. Preferably, the cross-sectional dimension of the proximal portion of the introducer head is slightly less than the internal dimension of the retractor sleeve.
摘要翻译：用于促进相邻椎骨融合的装置。在一个优选实施例中，用于促进相邻椎骨融合的装置包括牵开器和牵开器导引器。牵开器包括具有近端和远端的收缩器套筒，并且限定用于接收外科器械的纵向通道。牵开器套筒具有沿总长度方向向远端延伸的第一和第二牵开臂。每个收缩臂具有第一和第二相对的支撑表面，用于接合相应的相邻的相对的椎骨。每个牵开器臂限定第一和第二支撑表面之间的尺寸，足以在插入相对的椎骨时使其分散。牵开器导引器可定位在牵开器套筒的纵向通道内。牵开器导引器包括限定近端和远端的细长构件，并具有远端导引器头部。导引头具有牵开臂插入物。牵开器臂插入件优选地限定横截面尺寸以基本上占据由牵开器的牵开器臂限定的内部区域，并且具有足够的刚度以在组织部分内前进，从而便于将牵开器的第一和第二牵开臂支撑在与其分离接合的椎体部分。牵开器导引器的引导器头部还可以限定近端部分，该近端部分的横截面尺寸大体上对应于牵开器套筒的内部尺寸，从而在布置在相对的椎骨之间时基本上最小化牵开器套筒内的组织进入。优选地，导引头的近端部分的横截面尺寸略小于牵开器套筒的内部尺寸。

17. 发明授权

US5720759A Seal assembly for accommodating introduction of surgical instruments 失效
公开(公告)号：US5720759A
公开(公告)日：1998-02-24
申请号：US589426
申请日：1996-01-22
申请人： David T. Green , Salvatore Castro
发明人： David T. Green , Salvatore Castro
IPC分类号： A61B17/34 , A61M39/06 , A61M5/178
CPC分类号： A61B17/3462 , A61M39/06 , A61B2017/3464 , A61M2039/0626 , A61M2039/0686
摘要： A seal assembly is provided which includes a gimbal-like structure permitting rotation of a mounting member relative to the housing. The rotation of the mounting member allows the seal member to align with an instrument being inserted therethrough. The seal assembly is adapted to be detachably mounted to a cannula assembly for use in endoscopic surgery.

18. 发明授权

US5431322A Self contained gas powered surgical apparatus 失效
标题翻译：自备气体手术器械
公开(公告)号：US5431322A
公开(公告)日：1995-07-11
申请号：US146804
申请日：1993-11-02
申请人： David T. Green , Henry Bolanos , Keith Ratcliff , Jeffrey J. Blewett , Randolph F. Lehn , Charles R. Sherts , Graham W. Bryan , Salvatore Castro , Gary S. Kappel
发明人： David T. Green , Henry Bolanos , Keith Ratcliff , Jeffrey J. Blewett , Randolph F. Lehn , Charles R. Sherts , Graham W. Bryan , Salvatore Castro , Gary S. Kappel
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes an anvil member and a surgical fastener cartridge member mounted to the distal end of an elongated endoscopic portion. A tubular collar of the endoscopic portion moves distally to engage the anvil member and bias the anvil member and the cartridge member into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and the cartridge member. A self contained pneumatic system is disposed in the surgical apparatus and is actuable to eject and/or form the surgical fasteners in the clamped body tissue. The apparatus further comprises a locking mechanism for preventing firing of the instrument after it has been fired a predetermined number of times. A counter for displaying the number of times the apparatus has been fired may be provided. A firing interlock is also shown which prevents accidental actuation of the firing trigger. A clamping interlock is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument.
摘要翻译：提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。该装置包括安装到细长内窥镜部分的远端的砧构件和手术紧固件仓构件。内窥镜部分的管状颈部向远侧移动以接合砧座构件并将砧座构件和暗盒构件偏压成协调对准，从而将要紧固的身体组织夹紧在砧座构件和筒构件之间。自包含气动系统设置在手术设备中并且可致动以在夹持的身体组织中弹出和/或形成外科紧固件。该设备还包括一个锁定机构，用于防止仪器在其被点火预定次数之后发射。可以提供用于显示设备被触发次数的计数器。还示出了防止触发触发器的意外致动的触发互锁。示出了夹紧互锁，其防止当钳口不对准或不适当地插入仪器时近似钳口。

19. 发明授权

US5289963A Apparatus and method for applying surgical staples to attach an object to body tissue 失效
标题翻译：用于施加手术钉以将物体附着到身体组织的装置和方法
公开(公告)号：US5289963A
公开(公告)日：1994-03-01
申请号：US782290
申请日：1991-10-18
申请人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
发明人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/28 , A61B19/00 , A61F2/00
CPC分类号： A61B17/0686 , A61B17/0684 , A61B17/00234 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger mecanism to actuate the pusher. Anvil means provides for closing the staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. The invention also relates to a system for attaching surgical mesh to body tissue, a method for endoscopically attaching surgical mesh to body tissue. The staple for endoscopically attaching the surgical mesh to body tissue and a kit for accomplishing such attachment.
摘要翻译：公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝钉，每个钉构造成适于将网状物附接到身体组织。提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。推动器系统还包括致动推动器的触发器技术。砧座装置提供用于封闭钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。本发明还涉及一种用于将外科手术网连接到身体组织的系统，用于将外科手术网内窥镜附接到身体组织的方法。用于内窥镜地将外科手术网连接到身体组织的钉子和用于完成这种附接的套件。

20. 发明申请

US20110230723A1 Active Instrument Port System for Minimally-Invasive Surgical Procedures 审中-公开
标题翻译：主动仪器端口系统用于微创外科手术
公开(公告)号：US20110230723A1
公开(公告)日：2011-09-22
申请号：US12649307
申请日：2009-12-29
申请人： Salvatore Castro , Carson Shellenberger , Robert E. Welt , Daniel W. Fifer
发明人： Salvatore Castro , Carson Shellenberger , Robert E. Welt , Daniel W. Fifer
IPC分类号： A61B1/32
CPC分类号： A61B17/3421 , A61B17/07207 , A61B90/50 , A61B2017/0472 , A61B2017/3447 , A61B2034/302 , A61B2090/571
摘要： An access system for surgical procedures includes an insertion tube having a distal end and a lumen, a pair of instrument delivery tubes extending through the lumen of the insertion tube, each instrument delivery tube having a fixed longitudinal position relative to the insertion tube and a steerable distal portion positioned distal to the distal end of the insertion tube. Proximal actuators are moveable to steer the distal portions of the instrument delivery tubes through manipulation of the handles of instruments extending through those tubes. First and second rigid tubes are mounted within the lumen, at least one of which has a distal end disposed within the lumen.
摘要翻译：用于外科手术的进入系统包括具有远端和内腔的插入管，延伸穿过插入管的内腔的一对仪器输送管，每个仪器输送管相对于插入管具有固定的纵向位置，以及可操纵的远端部位于远离插入管的远端的位置。近端致动器可移动以通过操纵延伸穿过那些管的器械手柄来引导器械输送管的远端部分。第一和第二刚性管安装在内腔内，其中至少一个具有设置在内腔内的远端。

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