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    • 21. 发明授权
    • Surgical obturator
    • 外科闭孔器
    • US08057502B2
    • 2011-11-15
    • US12313660
    • 2008-11-21
    • Johann MaliglowkaRupert MayenbergerTom Schweitzer
    • Johann MaliglowkaRupert MayenbergerTom Schweitzer
    • A61B17/34
    • A61B17/3496A61B17/3474
    • In a surgical obturator for piercing a body wall, comprising a tubular housing that at one end forms an introduction tip with a continuously decreasing diameter, and comprising a blade projecting from the introduction tip for making an incision in the body wall, in order to reduce the risk of injury during piercing of the body wall it is proposed that the introduction tip comprises a central protective cap, which is displaceable in longitudinal direction relative to the introduction tip between an advanced inoperative position and a retracted working position, that the blade in the housing is displaceable in longitudinal direction between an advanced cutting position and a retracted protected position, that disposed in the housing is a retraction device that displaces the blade from the cutting position into the protected position, and that the retraction device may be activated by a displacement of the protective cap from the working position into the inoperative position.
    • 在用于刺穿体壁的外科封堵器中,包括管状壳体,其一端形成具有连续减小的直径的引入末端,并且包括从所述引入末端突出的用于在体壁中形成切口的刀片,以便减少 建议在穿孔体壁时受伤的危险是,引入尖端包括一个中心保护盖,该中心保护帽可相对于引导端在纵向方向上位于先进的非操作位置和缩回的工作位置之间, 壳体可以在纵向方向上在先进的切割位置和缩回的保护位置之间移动,设置在壳体中的是将刀片从切割位置移动到保护位置的缩回装置,并且缩回装置可以由位移 的保护帽从工作位置进入不工作位置。
    • 24. 发明授权
    • Instrument for placing surgical clips
    • 放置手术夹具的仪器
    • US06837895B2
    • 2005-01-04
    • US10051625
    • 2002-01-18
    • Rupert Mayenberger
    • Rupert Mayenberger
    • A61B17/128A61B17/10
    • A61B17/1285
    • An instrument for placing U-shaped surgical clips comprising a magazine that has a distal and a proximal end in which several clips are arranged one behind the other in a guide that can be pushed in longitudinal direction. On the lower side of the magazine, a feeding plate which by means of flexible lugs is in contact with the back sides of the clips and can be pushed forwards and backwards by means of a pushing device over at least a distance between one clip and the next clip parallel to the guide of the magazine is provided. The movement of pushing forward shifts all the clips in the direction of the distal end of the magazine. When the feeding plate is pushed forwards, the pushing device contacts said feeding plate at a point which is at a distance of at least half a length of the feeding plate away from the proximal end of the feeding plate.
    • 一种用于放置U形外科夹具的器具,其包括具有远端和近端的钉仓,其中多个夹子在可沿纵向方向推动的引导件中一个接一个地布置。 在料仓的下侧,通过柔性凸耳的进给板与夹子的后侧相接触,并可借助于推动装置向前和向后推动至少一个夹子和 提供平行于杂志导板的下一个剪辑。 推动的移动使所有的夹子沿着盒子远端的方向移动。 当进给板被向前推动时,推动装置在远离馈送板的近端的馈送板的至少一半长度的距离处接触所述馈送板。
    • 25. 发明授权
    • Bipolar grasping instrument
    • 双极手柄
    • US06743230B2
    • 2004-06-01
    • US10199739
    • 2002-07-18
    • Theodor LutzeRupert MayenbergerChristoph RothweilerDieter Weisshaupt
    • Theodor LutzeRupert MayenbergerChristoph RothweilerDieter Weisshaupt
    • A61B1818
    • A61B18/1445
    • In a bipolar grasping instrument with two clamping jaws movable relative to each other, electrically isolated from one another and each connectable to a pole of an electric high-frequency voltage source, each of the clamping jaws comprising two clamping elements arranged in spaced relation to one another, forming between them a longitudinal slot and each having a clamping surface, and with a cutting device comprising a cutting element displaceable in the longitudinal slots of the clamping jaws and having a cutting edge, in order to improve the design of the drive mechanism and the operability, it is proposed that the cutting element be arranged in the longitudinal slot of the one clamping jaw such that its cutting edge is contained in the longitudinal slot between the clamping elements of this clamping jaw and does not extend beyond its clamping surfaces in the direction towards the other clamping jaw, and that the clamping elements of this clamping jaw be elastically movable relative to the cutting element opposite to the closing movement of the clamping jaws so far that the cutting edge of the cutting element projects beyond the clamping surfaces.
    • 在具有可相对于彼此移动的两个夹爪的双极夹持器具中,彼此电隔离并且各自连接到电高频电压源的极,每个夹钳包括两个与一个 另一个,在它们之间形成纵向槽,并且每个都具有夹紧表面,并且具有切割装置,该切割装置包括可在夹爪的纵向槽中移位并具有切割边缘的切割元件,以便改进驱动机构的设计, 可操作性,建议切割元件布置在一个夹爪的纵向槽中,使得其切割边缘容纳在该夹爪的夹紧元件之间的纵向槽中,并且不延伸超过其夹紧表面 朝向另一个夹爪的方向,并且该夹爪的夹紧元件可相对于弹性移动 到切割元件相对于夹爪的闭合运动,使得切割元件的切割边缘突出超过夹紧表面。
    • 27. 发明授权
    • Surgical punch
    • 手术冲压
    • US5910153A
    • 1999-06-08
    • US984906
    • 1997-12-04
    • Rupert Mayenberger
    • Rupert Mayenberger
    • A61B17/11A61B17/32
    • A61B17/32053A61B2017/1107
    • To allow easy replacement of tools in a surgical punch with a tubular shaft, the distal end of which forms an annular cutting edge, a cutting member is mounted for longitudinal displacement in relation to the shaft, interacts with a cutting edge, and is held on an advancing element mounted for displacement in the shaft. An actuating member, arranged at the proximal end of the shaft, displaces the advancing element in the shaft. The cutting member is releasably connected to the advancing element and/or a sleeve bearing the cutting edge to the shaft. The releasable connections are provided using radially and elastically displaceable projections or detents on one part which engage behind recesses on the other part in a locking position and thereby secure the parts inserted into one another in an axial direction against any separation. The detents are prevented from moving radially out of the locking position into a release position by the abutment of the cutting member and advancing element on the inner wall of the shaft and/or the sleeve in the region of the detents. The advancing element and the cutting member are displaceable in an axial direction after release of the connection to the actuating member to such an extent in relation to the shaft that the radial movement of the detents into the release position is no longer hindered.
    • 为了容易地用管状轴更换具有管状轴的工具,其远端形成环形切割边缘,切割构件安装成相对于轴纵向移位,与切割边缘相互作用并保持在 安装在轴上的前进元件。 布置在轴的近端处的致动构件使轴中的推进元件移位。 切割构件可释放地连接到前进元件和/或将切割边缘支撑到轴上的套筒。 可释放的连接通过在一个部件上使用径向和可弹性位移的突起或棘爪来设置,其在另一部分上的锁定位置中的凹部之后接合,从而将轴向插入的部件固定在任何分离上。 通过在掣子的区域中通过切割构件和前进元件抵接在轴和/或套筒的内壁上,防止定位器从锁定位置径向移动到释放位置。 推进元件和切割构件可以在释放到致动构件的连接件相对于轴的一定程度上沿轴向方向移动,使得棘爪进入释放位置的径向运动不再受到阻碍。
    • 28. 发明授权
    • Surgical applicator
    • 手术器械
    • US5843097A
    • 1998-12-01
    • US792682
    • 1997-01-29
    • Rupert MayenbergerPedro Morales
    • Rupert MayenbergerPedro Morales
    • A61B17/128A61B17/10
    • A61B17/1285
    • In a surgical applicator for U-shaped clips comprising a handle, a tubular shaft adjoining the handle, a forceps-type applicator tool at the free end of the tubular shaft and a clip magazine in the tubular shaft, a closing mechanism arranged in the tubular shaft for the applicator tool, the closing mechanism being actuatable from the handle, and an advancing mechanism arranged in the tubular shaft for the clips, the advancing mechanism likewise being actuatable from the handle and pushing the clips forwards in a path of advance leading into the applicator tool, in order to prevent unintentional pushing-back of the clips in the applicator before the final application, it is proposed that a restraining nose project resiliently between the forceps-type legs of the applicator tool and into the path of advance of the clips, the restraining nose being resiliently displaced by the forwardmost clip out of the path of advance thereof when the forwardmost clip is pushed past into the applying position, and the restraining nose resiliently returning into the path of advance and resting against the rear side of the clip upon arrival of the clip in the applying position.
    • 在用于包括手柄的U形夹子的手术施放器中,与手柄相邻的管状轴,在管状轴的自由端处的镊子式施用工具和管状轴中的夹子仓,封闭机构,布置在管状 用于所述施用工具的所述闭合机构,所述关闭机构可从所述手柄致动;以及推进机构,其布置在所述管状轴中用于所述夹子,所述前进机构同样可从所述手柄致动并且以预先的方式向前推动所述夹子, 施加器工具,为了防止在最终施加之前施加器中的夹子的意外推回,提出了限制鼻部弹性地伸展在施用工具的镊子型腿之间并进入夹子的前进路径 ,当最前面的夹子被推入到施加波中时,约束鼻被最前面的夹子弹性移位出它们的前进路径 并且限制的弹簧弹簧地返回进入的路径并且在夹子到达施加位置时抵靠在夹子的后侧上。